Search

Less than 5% of vulvar, vaginal and ovarian malignant diseases are sarcomas. Adequate knowledge of these particular malignant diseases is essential for accurate diagnosis and for choice of surgical treatment, adjuvant therapy and efficient medical treatment in relapse. A crucial aspect in the management of women with these diseases is a multidisciplinary approach. Globally, presenting signs and symptoms of these sarcomas are non-specific of histological type but linked to initial location. In view of this, management should be undertaken by clinicians experienced in these particular malignancies. Long-term side-effects, particularly in children with sarcoma, adversely affect quality of life. New treatment strategies require special attention.

In recent years electrosurgical excision techniques have been advocated for the evaluation and treatment of premalignant diseases of the vulva, vagina, and cervix. Technologic advances in electrosurgical generators and in fine wire loops have made these techniques feasible in the outpatient setting, and considerable experience has been accumulated in Europe and the United States. This article discusses the advantages and disadvantages of this "new" technology with emphasis on the available scientific literature. In summary, electrosurgical excision offers the benefit of providing tissue for complete histopathologic evaluation without compromising the established convenience, safety, and efficacy of ablative techniques.

Extract In spite of the increased number of veterinarians engaged in thoroughbred stud work in Australia and New Zealand over the last 25 years, and the use of improved drugs, and techniques, the percentage of live foals born each year remains disconcertingly low. In Australia, this figure has remained steady at 63% from 1950 to 1972. Many factors contribute to this, not the least being the various abnormalities in the lower genital tract. This is largely the result of such abnormalities permitting and assisting the forward extension of micro-organisms into the uterus, with the establishment of a hostile environment for the passage of spermatozoa to the ovum, and the subsequent implantation and growth of the embryo.