[A case of advanced genital tuberculosis--differential diagnostics and surgical aspects].

The authors report a case of advanced genital tuberculosis. The diagnostic difficulties and treatment are discussed.

[Hysteroscopy in cases of benign intrauterine formations in the postmenopause].

Unlabelled: Submucous myomas and especially endometrial polyps are often found in the postmenopause. There are no reliable clinical or ultrasound criteria to predict their malignancy potential. The D&C is insufficient diagnostic and therapeutic method in case of benign intrauterine formations.

[Course of pregnancy and delivery in cases with cervical deciduosis].

Aim: The aim of this study was to establish influence of cervical deciduosis on pregnancy and time and route of delivery.

Material And Methods: The study included 28 pregnant women with diagnosis of cervical deciduosis. We followed progress of pregnancy, genital bleeding manifestation and time and route of delivery.

[Problems of diagnosis and treatment of cervicitis].

Infectious cervicitis is a common disease in women of reproductive age. The symptoms are not characteristic and they are often neglected by the patient and the physician. Cervicitis is a very important clinical entity, because the infection can ascend to the genital tract.

[Diagnosis and differential diagnosis of space-occupying disorders of the umbilical cord].

In connectiin with a clinical case of a circumscribed edema of the umbilical cord the authors considered the space-occupied disorders of the umbilical cord. The tumorous and nontumorous lesions of the umbilical cord as well as the criteria and their diagnostic difficulties are discussed. The authors pay attention to the complications of such disorders in the pregnancy and their possible influence on the fetus.

[Endometriosis in the surgical scar from cesarean section].

The frequency of endometriosis in and around the surgical scar from cesarean section is from 0.03%-0.04% to 0.

[The correlation between the study data on the Papanicolaou cytological smear and the data on direct immunofluorescence for C. trachomatis].

A study was carried out to examine the relationship between the clinical data, the data from the Papanicolaou smear and the direct immunofluorescence for C. trachomatis in 70 women with infectious cervicitis. The prevalence of Chlamydial infection in the study population was 27%.

[The etiology of infectious cervicitis in women].

Infectious cervicitis is a common disease in women of reproductive age. A prospective study was carried out including 70 women with clinical manifestations of cervicitis during gynecological and colposcopic examination. In 19 women (27%), Chlamydia trachomatis was demonstrated by direct immunofluorescence in cervical smears.

[Tumors in childhood and adolescence].

The trial present the results for the incidence and histology of tumours in patients below 18 years, examined at the State University Hospital Maĭchin Dom in Sofia for two consequent periods of 4 years each. An increase is registered in the incidence of neoplastic disease from 1.85% to 3.

[The diagnostic value of dilatation and curettage in endometrial carcinoma].

The diagnostic accuracy of endometrial curettage is studied in 75 patients treated for endometrial cancer with respect to: 1. Detection of endometrial cancer; 2. Histologic type and grade of the cancer; 3.

[Pelvic actinomycosis].

Actinomycosis is an uncommon inflammatory disease of the female genital tract predominantly affecting the upper sections. Its appearance is in close connection with expended use of different IUDs. Its histological demonstration needs the detection of the specific sulphur granules.

[Cytological and histological parallels in atypical colposcopic findings].

The aim of the present study was to analyse the cytological and histological equivalents in 112 patients with atypical colposcopical findings. The results showed the follow distribution of the findings: for cytological examination in 66 of the patients-I gr. PAP, in 32-II gr.

[The differential diagnostic criteria in metastatic ovarian tumors].

Ovaries often are a target organ for metastases from another primary locus, especially in young women in reproductive age. This review focuses on the diagnostic difficulties in distinguishing between primary and metastatic ovarian tumors.

[Massive ovarian edema--a case report].

A case with massive ovarian oedema, which is a rare pseudotumorous condition in young women, is described. The conceptions about the etiology and pathogenesis are considered as well as the morphological changes (with the corresponding clinical symptoms) which could be found in the affected ovary. Attention is drawn to the differential diagnostical difficulties and to the possibilities of semiconservative treatment of this rare clinicomorphological entity.

[Endometrial hyperplasia and carcinoma in situ].

Endometrial hyperplasias--both simple and adenomatous are presented, as well as the differences between them and the endometrial carcinoma. The concept of endometrial carcinoma in situ (ESIS) and the criteria for invasiveness by the malignancies of the uterine corpus are discussed. Illustrations for various cases with ESIS are provided and the clinical behaviour by ESIS is discussed.

[The relationship between simple and atypical endometrial hyperplasia and endometrial carcinoma].

The study was carried on 101 women in the perimenopause and postmenopause. The patients were divided into three groups, according to the results of the pathomorphological examination: I group--patients with simple hyperplasia; II group--patients with atypical hyperplasia; III group--patients with endometrial carcinoma. The simple hyperplasia predominates in the perimenopause, while the endometrial carcinoma was the most frequent cause for metrorrhagia in the postmenopausal women.