A case of primary squamous cell carcinoma of the body of the uterus is reported. The number of authentic cases of this tumour which meet the rigid criteria referred to is extremely small. The histological findings are described in detail and some aetiological considerations are mentioned briefly. Certain special aspects of the diagnosis are discussed.
A study of the cytology of the amniotic fluid suggests that the fat cell count is a valuable guide to fetal maturity. A fat cell count of over 10 per cent justifies a confident assessment of a period of gestation longer than 36 weeks. A low fat cell count (under 10 per cent) suggests a fetal maturity of shorter duration, although this statement needs to be qualified. Between 32 and 36 weeks it is only possible to suggest the more likely of the two dates given. In the 15 patients comprising Group 2 this test was carried out at the instigation of the obstetrician in order to provide guidance in the management of a complicated pregnancy. In 14 out of 15 patients in this group the results of the test were correct and helpful in the management.
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