Progresos en Obstetricia y Ginecologia最新文献

{"title":"Linfoma mamario tipo MALT asociado a virus de hepatitis C: exposición de dos casos y revisión de la literatura","authors":"R. Herrera, E. Gómez, JJ Gil-Fernández, P. R. Guillén, L. Zaragoza","doi":"10.20960/J.POG.00103","DOIUrl":"https://doi.org/10.20960/J.POG.00103","url":null,"abstract":"espanolObjetivos: los linfomas no Hodgkin primarios de mama son una entidad confundible con el carcinoma de mama, por lo que es importante el diagnostico diferencial. Presentamos 2 casos de linfoma mamario diagnosticados en nuestro centro junto con una revision bibliografica. Resultados: el linfoma de mama no presenta sintomas ni signos especificos y su diagnostico es histologico. El tratamiento consiste en radioquimioterapia y farmacos biologicos. En asociacion con VHC, el tratamiento de dicho virus sera la base para el tratamiento del linfoma. Conclusion: el estudio del linfoma primario de mama es necesario para realizar un buen diagnostico, asi como para proporcionar a nuestras pacientes el tratamiento correcto. EnglishObjetives: Primary breast lymphoma is a disease that can be mistaken for breast carcinoma, so is important a knowledge about it in order to do a differential diagnosis. We present 2 cases of primary breast lymphoma diagnosed in our center, with a review of the literature. Results: Primary breast lymphoma don´t present specific clinical findings, so diagnosis is histopatological. Treatment proposed is a combination of radio-chemotherapy and biological drugs. In association between primary breast lymphoma and HCV, treatment of HCV will be also primary breast lymphoma treatment. Conclusion: The study of primary breast lymphoma is necessary in order to do a correct diagnostic, and consequently give a good treatment.","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80580794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Encuesta SEGO. Predicción, diagnóstico y tratamiento de la preeclampsia en los hospitales españoles","authors":"I HerraizGarcía, M PertegalRuiz, Delgado Marí Jl, A. GalindoIzquierdo","doi":"10.20960/j.pog.00067","DOIUrl":"https://doi.org/10.20960/j.pog.00067","url":null,"abstract":"espanolObjetivos: la preeclampsia es causa importante de morbilidad y mortalidad materna y perinatal. La identificacion de gestantes con riesgo de preeclampsia, el correcto diagnostico y la adecuada evaluacion del pronostico son fundamentales para la eleccion de la actitud clinica mas adecuada en cada caso y lograr evitar asi las complicaciones asociadas y la mortalidad por preeclampsia. En este sentido, en los ultimos anos se han desarrollado y estudiado numerosos biomarcadores que, bien por si mismos o en combinacion con otros parametros, muestran resultados prometedores en la prediccion y diagnostico de preeclampsia, y cuya incorporacion a la practica clinica habitual supondra un avance en el manejo clinico de las gestantes con preeclampsia. Material y metodos: desde la Sociedad Espanola de Ginecologia y Obstetricia se envio via internet una encuesta con 25 preguntas (3 de ellas casos clinicos) a 2.699 miembros de la secciones de Medicina Perinatal y Ecografia con el objetivo de revisar el estado actual de la prediccion, diagnostico y manejo clinico de la preeclampsia en nuestro pais. Resultados: a la encuesta respondieron 476 profesionales (17,63%) y de sus respuestas se concluye que la practica clinica entre los profesionales de los hospitales espanoles se ajusta en la mayoria de los aspectos evaluados a las recomendaciones actuales y al estado del conocimiento. Cabe destacar la baja utilizacion de biomarcadores en el primer trimestre para identificar gestantes con riesgo de preeclampsia e indicar profilaxis asi como en el segundo y tercer trimestre para establecer el pronostico y optimizar la actitud terapeutica. EnglishObjectives: Pre-eclampsia is a leading cause of maternal and perinatal morbidity and mortality. The correct diagnosis, prognosis, and identification of patients at high risk of pre-eclampsia are crucial for the optimal treatment and prevention of pre-eclampsia-associated complications and mortality. A large variety of prognostic and diagnostic biomarkers have been studied in the recent years either alone or in combination with other parameters, with promising results. The routine use of these biomarkers in clinical practice would help optimize the clinical approach to pre-eclampsia. Material and methods: The Spanish Society of Gynecology and Obstetrics forwarded an online 25-item questionnaire (of which 3 were clinical cases) to 2.699 members of the departments of perinatal medicine and ultrasound with the aim of revising how pre-eclampsia is predicted, diagnosed, and treated in Spain. Results: A total of 476 questionnaires (17.63%) were returned. The conclusion was that most aspects addressed in the questionnaire were approached in hospitals in Spain in accordance with official guidelines and the current state of knowledge. Of note is the rare use of biomarkers either during the first trimester of gestation in patients at risk of pre-eclampsia for the indication of prophylaxis, or during the second and third trimester for t","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76724956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fascitis necrotizante en cicatriz de cesárea. Revisión de la literatura","authors":"M. Pantoja Garrido, Z. Frías Sánchez, F.J. Pantoja Rosso, F.J. Vico de Miguel","doi":"10.20960/j.pog.00104","DOIUrl":"https://doi.org/10.20960/j.pog.00104","url":null,"abstract":"","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72946904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proteína C reactiva y doppler de arterias uterinas en preeclámpticas","authors":"E. Reyna-Villasmil,, Jorly Mejía-Montilla, Martha Rondón-Tapia, Joel Santos-Bolívar, D. Torres-Cepeda, Yolimar Navarro-Briceño, Nadia Reyna-Villasmil","doi":"10.20960/J.POG.00064","DOIUrl":"https://doi.org/10.20960/J.POG.00064","url":null,"abstract":"espanolObjetivo: establecer las concentraciones plasmaticas de proteina C reactiva en preeclampticas y embarazadas normotensas y relacionar los valores de los parametros de velocimetria doppler de las arterias uterinas con las concentraciones sericas. Material y metodos: se seleccionaron 160 mujeres. Se incluyeron 80 preeclampticas como los casos (grupo A) y un grupo control que fue seleccionado por tener una edad y un indice de masa corporal similares al grupo de estudio de 80 embarazadas sanas (grupo B). Las muestras de sangre para la determinacion de proteina C reactiva y las mediciones de los indices de pulsatilidad, indice de resistencia y relacion de flujo sistolico/diastolico de las arterias uterinas se realizaron en todas las pacientes antes del parto e inmediatamente despues del diagnostico en el grupo de casos. Resultados: las pacientes del grupo A presentaron concentraciones significativamente mas elevadas de proteina C reactiva que las embarazadas del grupo B (p Conclusiones: las preeclampticas presentan concentraciones plasmaticas de proteina C reactiva mas altas que las embarazadas normotensas y existe correlacion significativa entre las concentraciones plasmaticas y los parametros de velocimetria doppler de las arterias uterinas. EnglishObjective: To establish plasma C-reactive protein concentrations in patients with preeclampsia and healthy normotensive pregnant women and to relate Doppler velocimetry to serum concentrations. Material and methods: One hundred sixty patients were selected. Eighty preeclamptic patients were selected as cases (group A) and 80 healthy pregnant women with a similar age and body mass index to patients in group A were selected as controls (group B). Blood samples for C-reactive protein and measurements of pulsatility index, resistance index and systolic/diastolic blood flow ratio of uterine arteries were done in all patients before labor and immediately after diagnosis in the study group. Results: There was found significant differences were found in C-reactive protein concentrations in the group A and patients in group B (p Conclusions: Preeclamptic patients showed higher plasma C-reactive protein concentration than normotensive pregnant women and there is a significant correlation between plasma concentrations and parameters of Doppler velocimetry of uterine arteries.","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72751018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seguimiento de las recomendaciones SEGO sobre el Sangrado Menstrual Abundante (Estudio SMA-UR)","authors":"M. J. Hidalgo, Mercedes Andeyro García, J. C. Alsina, Josep Estadella Tarriel, J. Conde, N. Guevara, M. C. Rancel, A. C. Sánchez, Ignasi Canals","doi":"10.20960/j.pog.00075","DOIUrl":"https://doi.org/10.20960/j.pog.00075","url":null,"abstract":"","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76812178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hernia y embarazo: diagnóstico y manejo terapéutico","authors":"B. Guerrero, J. Carro, M. Pascual, A. García","doi":"10.20960/J.POG.00093","DOIUrl":"https://doi.org/10.20960/J.POG.00093","url":null,"abstract":"","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81506670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Síndrome miasténico congénito en gestante: entidad clínica poco frecuente","authors":"Nuria Castelló Martínez, Mónica de Vera Gomis, Joaquín Rodríguez Pérez, Ernesto Bas Esteve, Carmen Díaz-Caneja Planell","doi":"10.20960/j.pog.00072","DOIUrl":"https://doi.org/10.20960/j.pog.00072","url":null,"abstract":"","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78999568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Actualización del diagnóstico y el pronóstico de la preeclampsia en embarazos únicos con la ayuda del cociente sFlt-1/PlGF","authors":"Ignacio Herraiz García, Elisa Llurba Olivé, A. Izquierdo, Stefan Verlohren","doi":"10.20960/J.POG.00061","DOIUrl":"https://doi.org/10.20960/J.POG.00061","url":null,"abstract":"","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84205548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Situación actual de la preeclampsia","authors":"Departamento Editorial Arán","doi":"10.20960/j.pog.00039","DOIUrl":"https://doi.org/10.20960/j.pog.00039","url":null,"abstract":"","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81836258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"El ejercicio físico durante el embarazo y su influencia en la ganancia de peso materno","authors":"R. Barakat, R. Bernabé, Evelia Franco, T. P. Medina","doi":"10.20960/J.POG.00105","DOIUrl":"https://doi.org/10.20960/J.POG.00105","url":null,"abstract":"","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79162116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}