| Ectopic pregnancy. A recent five-year study and review of the last 50 years' literature. | |
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MedLine Citation:
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PMID: 8913974 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To compare the past and current clinical and pathologic factors that are responsible for ectopic pregnancy (EP). STUDY DESIGN: We performed a retrospective chart and histopathologic specimen review of 740 cases of EP during a recent, five-year period. Products of conception, as well as 240 cases of concomitant endometrial biopsies, were examined. RESULTS: The mean age at presentation, proportion of patients with a history of pelvic inflammatory disease, voluntary interruption of pregnancy (VIP), previous surgery and laterality (right side) of the tubal EP were similar to rates reported in previous studies. Ninety-four percent of the EPs were tubal, and 90% of the tubes exhibited some pathologic changes, including chronic salpingitis (49.5%) and follicular salpingitis (10%), among others. Gestational endometrial patterns were seen in 44% of cases. The corpus luteum of pregnancy was contralateral in 30% of cases in which an ovarian biopsy was performed. CONCLUSION: The factors classically associated with EP remained similar over a period of about 50 years, although the association with VIP still appears to be controversial. Endometrial curettage alone cannot be used to exclude an EP. Ovum transmigration may play a role in the genesis of EP. |
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Authors:
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N C Ramirez; W D Lawrence; K A Ginsburg |
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Publication Detail:
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Type: Comparative Study; Journal Article; Review |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 41 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 1996 Oct |
Date Detail:
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Created Date: 1997-02-20 Completed Date: 1997-02-20 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 733-40 Citation Subset: IM |
Affiliation:
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Department of Pathology, Hutzel Hospital-Detroit Medical Center, Wayne State University School of Medicine, Michigan, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Biopsy Cervix Uteri / pathology Endometrium / pathology Fallopian Tubes / pathology Female Humans Incidence Middle Aged Pregnancy Pregnancy, Ectopic / epidemiology, etiology, pathology* Pregnancy, Tubal / pathology Retrospective Studies Risk Factors Salpingitis / pathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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