Fertility conserving management of early cervical cancer: our experience of LLETZ and pelvic lymph node dissection.

Background: Presently, for those diagnosed with early cervical cancer who wish to conserve their fertility, there is the option of radical trachelectomy. Although successful, this procedure is associated with significant obstetric morbidity. The recurrence risk of early cervical cancer is low and in tumors measuring less than 2 cm; if the lymphatics are negative, the likelihood of parametrial involvement is less than 1%.

A case of sebaceous carcinoma arising in a benign cystic teratoma of the ovary and review of the literature.

Objective: To present an extremely rare case of sebaceous carcinoma arising in a mature cystic teratoma of the ovary.

Clinical Presentation And Intervention: A 66-year-old woman presented with abdominal discomfort and a pelvic mass. Abdominal and pelvic ultrasound, as well as CT scan, revealed a 27 cm complex right pelvic mass, which was diagnosed histologically as a sebaceous carcinoma arising in a mature cystic teratoma.

ECT in the Presence of Severe Cervical Spine Disease.

We present a case of the safe administration of electroconvulsive therapy (ECT) to a depressed patient with severe, unstable cervical spine disease. Using adequate muscle relaxation, a course of ECT treatments was given with excellent results. Although fears about the use of ECT in the presence of spine disease persist, attention to modern ECT technique allows a safe treatment course.