Main description:

Changing approaches to diagnosis and clinical management of the uterus are comprehensively examined in this book. It gives a concise update of new concepts in physiology and pathology and their application in clinical practice. The book is designed especially for the gynecologist actively involved in patient care. Topics discussed include the pathophysiology of diethylstilbestrol (DES) changes, the immunology of the uterus, papillomaviruses and cervical neoplasia, endocervical carcinoma, mesenchymal tumors and diagnostic procedures such as colposcopy of the cervix, hysterosalpingography, and magnetic resonance imaging. The status of contemporary management is presented for hysteroscopy and hysteroscopic surgery, the congenital absence of the uterus and vagina, anovulatory dysfunctional uterine bleeding of the adolescent, uterine leiomyomata, genital prolapse, endometrial adenocarcinoma and childhood rhabdomyosarcoma of the vagina and uterus.

Contents:

I Pathology.- 1 Anatomy, Histology, and Physiology.- 2 Pathophysiology of Diethylstilbestrol Changes.- 3 Immunology of the Uterus.- 4 Papillomaviruses and Cervical Neoplasia.- 5 Intraepithelial and Invasive Squamous Cell Lesions of the Uterine Cervix.- 6 Endocervical Carcinoma.- 7 Endometrial Hyperplasia and Endometrial Adenocarcinoma.- 8 Endometrial Response to Hormonal Therapy.- 9 Mesenchymal Tumors of the Uterus.- II Diagnostic Procedures.- 10 Colposcopy of the Cervix.- 11 Endometrial Sampling Techniques.- 12 Abdominal Approach to Pelvic Sonography.- 13 High-Frequency Transvaginal Scanning of the Uterus.- 14 Hysterosalpingography.- 15 Magnetic Resonance Imaging and Computed Tomography of the Uterus.- III Contemporary Management.- 16 Hysteroscopy and Hysteroscopic Surgery.- 17 Hysteroscopic Laser Ablation of the Endometrium.- 18 Laser Surgery of the Cervix for Intraepithelial Neoplasia.- 19 Congenital Absence of the Uterus and Vagina.- 20 The Uterus Without Ovaries.- 21 Management of Anovulatory Dysfunctional Uterine Bleeding in the Adolescent.- 22 Management of Adult and Perimenopausal Dysfunctional Uterine Bleeding and Current Use of Hormonal Replacement Therapy.- 23 Management of Uterine Leiomyomata.- 24 Genital Prolapse.- 25 Contemporary Management of Cancer of the Cervix.- 26 Endometrial Adenocarcinoma.- 27 Childhood Rhabdomyosarcoma of the Vagina and Uterus.- 28 Legal Principles.