The true HCV MTCT and de-carrier rates were found to be much higher and lower than those reported previously. The maternal liver dysfunction (sALT >or=110 IU/mL) and blood loss (>or=500 g) at delivery are the next risk factors to maternal viral load (>or=10(5) copies/mL) for MTCT.

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Uterine myomas weighing more than 11.3 kg are rarely seen in developed countries. Reported are here two patients in Japan with giant uterine myomas.A 41-year-old woman presented with an abdominal enlargement first noted 13 months earlier. Her arterial oxygen pressure was 77.4 mm Hg and oxygen saturation was 96.2 %. Serum tumor markers were normal. Computed tomography (CT) revealed a multilocular mass. A laparotomy was performed under general anesthesia. The tumor was a subserosal myoma node that compressed the diaphragm upward. The resected myoma node was 34Â27Â23 cm and weighed 19.6 kg (Fig. 1).A 63-year-old woman who had been aware of an abdominal tumor for 14 years was transferred to our clinic. For religious reasons, she had refused to see a physician earlier. The patient was unconscious. Her blood pressure was 79/57 mm Hg, the heart rate was 36/min, and the pulse oxymeter saturation was 77% with 10 L/min of oxygen. Emergency CT scan revealed a huge abdominal mass that compressed the lungs and diaphragm upward. She fell suddenly into cardiac and respiratory arrest. Treatment was unsuccessful and the 0020-7292/$ -see front matter D Figure 1 Magnified photograph of the tumor of Case 1 before hysterectomy and excision. The tumor was a subserosal myoma derived from the posterior side of the uterine body.