[French guidelines for diagnostic criteria for nonviable pregnancy early in the first trimester and for management of threatened miscarriage and nonviable pregnancy (except uterine evacuation)].

Objective: To assess value of sonography, hCG and progesterone for diagnosis of first trimester nonviable pregnancy and to assess first trimester miscarriage management (except evacuation).

Methods: French and English publications were searched using PubMed, Cochrane Library and international learned societies recommendations.

Results: First trimester nonviable pregnancy is established with gestational sac mean diameter and embryo crown-rump length.

Scoring system avoids Chlamydia trachomatis overscreening in women seeking surgical abortions.

Objective: To develop and validate a predictive score to avoid unnecessary screening and prophylactic antibiotic use in abortion clinics by identifying a group of women who are at very low risk for Chlamydia trachomatis (CT) infection.

Methods: This population-based retrospective study includes 1000 women who underwent surgical abortion between January and September 2010. The main outcome measure was the rate of CT infection among women seeking an induced abortion according to sociodemographic and clinical data.

[Pregnancy management among teenagers under 15 years old: a multidisciplinary challenge].

Objective: Pregnancy before 15 years old remains a troublesome issue for medical teams which are not used to working with adolescents. The aim of this work is to study the outcome of the pregnancies among very young adolescents, the psycho-social context, the medical management, the professionals involved in it and the follow-up after pregnancy.

Materials And Methods: Retrospective analysis from four cases, in the university hospital of Rennes, during the year 2011.

[Are vaginal pap smear necessary after total hysterectomy for CIN3?].

The practice of vaginal smears after total hysterectomy should be discussed according to the indication for hysterectomy. We have thus performed a literature review using PubMed medical database with selection of articles presenting a practical interest for clinicians. The practice of vaginal smears after endometrial cancer can be abandoned, but in case of cervical cancer it improves the performance of clinical examination in the early follow-up (in the first 5 years of follow-up) especially in early diagnosis of subclinical recurrence.

[Pleomorphic lobular intraepithelial neoplasia: clinical, histological and prognostic study of nine cases].

Introduction: Retrospective clinical, histological and prognostic study of nine cases of lobular intraepithelial neoplasia in its pleomorphic subtype (LIN-P).

Patients And Methods: Analysis of our center database with selection of nine cases of LIN-P from 140 files of patients who underwent surgical excision with a final diagnosis of LIN (2000 to 2011). The medical files were reviewed with a re-analysis of the mammograms and the histological slides.