Cryosurgical treatment of the benign cervix.
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This report describes 2 cases of the blue nevus in the uterine cervix. Both were found incidentally in biopsy specimens that had been taken for an examination of a cervical polyp (case 1) or cervical erosion (case 2). The blue nevus in a cervical polyp has been scarcely reported in previous literature.
Colposcopic examination was done in 189 successive parturients within 6-48 h of delivery for evidence of type, site, and extent of cervical trauma and its relation to various obstetric factors. There was trauma in 66% of cases, as erosion in 79%, as laceration in 56%, as bruising in 30%, and as yellow areas in 17%. In about two-thirds of cases, the diameter of cervical erosion, or the length of laceration did not exceed 5 mm and 81% of lacerations were of first degree. Cervical injury was significantly more frequent in primiparae, in the anterior cervical lip, in occipito-posterior positions, and with premature rupture of membranes. In 117 parturients with cervical injury another colposcopic examination was done 6-8 weeks postpartum. In 8% there was residual cervical damage.
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Cervical swabs for Chlamydia culture were collected from 638 unselected women attending a sexually transmitted diseases clinic with a fresh complaint. Chlamydia were isolated from 76 (12 per cent.) of the women. When the results were related to the patients' diagnoses, Chlamydia were present in 44 per cent. of women with gonorrhoea and in 22 per cent. of women who were contacts of men with nonspecific urethritis (women who may be regarded as having non-specific genital infection). Chlamydia were uncommon in women with no evidence of genital infection. Significant correlations were found between the presence of Chlamydia and cervical erosion, cervical cytological inflammatory change, and absence of symptoms. Isolates were obtained more frequently from women with non-specific genital infection who were primary contacts than from women who were secondary contacts. These findings support the concept that Chlamydia are pathogens in the genital tract and are sexually transmitted.
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An analysis of clinical and colposcopic findings in 107 patients with early forms of invasive cancer of the uterine cervix with deep invasion not more than 3 mm (st. 1-a) and their correlation with the results of histological assay enabled the authors to give the clinico-morphological characteristics of this stage of the lesion. It was found that 40% of patients had complaints pathognomonic for a malignant process; 91.6% of patients showed visually recognizable but nonspecific changes in the cervix; in 94% of cases colposcopy revealed cancer suspicious changes of the common and increased atypical epithelium type. In 53.3% cancer foci are so limited that these would be removed by primary biopsy. Metastases in regional lymph nodes were detected in 1.6%. Limited foci of the cancer and extremly rare metastases spread in regional lymph nodes justify the use of hysterectomy solely in treatment of such patients.
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