Prenatal diagnosis of enterolithiasis at 18 weeks: multiple foci of intraluminal calcified meconium within echogenic bowel.

Enterolithiasis is an uncommon finding of a dilated hyperechogenic bowel with multiple ball-like echogenic structures at a routine prenatal check-up using ultrasonography. We here report a case of prenatally diagnosed enterolithiasis at 18 weeks of gestation, showing multiple hyperechogenic foci rolling within the bowel fluid after peristalsis. The size of the dilated bowel gradually increased during pregnancy.

Use of laparoscopic support to avoid laparotomy in vaginal ovarian cystectomy.

The objective of our study was to evaluate the use of a procedure for vaginal ovarian cystectomy that is supported by the option to convert to laparoscopy. The ovarian cystectomy was initially approached transvaginally, and then if impossible, completed laparoscopically. We applied this operation system to 38 patients with benign ovarian cysts.

[A trial of biweekly paclitaxel administration in consideration of QOL for advanced or recurrent gynecologic cancer].

At present there is no oral medicine available which is effective for advanced or recurrent case of elderly patients with gynecologic cancer. We report that a low-dose biweekly paclitaxel administration preserves quality of life (QOL) and seems to be "tumor dormancy like" therapy of good compliance with few side effects. A total of 11 cases were in ovarian cancer (5), uterine cancer (3), cervical cancer (2), and uterine sarcoma (1).

[A case of uterine endometrial cancer with lung metastases improved by various treatments including taxane].

Surgery is the treatment of choice for uterine endometrial cancer. However, partial response anticancer chemotherapies for advanced cases with metastasis may also be effective. Current therapy is CAP (CDDP + ADM + CPM), which is centered on CDDP, but sufficient effect is not provided, and a new regimen is needed.