Female Adnexal Tumour of Probable Wolffian Origin (FATWO): Review of the Literature

FATWO (female adnexal tumour of probable Wolffian origin) denotes a rare tumour of the female adnexa which has been described in nearly 80 cases worldwide and which presumably originates in the remains of the Wolffian ducts. In 10 to 20 percent of patients, a metastasis or recurrence was seen subsequently and for this reason, a malignant potential is attributed to the FATWO. Because of the small number of cases, there is no clear therapeutic recommendation. The method of choice currently is surgical treatment with hysterectomy and adnexectomy. The benefit of radio- and chemotherapies is not clear and a small number of treatment attempts with imatinib have been made in cases of CD117 positivity or treatment attempts on an endocrine basis. This work provides an overview of the literature on epidemiology, imaging and histopathological diagnostic features as well as therapeutic options of this same tumour form.

The psycho-somato-vegetative mutual relations

The review describes the history of the study of mental processes, the significance of the development of neuro-anatomy and pathology, neurology and psychiatry, as well as the opposition organic and functional representations in psychosomatics. The authors define the role of body-oriented bio-energy therapy, emotions, sympathetic and parasympathetic systems in the neuroses and psychoses. It is established the place of osteopa-thy, chiropractics in the correction of the musculoskeletal system disorders. The authors emphasize the impor-tance of psychosomatic approaches in holistic medicine and identify the significance of the International Classification of Diseases 10th revision in the systematization of neurotic disorders, borderline conditions. The review shows the role of emotions, emotional reactions on the autonomic-endocrine basis in causing stress.