Multiple sclerosis is a demyelinating disease of the central nervous system, it begins in half of the cases in women of childbearing age. The influence of pregnancy on MS is difficult to assess because of the unpredictable evolution of the medium and long term illness. We offer an observation MS and pregnancy collated serving MII Maternity Souissi - Rabat and try to study in the light of the literature the course of pregnancy, childbirth and the evolution of the disease in the postpartum period.
The best knowledge of cancer treatment in recent years has improved a remarkable way the prognosis and survival of patients. The problem that remains to ask is the quality of life after cancer, still preserving fertility. It is the successful part of modern oncology. An essential feature in the care of patients, which calls for very good progress particularly with regard to medically assisted procreation. Thus, the rate of spontaneous pregnancies reported after breast cancer are low, due among other treatments. It is essential to consider the question of fertility after breast cancer and eventually offer fertility preservation techniques in these patients. We report in this article these different methods in women by first analyzing the effects of radiotherapy and chemotherapy.
The parietal endometriosis is an uncommon clinicopathological variety, its pathophysiology remains unknown. It usually occurs after pelvic surgery. We report the case of a patient who presents a cyclical pelvic pain, sitting at the caesarean scar. With the examination of a 4cm mass in the right iliac fossa. The Doppler ultrasound showed a polylobed image, tissue, center vascularization, measuring 40/24 mm, suggestive of parietal endometriosis or a tumor of soft parts. So we said a wide resection of the lesion, in which were excised a solid mass of 3.3 / 3 cm under the fascia adherent to the rectus muscle of the abdomen. Histological study objectified diagnosis of endometriosis of the wall. The postoperative course was simple with a decline of 16 months without recurrence. This is a condition that remains mysterious to the interest or understanding of its characteristics to improve prognosis by diagnosis, early treatment and prevention during each surgery.
The concomitant occurrence of cervical cancer and pregnancy is rare. Figures published in the literature are variable and estimation Motherhood practitioner from 1500 to 2500 births on average one case of cervical cancer per year. Non-invasive cancers are more encountered that invasive cancer, with an average ratio in the three publications carcinomas in situ to invasive carcinoma. The incidence of cervical cancer during pregnancy and aggravating his relationship has been widely discussed. There seems to be no worse prognosis specifically linked to pregnancy. For some other studies would invasive cancers even lower than in the reference population and taking into account the average age of patients of childbearing age. The same applies to the action of estrogen does not appear to be an aggravating factor for cervical cancer is not a hormone-dependent. Contrary to what was previously described. Prenatal care during pregnancy should be an occasion to systematically seek cervical cancer. It is important to make an early diagnosis to a proper care and improved prognosis. The advent of smears, colposcopy and biopsy or colposcopy micro enabled quick and accurate diagnosis. These various examinations usually will make the difference between dysplasias, carcinomas in situ and possibly very limited micro invasive cancers both in scope and depth to larger micro invasive cancers and invasive cancers in order to take a decision on the multidisciplinary course of pregnancy, therapeutic indications and terms of delivery. We present in this article the peculiarities related to cervical cancer association and pregnancy at different phases diagnostic and therapeutic news.