Search PubMed⌕ Search

Biomedical subjects

W Hammans

Publications and source records attributed to W Hammans.

At least 19 recordsLinked to original sources
PubMed1998

A prospective comparative study on fluorescence in situ hybridization (FISH) of uncultured amniocytes and standard karyotype analysis.

Fluorescence in situ hybridization (FISH) on uncultured amniocytes and standard cytogenetic analysis after amniocentesis have been performed for 904 samples. The experience with the FISH method and its clinical relevance is described in a large clinical pilot study. Commercially available chromosome-specific DNA probes for chromosomes 13, 18, 21, X and Y were used. FISH assays were performed from 12 weeks of gestation to the third trimester. In 96 per cent of the cases, hybridization was performed successfully. At least 50 nuclei for all probes could be counted in 88 per cent of the cases and in 8 per cent between 10 and 49 nuclei were scored. All trisomies 13, 18 and 21 and all cases with gonosomal aberrations were detected by FISH analysis with the exception of one case of trisomy 21 in which hybridization failed due to technical problems. Neither false-positive nor false-negative results were obtained with the DNA probes, in complete agreement with standard cytogenetics. In our experience, FISH is a valuable and reliable method for rapid diagnosis. Consequences of FISH diagnosis are discussed.

Amniocentesis↗
PubMed1994

Early amniocentesis--a cytogenetic evaluation of over 1500 cases.

We report our cytogenetic experience of 1554 early amniocenteses between weeks 11 and 14 of gestation, of which 44 per cent were performed prior to week 14. The mean culture time was 14.5 days. Karyotyping was successful in 99.7 per cent of cases. In 9.9 per cent of cases, there was pseudomosaicism with a high rate of loss of an X-chromosome and structural aberration of chromosome 1, which may be due to the Chang medium. The mosaic rate was 0.5 per cent. The overall aberration rate was 2.8 per cent. Our data confirm the reliability of early amniocentesis, which is a serious alternative to standard amniocentesis and chorionic villus sampling (CVS).

Adult↗
PubMed1993

[Early amniocentesis between the 12th-14th week of pregnancy. Clinical experiences with 1,100 cases].

Information is presented on 1100 early amniocenteses between the 12th and 14th week of gestation, performed at the Evangelisches Krankenhaus Oberhausen over a two year period. In all cases, a sufficient amount of amniotic fluid was obtained. In 99.7%, the cytogenetic diagnosis was successful. In 2.6% (29 patients), an aberrant karyotype was found. The time of cultivation was in the same range as can be observed in standard amniocentesis. The AFP-median measurements correlate with other studies. The spontaneous abortion rate was 0.3%. We conclude, that early amniocentesis can be performed safely and successfully by an experienced surgeon between the 12th to 14th week of gestation.

Abortion, Spontaneous↗
PubMed1992

Prenatal diagnosis of monosomy 18 and ring chromosome 18 mosaicism.

The case of monosomy 18/ring chromosome 18 mosaicism which was detected prenatally by amniocentesis is presented. The pregnancy was terminated in week 18. Autopsy showed complex malformation of the fetus consisting of cebocephaly, hypotelorism, microphthalmia, severe defects of brain development, and arrest of placental maturation.

Adult↗
PubMed1992

[CIN and pregnancy, a 20-year retrospect].

This is a report on CIN associated with pregnancy in a review over the last 20 years. Biological tumour behaviour, diagnostic problems and therapy are discussed in 100 cases of preinvasive and invasive lesions of the cervix. It is pointed out that low acceptance of early detection measures in association with late pregnancy planning may contribute to an increase of invasive cancer in pregnancy.

Adult↗
PubMed1990

[Cytologic endometrium diagnosis with a new combination instrument, the Endoshave].

We report on 300 examinations with a new one-way instrument for taking cell material from the uterus for cytodiagnosis. A combination of shaving and aspiration and the technical form similar to the uterus guarantee a high probability of complete collection and excretion of cell material from all parts of the cavum uteri and the cervix. A regular screening of all women with high risk seems to be possible with this cell collector.

Adenocarcinoma, Papillary↗