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  • Classification of endometriosis. Improving the classification of endometriotic ovarian cysts
    the time of ovulation To determine whether routine histological examination is of use in the classification of endometriotic cysts and if so whether such classification is of clinical relevance we reviewed the histology of endometriotic cysts of 29 women under 35 years of age Young women were chosen so that ovarian cortex surrounding the endometriotic lining in invagination cysts could be identified by the finding of oocytes Ten women 34

    Original URL path: http://www.nezhat.org/camran/reference_library/12.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Clinical and Histologic Classification of Endometriomas: Implications for a Mechanism of Pathogenesis
    sites Presumed endometriomas were classified into three types based on size cyst contents ease of removal of the capsule adhesions of the cyst to other structures and location of superficial endometrial implants relative to the cyst wall After clinical laparoscopic classification the cysts were evaluated histologically without knowledge of the clinical assessment Histologically small 2 cm superficial ovarian cysts were always endometriomas and the cyst wall was very difficult to

    Original URL path: http://www.nezhat.org/camran/reference_library/13.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Coexistence of endometriosis in women with symptomatic leiomyomas
    Myomectomy or hysterectomy MAIN OUTCOME MEASURE S The main outcome measure of the study was the presence or absence of Endometriosis RESULT S Of the 131 patients 113 were diagnosed with Endometriosis and Fibroids while 18 were diagnosed with Fibroids alone Patients with Fibroids were on average 4 0 years older than those with Endometriosis and Fibroids 41 vs 45 Patients with both diagnoses were also more likely to present

    Original URL path: http://www.nezhat.org/camran/reference_library/14.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Comparative Immunohistochemical Studies of bcl-2 and p53 Proteins in Benign and Malignant Ovarian Endometriotic Cysts
    suggested an association between endometriosis and ovarian carcinoma Some reports have described a transition from endometriosis to atypical endometriosis to carcinoma Using immunohistochemistry the authors compared staining patterns in benign endometriotic cysts with ovarian tumors and the endometriotic cyst lining from which they arose in an attempt to identify sequential or etiologic correlations METHODS One hundred thirteen formalin fixed paraffin embedded sections were studied 30 benign ovarian endometriotic cysts 24 endometriotic cysts containing endometrioid carcinomas 19 endometriotic cysts harboring clear cell carcinomas and 40 ovarian papillary serous cystadenocarcinomas All sections were immunostained with anti bcl 2 and anti p53 antibodies using the streptavidin biotin method RESULTS bcl 2 was reported to stain 23 of benign endometriotic cysts 67 of endometrioid carcinomas 73 of clear cell carcinomas and 50 of papillary serous carcinomas Approximately 42 of benign endometriotic lesions adjacent to the endometrioid carcinoma and 73 adjacent to clear cell carcinomas were found to stain for bcl 2 p 0 274 not significant NS and P 0 008 respectively p53 staining was negative in the benign endometriotic cyst group and was positive in 37 55 of the group with tumors p53 staining was positive in 25 of the benign endometriotic lesions

    Original URL path: http://www.nezhat.org/camran/reference_library/15.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Comparative Immunohistochemical Studies of Endometriosis Lesions and Endometriotic Cysts
    MEASURE S Immunohistochemical staining of the tissues was performed using anti bcl 2 anti p53 anti matrix metalloproteinase IX and anti collagen VI antibodies Staining was qualitatively assessed in terms of extent and intensity RESULT S p53 showed no staining in both groups Anti bcl 2 stained 100 30 30 of endometriosis lesions compared with only 23 7 30 of endometriotic cysts P 0001 and anti matrix metalloproteinase IX stained

    Original URL path: http://www.nezhat.org/camran/reference_library/16.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Comparison of Direct Insertion of Disposables and Standard Reusable Laparoscopic Trocars and Previous Pneumoperitoneum With Veress Needle
    Farr R Nezhat MD Sheryl L Silfen MD Debra Evans LPN Camran Nezhat MD www nezhat org ORGANIZATION Obstet Gynecol 78 148 1991 Abstract A randomized prospective study was conducted to evaluate the ease of use and safety of direct insertion of laparoscopic trocars comparison of previous pneumoperitoneum by Veress needle insertion with direct insertion of the reusable conventional laparoscopic trocar and direct insertion of the disposable shielded trocar revealed

    Original URL path: http://www.nezhat.org/camran/reference_library/17.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Comparison of Transvaginal Sonography and Bimanual Pelvic Examination in Patients with Laparoscopically Confirmed Endometriosis
    women had dysmenorrhea dyspareunia or both Forty three 47 had a normal bimanual pelvic examination and 37 41 an unremarkable transvaginal sonographic evaluation no significant difference The women were divided into two groups group 1 in whom the disease extended to the ovaries and uterus and group 2 those in whom only peritoneal implants and adhesions were present In group 1 48 women 89 had an abnormal ultrasonographic evaluation compared

    Original URL path: http://www.nezhat.org/camran/reference_library/18.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Complications and Results of 361 Hysterectomies Performed at Laparoscopy
    facilitate accurate comparison to total abdominal hysterectomy We retrospectively evaluated the charts of 361 women who underwent hysterectomy for various benign pathologic condition Intraoperative and postoperative complication rates for hysterectomy performed at operative laparoscopy were examined The hysterectomies were classified as one of four types according to the number of steps performed laparoscopically All women were candidates for total abdominal hysterectomy but not vaginal hysterectomy The overall complication rate for

    Original URL path: http://www.nezhat.org/camran/reference_library/19.html?iframe=true&width=85%&height=85% (2016-04-24)
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