Clinica e Investigacion en Ginecologia y Obstetricia最新文献_第9页

Reconociendo la necesidad de abordar las causas subyacentes de la regla incapacitante: una crítica constructiva a la nueva ley de derechos sexuales y reproductivos en España 认识到有必要解决残疾规则的根本原因：对西班牙新的《性权利和生殖权利法》的建设性批评

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-07-01 DOI: 10.1016/j.gine.2023.100905

Anne-Sophie Gresle , M. Ángeles Martínez-Zamora , Eva Flo , Joan Escarrabill , Francisco Carmona , en nombre del grupo ENDOMWAY

引用次数: 0

A survey of female sexual dysfunction in gynaecological cancer survivors: A case–control study 癌症妇科幸存者女性性功能障碍的调查：一项病例对照研究

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-07-01 DOI: 10.1016/j.gine.2022.100826

M. Arab , N. Poorzad , G. Noghabaei , B. Ghavami , B. Nouri , T. Jahed Bozorgan

{"title":"A survey of female sexual dysfunction in gynaecological cancer survivors: A case–control study","authors":"M. Arab , N. Poorzad , G. Noghabaei , B. Ghavami , B. Nouri , T. Jahed Bozorgan","doi":"10.1016/j.gine.2022.100826","DOIUrl":"https://doi.org/10.1016/j.gine.2022.100826","url":null,"abstract":"<div><h3>Background</h3><p>With diagnostic and treatment advancements in cancer management, the need for improvement of survivors’ quality of life has been increasing. One of the issues affecting the quality of life in gynecologic cancer survivors is a decline in their sexual function, which is affected in many ways. In order to assess sexual dysfunction in gynecologic cancer survivors.</p></div><div><h3>Objective</h3><p>This study is designed to assess different areas of sexual function including desire, arousal, vaginal lubrication, orgasm, satisfaction, and pain.</p></div><div><h3>Materials and methods</h3><p>Patients who had completed treatment since 6 months to 6 years ago included in the case–control study starting from January 2019 to January 2020. Twenty-nine sexually active gynecologic cancer survivors with sexual dysfunction were enrolled as cases and 91 sexually active ones without sexual problems were assigned to the control group. The Female Sexual Function Index (FSFI) questionnaire consisting of 19-items and six areas was completed for each participant.</p></div><div><h3>Results</h3><p>Average sexual dysfunction score of the case group was 16.78 with cut-off point of 28 for dysfunction. The most common domain of sexual dysfunction was pain (96.55%), followed by sexual arousal (86.21%), vaginal lubrication (72.41%), orgasm (72.41%), satisfaction (65.52%) and sexual desire (55.17%).</p></div><div><h3>Conclusion</h3><p>In gynecologic cancer survivors, sexual dysfunction was directly related to employment, brachytherapy and co-existing DM and inversely related to the time elapsed since cancer diagnosis and menopause. Asking about sexual problems and referral to a specialist should be included in the patient treatment process.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"50 3","pages":"Article 100826"},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49832925","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}

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Sclerosing stromal tumor of the ovary: Two case reports and literature review 卵巢硬化性间质瘤2例报告及文献复习

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-07-01 DOI: 10.1016/j.gine.2023.100881

S. Tameish

{"title":"Sclerosing stromal tumor of the ovary: Two case reports and literature review","authors":"S. Tameish","doi":"10.1016/j.gine.2023.100881","DOIUrl":"https://doi.org/10.1016/j.gine.2023.100881","url":null,"abstract":"<div><h3>Introduction</h3><p>Sclerosing stromal tumors (SSTs) are rare benign ovarian tumors. They represent 6% of sex cord stromal tumors. Its preoperative diagnosis is often a challenge due to its similarity to malignant tumors on ultrasound imaging. We present two cases of SSTs to emphasize the consideration of this type of tumors in the differential diagnosis of solid adnexal masses in young women. A review of the literature on the typical ultrasound features, clinical presentation, and management of SSTs was performed.</p></div><div><h3>Main symptoms and/or clinical findings</h3><p>Pelvic pain was the main symptom in both cases. In the first case, transvaginal ultrasound revealed an unilocular solid adnexal mass of 59mm×44mm×45mm with cystic areas and marked peripheral and central vascularization. MRI (magnetic resonance imaging) revealed a 50mm×50mm heterogeneous adnexal mass with a solid peripheral component and a cystic-necrotic center. In the second case, pelvic ultrasound showed a solid cystic adnexal mass of 103mm×77mm with marked peripheral vascularity.</p></div><div><h3>Main diagnoses</h3><p>Postoperative anatomopathological diagnosis in both cases was an ovarian SST.</p></div><div><h3>Therapeutic interventions and results</h3><p>Unilateral laparoscopic salpingo-oophorectomy and oophorectomy, respectively, was performed without incidents. There has been no recurrence during follow-up.</p></div><div><h3>Conclusion</h3><p>It is important to consider SSTs in the differential diagnosis of young women with a unilateral solid-cystic adnexal mass with a high degree of peripheral and central vascularization. Laparoscopic approach together with fertility-sparing techniques should be considered the treatment of choice.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"50 3","pages":"Article 100881"},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49832928","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}

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Controversias en el tratamiento de la endometriosis en la mujer estéril 不孕妇女子宫内膜异位症治疗的争议

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-07-01 DOI: 10.1016/j.gine.2023.100890

J. Gilabert-Estelles , L. Rodríguez-Tabernero

{"title":"Controversias en el tratamiento de la endometriosis en la mujer estéril","authors":"J. Gilabert-Estelles , L. Rodríguez-Tabernero","doi":"10.1016/j.gine.2023.100890","DOIUrl":"https://doi.org/10.1016/j.gine.2023.100890","url":null,"abstract":"<div><p>Endometriosis is a very complex disease that limits the lives of women who suffer from it in many areas of their lives, both due to the painful symptoms it causes and the medical complications it generates. In addition, it is capable of causing sterility by different mechanisms.</p><p>In the present work we intend to review the management of the patient with endometriosis and sterility, which has important particularities with respect to the usual treatment of endometriosis. Most of the medical treatments used have an anovulatory effect, which is why they prevent pregnancy, and surgical treatments can in turn have a detrimental effect on the ovarian reserve and the time necessary to achieve pregnancy. On the other hand, assisted reproduction techniques do not always achieve the desired objective and may require associated surgeries such as in the case of the presence of hydrosalpinx or ovaries not accessible to follicular puncture.</p><p>We also carried out a critical review of the medical literature and the guidelines of the different scientific societies to try to establish general criteria for the approach to these patients with endometriosis and sterility, who as a general rule should be treated by assisted reproductive techniques. A special analysis is made of the specific situations in which a differentiated approach with previous surgery is required when the function of a pelvic organ is in danger or in deep endometriosis.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"50 3","pages":"Article 100890"},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49832933","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}

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Nuevo paradigma en la cirugía del mioma: reparación uterina 肌瘤手术的新范式：子宫修复

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-07-01 DOI: 10.1016/j.gine.2023.100859

Maria Luisa Cañete , Alicia Hernandez , Violeta Romero , Ignacio Lobo , Juan Luis Alcazar

引用次数: 0

Niveles de vitamina D en sangre materna y su relación con el consumo de pescado y los parámetros antropométricos de los recién nacidos en una cohorte de parejas madre/hijos de Sevilla 塞维利亚母子夫妇队列中母亲血液中维生素D水平及其与鱼类消费和新生儿人体测量参数的关系

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-07-01 DOI: 10.1016/j.gine.2023.100860

B. Dahiri , P. Carbonero-Aguilar , I. Martin-Carrasco , R. Carrillo , N. Florez , L. Cerrillos , R. Ostos , J. Bautista , I. Moreno

{"title":"Niveles de vitamina D en sangre materna y su relación con el consumo de pescado y los parámetros antropométricos de los recién nacidos en una cohorte de parejas madre/hijos de Sevilla","authors":"B. Dahiri , P. Carbonero-Aguilar , I. Martin-Carrasco , R. Carrillo , N. Florez , L. Cerrillos , R. Ostos , J. Bautista , I. Moreno","doi":"10.1016/j.gine.2023.100860","DOIUrl":"https://doi.org/10.1016/j.gine.2023.100860","url":null,"abstract":"<div><h3>Introduction</h3><p>To compare maternal vitamin D levels with the area of residence or the consumption of fish, as well as its relationship with the weight, length and cranial perimeter of babies.</p></div><div><h3>Materials and methods</h3><p>Cohort of 100 mother–child pairs (<em>n</em>    <.05). When applying the <em>t</em>-Student and the Wilcoxon test, there is no relationship between vitamin D levels and the area of residence or with maternal fish consumption (both <em>P</em>  <!-->.05).</p></div><div><h3>Conclusions</h3><p>Eighty percent of mothers present deficient and insufficient values of vitamin D. There is no correlation between this parameter and the length and cephalic perimeter of the baby, observing a negative correlation with birth weight. No correlation was observed between the area of residence or the consumption of fish and vitamin D levels in mothers. We suggest dietary supplements for pregnant mothers and monitoring of vitamin D levels in babies.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"50 3","pages":"Article 100860"},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49832927","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}

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El tratamiento hormonal es imperativo para todas las pacientes: lo antes posible y siempre 激素治疗对所有患者都至关重要：尽快并始终

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-07-01 DOI: 10.1016/j.gine.2023.100856

M.Á. Martínez-Zamora

{"title":"El tratamiento hormonal es imperativo para todas las pacientes: lo antes posible y siempre","authors":"M.Á. Martínez-Zamora","doi":"10.1016/j.gine.2023.100856","DOIUrl":"https://doi.org/10.1016/j.gine.2023.100856","url":null,"abstract":"<div><p>Endometriosis is nowadays considered an inflammatory chronic benign disease that responds to hormone manipulation and affects up to 10% of women in fertile age. It seems that innate or acquired changes in the endometrium ability to implant, invade and grow in an inflammatory milieu with estrogenic dependence and progesterone resistance are the responsible for new endometriosis implants and contribute to perpetuate the illness. There is, at the moment, no optimal known treatment that achieves the four basic objectives for the treatment of endometriosis: treat the symptoms, improve fertility, eliminate endometrial implants, and avoid illness progression. As is now considered a chronic condition, the prescribed medical treatment, until the patient arrives to the physiological menopause status or gets pregnant, must be considered in the long term, and must be effective and safe. Therefore, the realistic objectives of the treatment are the reduction or abolishment of symptoms and/or improve fertility. As a consequence of the limitations and risks of endometriosis surgeries, the first-line treatment is hormonal. This must be individualized according to age, parity, pregnancy desire, associated symptoms, other illnesses and patients preferences. Globally, there are two main types of first-line hormonal treatments: estroprogestins in extended or continuous regimens and some progestins in different routes of administration (dienogest, norethisterone acetate or desogestrel orally, and levonorgestrel high-dose intrauterine device). The different hormonal treatments and their pros and cons are explained in the manuscript.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"50 3","pages":"Article 100856"},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49832929","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}

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Controversias en el tratamiento de los miomas 肌瘤治疗的争议

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-07-01 DOI: 10.1016/j.gine.2023.100854

M. Gracia , J. Isern Quitllet

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Fallo ovárico, una problemática para las mujeres en edad reproductiva y su relación genética 卵巢衰竭，育龄妇女的一个问题及其遗传关系

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-07-01 DOI: 10.1016/j.gine.2023.100849

L.I. Jaramillo Jaramillo, M.D. Roldan Tabares, S. Castañeda Palacio, L.M. Martínez-Sánchez

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Manejo conservador con radioterapia e inmunoquimioterapia en el linfoma difuso de células B grandes primario de cuello uterino: Diagnóstico y tratamiento de una entidad rara 原发性大弥散性B细胞淋巴瘤放疗和免疫化疗的保守治疗:罕见实体的诊断和治疗

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-07-01 DOI: 10.1016/j.gine.2023.100857

J.F. Robles Díaz

{"title":"Manejo conservador con radioterapia e inmunoquimioterapia en el linfoma difuso de células B grandes primario de cuello uterino: Diagnóstico y tratamiento de una entidad rara","authors":"J.F. Robles Díaz","doi":"10.1016/j.gine.2023.100857","DOIUrl":"https://doi.org/10.1016/j.gine.2023.100857","url":null,"abstract":"<div><h3>Introduction</h3><p>Primary malignant cervical lymphoma is a very rare disease, which represents only 0.008% of all cervical tumors and 2% of all female extranodal lymphomas.</p></div><div><h3>Main symptoms and/or clinical findings</h3><p>The case of a 66-year-old woman from the Peruvian Andes is presented, with a disease period of 4 months characterized by gynaecorrhagia, with evidence of a 5cm tumor cervix. Immunohistochemistry was performed on the biopsy of cervix to differentiate lymphoma from squamous cell carcinoma.</p></div><div><h3>Primary diagnosis</h3><p>Primary diffuse large B-cell lymphoma of the cervix with Ann Arbor IE IPI low-risk staging.</p></div><div><h3>Therapeutic interventions and results</h3><p>She being managed with immunochemotherapy (rituximab, cyclophosphamide, adriamycin, vincristine and prednisone), followed by consolidative external radiotherapy at a dose of 3,000cGy in 15 sessions with a special IMRT technique. Resulting in satisfactory disease control and no complications from irradiation.</p></div><div><h3>Conclusion</h3><p>Primary diffuse large B-cell lymphoma of the cervix is very rare, therefore, in a case of primary stromal lesion of the cervix, suspicion of lymphoma should be taken into account.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"50 3","pages":"Article 100857"},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49870558","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}

引用次数: 0