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Aggressive angiomyxoma pelvis presenting as an ovarian tumor

Open Journal of Obstetrics and Gynecology 2013年第8期3卷 621-624页

作者： Errarhay Sanaa Lamquami Safae Mahmoud Samia El Fatemi Hinde Saadi Hanane Squalli Nadia bouchikhi Chahrazed Amarti Afaf Banani Abdelaziz Department of Pathology University Hospital of Fez Fez Morocco Department of Qynecology and Obstetrics University Hospital of Fez Fez Morocco Department of Radiology University Hospital of Fez Fez Morocco

Aggressive angiomyxoma is rare mesenchymal tumor that most commonly arises in the vulvo-vaginal region, perineum, and pelvis of women. The term aggressively emphasizes the often infiltrative nature of the tumor and its frequent association with local recurrence. Preoperative diagnosis and treatment may be difficult. We report a 55-year-old patient who presented with a pelvic mass with no significant medical history. The radiological assessment showed a pelvic cystic tumor retro and lateral bladder. A surgical excision was performed with a diagnosis of aggressive angiomyxoma pelvis that misdiagnosed as ovarian tumor. The patient received adjuvant radiotherapy after surgery and remains well with no signs of local recurrence at 12 months follow-up. As surgery is the main treatment, preoperative diagnosis and assessment of extent of the tumor for planning surgery can not be overemphasized. The authors discuss this finding through the diagnostic difficulties and the evolution of this entity.

关键词： Aggressive Angiomyxoma Pelvic Neoplasm Immunohistochemistry

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Rare tumor of the ovary: Primitive choriocarcinoma

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Open Journal of Obstetrics and Gynecology 2013年第5期3卷 448-450页

作者： Sanaa Errarhay Najia Hmidani Samia Mahmoud Hind El Fatemi Hanane Saadi Omar El Mesbahi Nadia Squalli Chahrazed bouchikhi Amarti Afaf Abdelaziz Banani Department of Gynecology and Obstetrics University Hospital of Fez Fez Morocco Department of Oncology University Hospital of Fez Fez Morocco Department of Pathology University Hospital of Fez Fez Morocco Department of Radiology University Hospital of Fez Fez Morocco

We report the case of a patient of 30 years with primary choriocarcinoma of the ovary. This patient referred for abdomino-pelvic mass suspected clinically and sonographically. Exploratory laparotomy was performed with the presence of two latero-uterine mass adherents to the highly vascularised uterus and difficult to resects deep plane with a mass left hepatic bleeding. A biopsy of both masses was performed and histological examination with immunehistochemical study returned for a primary ovarian non-gestational choriocarcinoma and the patient received 4 cycles of chemotherapy after hepatic artery embolization with good clinical, biological and radiological evaluation.

关键词： Germinal Ovarian Tumour Ovarian Choriocarcinoma Chemotherapy

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Antiphospholipid antibody syndrome and pregnancy

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Open Journal of Obstetrics and Gynecology 2013年第4期3卷 383-385页

作者： S. Errarhay N. Hmidani S. Mahmoud L. Labib H. Saadi M. Hrandou C. bouchikhi A. Banani Department of Gynecology and Obstetrics University Hospital of Fez Fez Morocco Department of Reanimation University Hospital of Fez Fez Morocco

Recurrent foetal loss in early and late stages of pregnancy is a common problem of women affected by anti-phospholipid antibody syndrome. The therapeutic scheme consisting of associating aspirin and heparin has shown an improvement of the prognosis for the next pregnancies. We report 3 cases of anti-phospholipid antibody syndrome and pregnancy, and we underline the clinical, therapeutic and prognosis features of this syndrome.

关键词： Anti-Phospholipid Antibody Syndrome Pregnancy Treatment Prognosis

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