Ominous normalization of middle cerebral artery flow velocity waveforms preceding fetal death: case report.

The loss of middle cerebral artery compensatory vasodilation appears to be ominous in fetuses with absent end-diastolic umbilical waveforms. The authors report a case with a loss of the 'brain-sparing effect' 24 h before fetal death. Current pathophysiological explanations are discussed.

[Congenital auriculo-ventricular block and anti-Ro (SS-A)/anti-La (SS-B) antibody].

Congenital heart blocks due to immunological causes are rare. A case is reported of a fetus with auriculo-ventricular block diagnosed at 22 weeks of amenorrhoea and intrauterine death at 32 weeks. The authors discussing the case find the most likely link: an anti-RO (SS-A) and anti-LA (SS-B) immunological block and they suggest that there are minor localised lesions in the nodal tissue which gives rise to benign disturbances of cardiac rhythm and they point out ways of preventing intrauterine auriculo-ventricular block.

[Adrenal fetus in fetus. A case shown by prenatal echography. Review of the literature].

The authors report the first case of fetus in fetu situated in the adrenal gland where the diagnosis was suggested by prenatal ultrasound. The anatomo-pathology, the aetiology, the antenatal ultrasound picture and the treatment of this abnormality of embryonic development are described.

Multimodal approach to the treatment of stage III ovarian carcinoma: preliminary report of a pilot study and critical review.

In an attempt to improve survival rates in Stage III, grade III-IV ovarian carcinoma (5 years survival rate less than 10%), we have tested the feasibility of a combined modality approach in 10 patients. Five of the 10 patients have been treated with surgery, chemotherapy, second look laparotomy, whole abdominopelvic irradiation and chemotherapy. Three patients are alive without evidence of disease (range 24 to 54 months) after entering the combined programme.