Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Jan 2009
Case ReportsCerebellar metastasis in squamous cell vulvar carcinoma.
Brain metastasis is rarely seen in gynecologic cancers. It is more rarely encountered in vulvar carcinoma. ⋯ Brain metastasis might be seen in patient with vulvar carcinoma. To the best of our knowledge, this is the first reported case of vulvar carcinoma which developed cerebellar metastasis.
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Arch. Gynecol. Obstet. · Jan 2009
Severe shoulder dystocia leading to neonatal injury: a case control study.
Severe shoulder dystocia (SD) is associated with neonatal brachial plexus injuries and skeletal fractures, with the former being the commonest cause for litigation related to birth trauma. The aim of this case-control study was to evaluate risk factors for birth injuries in cases presenting with SD. ⋯ In babies with SD, brachial nerve injuries and skeletal fractures are more likely to occur in those with greater birthweights but also larger length to weight ratios. In these babies, assessment of abdominal circumference and biacromial length by magnetic resonance imaging (MRI) may help predict the likelihood of severe SD, especially in mothers with identifiable risk factors. However, further research in larger controlled trials are still needed to determine their predictive value.