Economici MBT Scarpe,Department of Obstetrics and

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Department of Obstetrics and Gynecology and Pathology at the relationship between clinical work

Abstract Obstetrics and Gynecology and Pathology, linked in clinical work, closely cooperate with each other to promote the business has a very important role, both sides should continue to strengthen the theory of self-cultivation,[link widoczny dla zalogowanych], with good dedication and work should pay attention to the difference between common and are well placed to further develop good practical work.
Key words Obstetrics and Gynecology; Pathology; management
Clinical work in obstetrics and gynecology, obstetrics and gynecology for inspection by the pathological specimens, biopsy pathology is usually about about half the total number of cases, particularly in cervical and endometrial large proportion of small tissue samples. Can be seen is how gynecologists are eager to get from the pathologist the exact pathological diagnosis is correct, as the formulation and evaluation of treatment based on the prognosis of patients, which requires obstetrician and pathologist has maintained close contact between learn from each other, understand each other, often discussions and close cooperation, for the completion of treatment tasks and carry out scientific research efforts.
1 Obstetrics and Gynecology doctors
1.1 should enhance learning as obstetrics and gynecology obstetrics and gynecology pathology clinicians should have female reproductive system embryogenesis, anatomy, histology, physiology, biochemistry, endocrinology and teratology theoretical basis. To continue to grow and improve themselves on the female reproductive system, placenta and the newborn and a variety of frequently-occurring disease related to endocrine glands, a rare disease and rare diseases of the theoretical basis and practical experience, particularly in relation to pathological changes of various diseases. In medical schools and hospital conditions, obstetrics and gynecology doctors and doctor-patient should be to learn about the field of Pathology, basic knowledge of obstetrics and gynecology pathology, obstetrics and gynecology pathology in laying a solid foundation, it is necessary for carrying out clinical work . Obstetrics and Gynecology Pathology in theory to enhance understanding of the theoretical study the pathological aspects of obstetrics and gynecology at home and abroad about research and academic developments. To facilitate further work.
1.2 Notes on practical work in completing the gynecologist when pathological examination report in detail, it is required to complete a good application for pathological specimens sent in a single patient name,[link widoczny dla zalogowanych], real age, marital status, hospital number,[link widoczny dla zalogowanych], menstrual history, pregnancy and delivery history (gravidity, parity, premature delivery, miscarriage, stillbirth), in particular, to clearly fill out the last period of time (LMP). Otherwise, if endometrial tissue specimen submission, may, write only Submission to a representative sample, or they will not get the correct pathological diagnosis. Such as blister-like moles, in addition select the tilting submission blisters of varying sizes, but special attention should be carefully selected which showed a small granular, sallow color,[link widoczny dla zalogowanych], quality than the solid, brittle, fragile small organizations,[link widoczny dla zalogowanych], often because of cancer in these parts, otherwise it will result in missed diagnosis. On the vulva, vagina cervical lesions, should be noted that samples taken from the appropriate area (lesion area accounts for 2 / 3, close to 1 / 3) to observe the relationship between the two (such as migration or invasion.) If the suspected cancer, the most obvious place to be drawn in the lesion, and must have a certain depth, if only to take thin slices from the superficial epithelium of the Ministry, will not be able to see the deep dermis of the lesion, and its relationship with the epithelium, as a result of not pregnant, bleeding and other reasons menstruation of endometrial tissue taken, For luteal function, the most appropriate time should be drawn in two days of menstrual cramps. If the patient menstrual irregularity, may be to the patient immediately after the bleeding curettage drawn censorship. So when the endometrium is in the developmental peak, that late secretory endometrium. At this point the absence of secretory endometrium image, but the normal menstrual cycle, then that was followed with anovulatory menstrual; such as endometrial glands and stromal hyperplasia and no secretion, accompanied by bleeding, then that is the womb membrane caused by excessive proliferation of dysfunctional uterine bleeding; if TB disease, and infertility causes, Zigongchuxue and (or) extension of the period more than 6 to 7 days of cases, they should be after 6 menstrual cramps 7 days curettage drawn censorship, so when the secretory still see a change, it indicates that irregular endometrial shedding. Should not be in the first half of the menstrual cycle (before ovulation) the proliferation of endometrial tissue to be inspected, because it is meaningless. In addition, all clinically used hormones, contraceptives, intrauterine device will be required to specify in detail dose, drug name and time, and finally must again emphasize that any submission endometrium, biopsy must fill out the application form good patient age and last menstrual period real time, or pathologist will be based on nothing, can not make a definite pathological diagnosis. In the case of removal of the ovaries, uterus or other parts of the major tumors, the largest circumference at the required cut in half, so as to avoid leaving the center fixed without a thorough tissue autolysis, affect the production dyeing effect.
Pathology and clinical reports such as inconsistent or have questions, should promptly take the initiative to contact, after careful discussion to resolve.