[Breast angiosarcomas: three case reports]

Angiosarcoma is a rare type of breast cancer, it has the worst prognosis of all breast malignancies. We report three cases of breast angiosarcoma observed at the National Oncology Institute and the Maternity of Orangers. A preoperative diagnosis was evoked in one case only, after a local recurrence in the second one and histological in the last one. Mastectomy is the reference treatment. The development is distinguished by general metastasis. Based on review of literature, we analysed the different aspects of this disease.

[Pregnancy in patients with Behçet's disease]

INTRODUCTION

Behçet's disease is particularly frequent in the Mediterranean countries and in the Far East. Its predominance in men is the reason why its association with pregnancy has rarely been reported in the literature.

OBSERVATIONS

Three pregnancies occurred in two patients with Behçet's disease. In the first case the disease was diagnosed post partum. The second pregnancy in a stabilized patient was complicated by depression and abortion at 16 weeks of amenorrhea. The second patient presented with an articular episode after delivery, requiring an increase in dose of corticosteroids.

COMMENTS

The interventions between pregnancy and Behçet's disease are obscure. The progression of the disease varies from one women to another and from one pregnancy to the next in the same woman. The observations reported here add to those describing aggravation of Behçet's disease during or after pregnancy.

[Uterine leiomyoma in a patient with Rokitansky-Kuster-Hauser syndrome. Report of a case]

We report the discovery of a leiomyoma which developed from a fibrous myometrial band in a woman with Rokitansky-Kuster-Hauser syndrome. This localization is exceptional. The diagnosis was suspected at physical examination and pelvic ultrasonography and laparoscopy. Histology confirmed leiomyoma.

[Therapeutic abortion. Critical study of 22 cases]

The abortion for medical reasons is the only abortion allowed in Morocco and it aims to preserve maternal health or to forewarn the birth of handicaped children. The author has ascribed 22 cases of medical abortion, their indications have maternal origin in 91% cases. In europeans series the indication have 80% of foetal origin. In order to change the profil of our indications, the author insists on the necessity to program the pregnancy in maternal pathology, to eliminate an early, pregnancy before any therapeutical act and to encourage antenatal diagnosis according to legal dispositions.

[Norplant. Experiences at the maternity services of Orangers in Rabat during two years]

Norplant is a pure progestative method which couples efficaciousness, reversibility and a period of prolonged action. We have counted 189 insertions since March 1993, the date of the introduction of this contraceptive method in the center of family planning at the university maternity of Orangers. The analytical study of different parameters collected in admission files and preestablished control allowed to draw the epidemiologic profile of the patients as well as acceptability, the tolerance and the efficiency of this method.

[Endometrial ossifications. A new case revealed by secondary sterility]

The authors give the case history of a patient with endometrial ossification revealed by an infertility. They recall the circumstances and the discovery of this uncommon affection and they summarize references in the literature concerning aetiopathogenic theories.