Search PubMed⌕ Search

Biomedical subjects

A Smadja

Publications and source records attributed to A Smadja.

88 records · Page 5Linked to original sources
PubMedDate not supplied

[Malignant transformation of endometriosis: a hypothesis on its histogenesis].

Carcinomatous degeneration of the endometrium is rarely seen. The authors consider the pathogenesis of this disorder based on two authentic cases. On the basis of their previous studies of the endometrium, the authors suggest that endometriotic centers are simply "dystrophies" developing from subcoelomic mesenchymal cells which although quiescent are still capable of proliferation and differentiation. "Dystrophies" are insensitive to hormonal incitation and this would explain the rarity of carcinomatous degeneration of the endometrium.

Adenocarcinoma↗
PubMedDate not supplied

[Morphogenesis of vaginal aplasia. Therapeutic deductions].

On the basis of the studies of the embryogenesis of the vagina, the authors consider that malformations classically described as being partial aplasia should not be separated from the total absence of the vagina. The important feature is the association of a functioning or non functioning uterus with the absence of the vagina. They believe that it is incorrect to describe the pouch of menstrual retention associated with a functioning uterus as "haematocolpos" and that is not justified to describe the cup-shaped vestibular depression as "hemi-vagina". According to the authors, although vaginal aplasia with a functioning uterus forming a pouch of menstrual retention constitutes an absolute indication for surgery, surgery is not justified in cases of vaginal aplasia with a non functioning uterus. If Frank's method fails in these cases, the patient or the couple should be referred to a sexologist, as women with this anomaly retain a perfect femininity, although unable to conceive.

Abnormalities, Multiple↗
PubMedDate not supplied

[Morphological studies of intraepithelial carcinomas of the cervix uteri (author's transl)].

A morphological study at light and electron microscopy, of 61 cases of intraepithelial epithelioma allowed the authors to distinguish two types of carcinoma: undifferentiated intraepithelial epithelioma arising from the exo-endocervical junction, probably by proliferation of vestigial cells which derived from persistent sinusal remnants; differentiated intraepithelial epithelioma developing upon the mature exocervical epithelium modified by inflammatory processes. These two types of "in situ" epitheliomas have different evolution. The undifferentiated form, supported by an uninterrupted membrane consisting of imbricated reticulin fibres has a slow evolution. The differentiated form, often multifocal, supported by a basal membrane frequently disrupted, has a rapid evolution. These morphological studies allowed the authors to refuse the theory of metaplasia from subcylindrical reserve cells in the genesis of intraepithelial epitheliomas of the cervix.

Adult↗
PubMedDate not supplied

[Long-term effects of a combination of 25-hydroxycholecalciferol and 1-alpha-hydroxycholecalciferol on osteodystrophy in chronic hemodialysis patients].

vitamin compounds to the basic dialytic treatment of renal osteodystrophy is of contestable interest. Because 1) optimum conditions of dialysis without D vitamin addition prevent efficiently the progress of severe gyperparathyroidism and osteomalacia 2) the D vitamin compunds could render the phosphatemia control more difficult thus contributing to aggravate the histologic lesions of hyperparathyroidism.

Adult↗
PubMedDate not supplied

[Respective roles of thecal and granulosa cells in the morphogenesis of the corpus luteum].

Studies on human ovary embryogenesis and adult post-ovulatory surgically resected ovaries allowed the authors to propose a new conception on the genesis of corpus luteum: large luteal cells would be derived from theca interna cells and small luteal cells would come from externa theca cells. So there would be a structural unity of luteal tissue which might explain steroidogenesis potential of these two types of cells, derived both from the same ovarian stroma. On the other hand if granulosa cells played an important function in bio-conversion of androgens to oestradiol by aromatase activity before ovulation, their role is over after the expulsion of the oocyte out of the follicle; derived from primitive sex cords of coelomic mesothelium origin, granulosa cells act to support and surround the oocyte; they disappeared at the disappearance of the oocyte from the follicle.

Corpus Luteum↗
PubMedDate not supplied

[Intimate mechanism of premature separation of the normally inserted placenta].

Retro-placental haemorrhage comes from rupture of patent utero-placental arteries which are neither sclerosed nor thrombosed. This applies whether the form of haemorrhage is minor (simple depression found when the placenta is examined) or grave with utero-placental apoplexy (with complete detachment of the placenta and syndrome of shock). The method by which the arteries rupture depend on the intensity and excessive duration of uterine contractions: --moderate; normal uterine contractions give rise to a prolonged blockage of the return circulation, whereas the arterial flow has not stopped. Rupture occurs because the distended utero-placental arterial wall bursts under the insult of raised pressure during the uterine contraction; --intense; these anomalies come from total blockage, both veinous and arterial, and the arterial rupture is due to anoxaemic necrosis of the utero-placental arterial wall. The rupture of the utero-placental arterial wall, which is normally very fragile because it has no elasticity in its musculature, gives the explanation for the histogenesis of retro-placental haemorrhages.

Abruptio Placentae↗