Current Gynecologic Oncology最新文献

{"title":"The risk of endometriosis-associated malignant transformation in a scar after cesarean section: a case report and a review of literature","authors":"Magdalena Łoboda, A. Ludwin, M. Pietrus, K. Pityński, I. Ludwin","doi":"10.15557/cgo.2019.0010","DOIUrl":"https://doi.org/10.15557/cgo.2019.0010","url":null,"abstract":"","PeriodicalId":38739,"journal":{"name":"Current Gynecologic Oncology","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89807610","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":"Diagnostic utility of p16INK4a and Ki-67 immunohistochemistry in cervical biopsy specimens in women with ASCUS cytology","authors":"A. Korolczuk, Joanna Irla-Miduch, A. Smoleń, Kamila Tuzim, D. Devaney","doi":"10.15557/cgo.2019.0006","DOIUrl":"https://doi.org/10.15557/cgo.2019.0006","url":null,"abstract":"","PeriodicalId":38739,"journal":{"name":"Current Gynecologic Oncology","volume":"123 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85711671","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":"Liquid biopsy in endometrial cancer","authors":"Nikola Zmarzły, Ewelina Hermyt, A. Witek, J. Gola, U. Mazurek","doi":"10.15557/cgo.2019.0004","DOIUrl":"https://doi.org/10.15557/cgo.2019.0004","url":null,"abstract":"","PeriodicalId":38739,"journal":{"name":"Current Gynecologic Oncology","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85766719","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":"Fertility-sparing treatment of endometrial cancer","authors":"Kamila Trepka, P. Bodzek, A. Olejek","doi":"10.15557/cgo.2019.0005","DOIUrl":"https://doi.org/10.15557/cgo.2019.0005","url":null,"abstract":"Endometrial cancer is one of the most common gynecologic cancers in Thailand. Approximately 15-25% of women are diagnosed during their premenopausal period. Standard treatment of endometrial cancer includes total abdominal hysterectomy and bilateral salpingo-oophorectomy with staging procedures. However, conservative management with progestin therapy may be considered in selected patients for fertility preservation. Candidates for fertility-sparing treatment are women with early stage, well differentiated endometrioid adenocarcinoma without myometrial invasion. Oncologic and fertility outcomes of patients treated with conservative management are limited. Therefore, close surveillance is needed during conservative management. Definitive treatment should be performed after completion of childbearing.","PeriodicalId":38739,"journal":{"name":"Current Gynecologic Oncology","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86557854","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":"Evaluation of the effectiveness of histopathological verification of the endometrium by means of an outpatient aspiration biopsy","authors":"B. Rajs, M. Wiecheć, Ewa Wiercińska, K. Pityński, Krakow Poland Voivodeship Sanitary-Epidemiological Station in Kr","doi":"10.15557/cgo.2019.0001","DOIUrl":"https://doi.org/10.15557/cgo.2019.0001","url":null,"abstract":"Objectives: 1) Examining the effectiveness of an outpatient aspiration biopsy from the uterine cavity in the context of satisfactory sampling. 2) Assessing risk factors of obtaining a non-diagnostic sample. 3) Search for ultrasound image patterns according to the International Endometrial Tumor Analysis that may indicate potential ineffectiveness of the biopsy. 4) Assessment of effectiveness of an outpatient biopsy in detection of endometrial cancer. Methods: Observational prospective study on a non-selected population of women suspected of endometrial pathologies. Results: 116 endometrial aspiration biopsies have been analyzed. Diagnostic histopathological samples were obtained in 100 cases (86.2%). There was no statistical significance in obtaining a non-diagnostic result of a biopsy in terms of the menopausal status, presence of uterine fibroids, occurrence of abnormal uterine bleeding, age, endometrial thickness and the number of deliveries. A large variety of ultrasound images were obtained according to the International Endometrial Tumor Analysis parameters. There were no clearly dominant patterns of endometrial ultrasound parameters in patients with non-diagnostic biopsy results. 100% of endometrial cancer cases were reported in postmenopausal patients with the history of abnormal uterine bleeding. The mean thickness of the endometrium was statistically the largest in this group: 16.2 mm (4–22.3 mm) ( p = 0.025). Conclusions: An outpatient endometrial aspiration biopsy is an effective, low-impact procedure in case of indications for histopathological assessment of the endometrium. obecności mięśniaków macicy, występowania nieprawidłowych krwawień macicznych, wieku, grubości endometrium oraz liczby przebytych porodów. Uzyskano dużą różnorodność obrazów ultrasonograficznych według parametrów International Endometrial Tumor Analysis. Nie stwierdzono jednoznacznie dominujących wzorców parametrów ultrasonograficznych endometrium u pacjentek z niediagnostycznym wynikiem biopsji. U wszystkich (100%) badanych w wieku pomenopauzalnym z nieprawidłowymi krwawieniami macicznymi w wywiadzie ujawniono raka endometrium. Średnia grubość endometrium w tej grupie była istotnie statystycznie największa: 16,2 mm (4–22,3 mm) ( p = 0,025). Wnioski: Ambulatoryjna biopsja aspiracyjna endometrium jest skutecznym, mało obciążającym postępowaniem w przypadku stwierdzenia wskazań do weryfikacji histopatologicznej endometrium. Słowa kluczowe: rak endometrium, biopsja endometrium, nieprawidłowe krwawienia maciczne, łyżeczka ssąca, sonda do pobierania próbki endometrium Abstract potential ineffectiveness of the biopsy; 4) assessment of effectiveness of an outpatient biopsy in detection of endometrial cancer.","PeriodicalId":38739,"journal":{"name":"Current Gynecologic Oncology","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80493945","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":"An update of the cervical cancer staging system as of 2019","authors":"P. Lepka, M. Jedryka, M. Misiek, R. Matkowski, K. Zalewski","doi":"10.15557/cgo.2019.0002","DOIUrl":"https://doi.org/10.15557/cgo.2019.0002","url":null,"abstract":"","PeriodicalId":38739,"journal":{"name":"Current Gynecologic Oncology","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89264974","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":"Efficacy and safety of laparoscopic radical hysterectomy in cervical cancer based on the latest literature","authors":"Katarzyna M Wojcik-Krowiranda, T. Michalski, Joanna Wrońska-Stefaniak, A. Bieńkiewicz","doi":"10.15557/cgo.2019.0003","DOIUrl":"https://doi.org/10.15557/cgo.2019.0003","url":null,"abstract":"","PeriodicalId":38739,"journal":{"name":"Current Gynecologic Oncology","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74739950","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":"A patient with vulvar cancer – current treatment trends based on the analysis of own material","authors":"P. Kwiatkowska, A. Sochacka, Katarzyna Andruszkiewicz, A. Jędrzejczyk, M. Mokros, J. Suzin, M. Szubert","doi":"10.15557/CGO.2018.0024","DOIUrl":"https://doi.org/10.15557/CGO.2018.0024","url":null,"abstract":"","PeriodicalId":38739,"journal":{"name":"Current Gynecologic Oncology","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90337386","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":"Complete blood count and selected clinical factors: are they related to the grade and stage ofendometrial cancer?","authors":"Kamila Trepka, P. Bodzek, A. Olejek","doi":"10.15557/cgo.2018.0026","DOIUrl":"https://doi.org/10.15557/cgo.2018.0026","url":null,"abstract":"","PeriodicalId":38739,"journal":{"name":"Current Gynecologic Oncology","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81386537","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":"Pelvic exenteration in modern gynecologic oncology – own experiences","authors":"Ju. G. Kot, Joanna Spaczyńska, M. Duda-Wiewiórka, Michał Mleko, I. Ludwin, K. Pityński","doi":"10.15557/CGO.2018.0025","DOIUrl":"https://doi.org/10.15557/CGO.2018.0025","url":null,"abstract":"Aim: Analysis of indications for the procedure of exenteration, and intra- and postoperative complications, based on cases from a single gynecologic oncology center over the past 5 years. Material and methods: Detailed review of medical records of female patients who underwent pelvic exenteration surgery over the last 5 years (2014–2018). The review excluded cases of exenteration for ovarian cancer. The analysis included indications for the procedure, age of operated patients, location and histological type of tumor, prior treatment history, performance status and comorbidities, purpose and type of procedure, duration of operation, early and late complications according to the Clavien–Dindo classification, method of urinary diversion, and achieved surgical margins. Results: A total of 8 pelvic exenteration procedures were performed between early 2014 and mid-2018, including 5 procedures with the intention to cure, and 3 palliative procedures. Half of the cases involved patients with recurrence of vulvar cancer. The mean duration of the procedure was 315 minutes, while the mean duration of stay in the hospital ward was 24.38 days. Early postoperative complications of varying severity occurred in each operated case, with severe complications (grades IIIb–V based on the Clavien-Dindo classification) observed in 5 women (62.5%). Abstract for pelvic exenteration in gynecologic oncology is the recurrence of cervical cancer or persistent cervical cancer after chemoradiotherapy, advanced vulvar cancer, lack of response to chemoradiotherapy, and recurrence of vulvar or vaginal cancer. Pelvic exenteration can also be a part of surgical treatment for advanced ovarian cancer (7) . The main aim of the study is the analysis of indications for performing exenteration, and intra- and postoperative complications of the procedure, based on cases of exenteration performed in our medical facility over the past 5 years. There were no deaths in the early postoperative period. Late complications were observed in a total of 6 women (75.0%), including one death 11 months after palliative exenteration. Conclusions: Despite advances in perioperative care, pelvic exenteration is associated with a high risk of complications which are often life-threatening. The eligibility of patients for this radical surgical approach should be assessed on a case-by-case basis, and the procedure itself should be carried out in a medical center with properly trained staff and medical equipment.","PeriodicalId":38739,"journal":{"name":"Current Gynecologic Oncology","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80933881","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}