Submucous myomas: A new presurgical classification to evaluate the viability of hysteroscopic surgical treatment - Preliminary report

STUDY OBJECTIVE: To develop a new preoperative classification of submucous myomas for evaluating the viability and the degree of difficulty of hysteroscopic myomectomy.DESIGN: Retrospective study (Canadian Task Force classification II-3)SETTING: University teaching hospitals.PATIENTS: Fifty-five patients who underwent hysteroscopic resection of submucous myomas.INTERVENTION: the possibility of total resection of the myoma, the operating time, the fluid deficit, and the frequency of any complications were considered. The myomas were classified according to the Classification of the European Society for Gynaecological Endoscopy (ESGE) and by our group's new classification (NC), which considers not only the degree of penetration of the myoma into the myometrium, but also adds in such parameters as the distance of the base of the myoma from the uterine wall, the size of the nodule (cm), and the topography of the uterine cavity. The Fisher's exact test, the Student's t test, and the analysis of variance test were used in the statistical analysis. A p value less than .05 in the two-tailed test was considered significant.MEASUREMENTS AND MAIN RESULTS: In 57 myomas, hysteroscopic surgery was considered complete. There was no significant difference among the three ESGE levels (0, 1, and 2). Using the NC, the difference between the numbers of complete surgeries was significant (p < .001) for the two levels (groups I and H). The difference between the operating times was significant for the two classifications. With respect to the fluid deficit, only the NC showed significant differences between the levels (p = .02).CONCLUSIONS: We believe that the NC gives more clues as to the difficulties of a hysteroscopic myomectomy than the standard ESGE classification. It should be stressed that the number of hysteroscopic myomectomies used in this analysis was low, and it would be interesting to evaluate the performance of the classification in a larger number of patients. (c) 2005 AAGL. All rights reserved.

Estimation of growth fraction in fine needle aspirates from non-Hodgkin's lymphoma using anti-proliferating cell nuclear antigen - Correlation with the Kiel classification

OBJECTIVE: This study was undertaken to assess whether fine needle aspirates from non-Hodgkins lymphoma (NHL) could be used for growth fraction analysis with proliferating cell nuclear antigen (PCNA) staining and if there was a relationship between the growth fraction and cytomorphologic classification according to the Kiel classification.STUDY DESIGN: the study group consisted of 40 patients with NHL diagnosed by fine needle aspiration (FNA) cytology. The cytologic classification of the lymphomas was made by two cytopathologists on May-Grunwald-Giemsa-stained slides using the Kiel classification. There were 27 cases of low and 13 of high grade lymphoma. The estimation of the growth fraction was made by PCNA immunoreactivity. The PCNA index was quantitated in smears by counting an average of 1,000 cells, and the count teas correlated with the cytomorphologic classification.RESULTS: There was It strong correlation between the PCNA index and lymphoma grading. High grade lymphomas exhibited a mean PCNA positivity of 74.0%, which was significantly higher (P <.001) than that of low grade lymphomas (17.6%).CONCLUSION: Our study showed that PCNA evalua tion is suitable for smears obtained by FNA on NHL, correlates with increasing grades of lymphoma according to the Kiel classification and may offer a method of monitoring treatment of lymphoma.

A REAPPRAISAL OF GENERIC AND SUBGENERIC CLASSIFICATION IN THE BATRACHOSPERMACEAE (RHODOPHYTA)

The generic and subgeneric classification of the family Batrachospermaceae (Rhodophyta) has long been recognized as ambiguous and often inconsistent. One of the prime features used to delineate sections of Batrachospermum, trichogyne shape, is variable even within given species. However, characters associated with the carposporophyte and the carpogonial branch, as well as carpogonial symmetry, are practical and consistent taxonomic criteria. These features have been used to redefine sectional delineation in Batrachospermum. Based on phylogenetic reasoning and practicality, it is proposed that the three genera Nothocladus, Sirodotia and Tuomeya be reduced to sectional level within Batrachospermum. The genus Batrachospermum would thus become the sole member of the Batrachospermaceae and would include two subgenera, Batrachospermum and Acarposporophytum, the former with nine clearly defined sections (Aristata, Batrachospermum, Contorta, Hybrida, Nothocladus (Skuja) stat. nov., Sirodotia (Kylin) stat. nov., Tuomeya (Harvey) stat. nov., Turficola and Viridia). As a result, the following nomenclatural changes are proposed: Batrachospermum lindaueri (Skuja) comb. nov., B. nodosum (Skuja) comb. nov., B. delicatulum (Skuja) comb. nov., B. fennicum (Skuja) comb. nov., B. suecicum (Kylin) comb. nov. and B. americanum (Kutzing) comb. nov.

A new approach to soil classification mapping based on the spatial distribution of soil properties

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Classificação morfológica e imunostoquímica em microarranjo de tecido (TMA) de linfomas não-Hodgkin em cães conforme os critérios da Histological Classification od Hematopoietic Tumors of Domestic Animals (WHO)

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Estimation of croplands using indicator kriging and fuzzy classification

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)