{"title":"Artificial intelligence in writing manuscripts: Concerns about hindering human primitive feeling","authors":"Shigeki Matsubara","doi":"10.1016/j.tjog.2024.08.010","DOIUrl":"10.1016/j.tjog.2024.08.010","url":null,"abstract":"","PeriodicalId":49449,"journal":{"name":"Taiwanese Journal of Obstetrics & Gynecology","volume":"64 1","pages":"Pages 193-194"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tian-Jeau Huang , Hsiao-Chin Huang , Horng-Der Tsai , Chew-Teng Kor , Chueh-Ko Yang , Hsin-Hung Wu
{"title":"Introduction of the single-lumen oocyte retrieval needle in an assisted reproductive technology center: Propensity score matching analysis of grouping","authors":"Tian-Jeau Huang , Hsiao-Chin Huang , Horng-Der Tsai , Chew-Teng Kor , Chueh-Ko Yang , Hsin-Hung Wu","doi":"10.1016/j.tjog.2024.03.027","DOIUrl":"10.1016/j.tjog.2024.03.027","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effectiveness of oocyte retrieval using a single-lumen aspiration needle compared to a double-lumen aspiration needle in IVF (in vitro fertilization) patients.</div></div><div><h3>Materials and methods</h3><div>This retrospective cohort study included all IVF cycles between 1st January, 2020 and 31st December, 2022 in Changhua Christian Hospital, Taiwan. Pairwise comparisons were conducted through propensity score matching analysis at a 1:3 ratio according to patients’ age, anti-Müllerian hormone levels, and body weight. The cycles were divided into two groups: the single-lumen needle group, who utilized a single-lumen 18-gauge needle and the double-lumen needle group, who underwent follicular aspiration and flushing using a double-lumen 17-gauge needle. Outcomes included oocytes retrieved, matured oocytes (MII), normal zygotes (2-PN), viable embryos, procedure duration and pregnancy rate.</div></div><div><h3>Results</h3><div>A total of 2211 oocyte retrieval procedures were recorded. After propensity score matching, 912 IVF cycles were included for the analysis, comprising 228 and 684 cycles in the single-lumen and double-lumen needle groups, respectively. The single-lumen needle group had more oocytes retrieved (12.84 vs. 11.56, P < 0.05) and normal zygotes (7.79 vs. 6.98, P < 0.05) than the double-lumen needle group. The median procedure duration was also shorter in the single-lumen needle group (14.23 vs. 17.68 min, P < 0.05).</div></div><div><h3>Conclusions</h3><div>Oocyte retrieval using a single-lumen aspiration needle not only reduced the procedure duration but also increased the number of oocytes retrieved and the number of normal zygotes (2-PN). Therefore, the single-lumen aspiration needle exhibits higher efficiency in oocyte retrieval and is more affordable than the double-lumen aspiration needle.</div></div>","PeriodicalId":49449,"journal":{"name":"Taiwanese Journal of Obstetrics & Gynecology","volume":"64 1","pages":"Pages 105-109"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kuang-Han Liu , Chia-Chin Tsai , Krystal Baysan Lin , Pei-Shen Huang
{"title":"Primary endometrial squamous cell carcinoma (PESCC): Review of the literature and case report","authors":"Kuang-Han Liu , Chia-Chin Tsai , Krystal Baysan Lin , Pei-Shen Huang","doi":"10.1016/j.tjog.2024.03.029","DOIUrl":"10.1016/j.tjog.2024.03.029","url":null,"abstract":"<div><h3>Objective</h3><div>Primary endometrial squamous cell carcinoma (PESCC) is an extremely rare type of endometrial cancer with limited research and understanding. This report presents a case of PESCC and reviews 37 cases from 1997.</div></div><div><h3>Case report</h3><div>A 61-year-old menopausal woman presented with abnormal vaginal bleeding. Despite no prior Papanicolaou smears and normal Pap results this time, transvaginal sonography revealed 7 mm endometrial thickening and elevated cancer antigen 125 (CA-125). Dilatation and curettage revealed atypical glands with squamous metaplasia. On May 3, 2017, she underwent robot-assisted staging surgery (stage IB) and pelvic radiotherapy. No disease recurrence observed till now.</div></div><div><h3>Conclusion</h3><div>Early diagnosis of PESCC is crucial for management. Although guidelines are lacking due to the rarity of PESCC, increased reporting and research are expected to shed light on this condition and facilitate the establishment of treatment protocols.</div></div>","PeriodicalId":49449,"journal":{"name":"Taiwanese Journal of Obstetrics & Gynecology","volume":"64 1","pages":"Pages 159-165"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pregnancy complicated by fetal goiter following lung transplantation for idiopathic pulmonary arterial hypertension: A case study","authors":"Asuka Hamuro , Yoshifumi Kasuga , Saki Saito , Hiroshi Uchida , Takahiro Hiraide , Yohei Yamada , Takeshi Arimitsu , Hiroshi Date , Hiroyuki Fukushima , Mamoru Tanaka","doi":"10.1016/j.tjog.2024.08.007","DOIUrl":"10.1016/j.tjog.2024.08.007","url":null,"abstract":"<div><h3>Objective</h3><div>We report a case of pregnancy following lung transplantation (LT) for idiopathic pulmonary arterial hypertension (IPAH) in Japan.</div></div><div><h3>Case Report</h3><div>A female developed IPAH at 14 years of age and underwent a successful bilateral living-donor lobar LT from her parents at 19 years of age (gravida 2, para 0). At the age of 40 years, the patient became pregnant via artificial insemination. At 28 weeks of gestation, polyhydramnios and a fetal goiter were detected on transabdominal ultrasound. The patient was diagnosed with deep vein thrombosis and pulmonary embolism. The patient underwent emergency cesarean section to deliver a male neonate weighing 1340 g (−0.41SD) at 30 weeks of gestation, with an Apgar score of 5/5 (1/5 min).</div></div><div><h3>Conclusion</h3><div>To our knowledge, this is the first reported case of a successful pregnancy following LT in Japan. Specialists should work together to manage pregnancies following LT.</div></div>","PeriodicalId":49449,"journal":{"name":"Taiwanese Journal of Obstetrics & Gynecology","volume":"64 1","pages":"Pages 131-133"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Difficulty in genetic counseling of an asymptomatic carrier woman with a de novo 15q13.2q13.3 microdeletion encompassing CHRNA7 and OTUD7A and recurrent 15q13.2q13.3 microdeletion in the fetus","authors":"Chih-Ping Chen","doi":"10.1016/j.tjog.2024.10.004","DOIUrl":"10.1016/j.tjog.2024.10.004","url":null,"abstract":"","PeriodicalId":49449,"journal":{"name":"Taiwanese Journal of Obstetrics & Gynecology","volume":"64 1","pages":"Pages 170-171"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Polypoid endometriosis in a young female with systemic lupus erythematosus, mimicking ovarian and pelvic malignancy, a case report","authors":"Yu-Min Fan , Tao-Yeuan Wang , Jen-Ruei Chen","doi":"10.1016/j.tjog.2024.04.022","DOIUrl":"10.1016/j.tjog.2024.04.022","url":null,"abstract":"<div><h3>Objective</h3><div>Polypoid endometriosis is a rare mass-like variant of endometriosis. Mass-like content with indistinct margins between the uterus and pelvic side wall mimics characteristics of pelvic malignancy. Systemic lupus erythematosus (SLE) has also been associated with higher incidences of endometriosis. However, SLE cases with polypoid endometriosis have never been reported in English literature.</div></div><div><h3>Case report</h3><div>A 33-year-old female presented with SLE and polypoid endometriosis. Initially, she received a left salpingo-oophorectomy due to suspicion of ovarian malignancy, but only endometrioma with polypoid feature was diagnosed. Repeated second surgery was conducted because of a new-growth complex mass between the uterus and the pelvic side wall, causing myometrial invasion and left hydroureter/hydronephrosis. Finally, polypoid endometriosis of the pelvic side wall was diagnosed pathologically.</div></div><div><h3>Conclusion</h3><div>Polypoid endometriosis is still a diagnostic challenge before pathological confirmation. This case of SLE and polypoid endometriosis may be the first reported worldwide.</div></div>","PeriodicalId":49449,"journal":{"name":"Taiwanese Journal of Obstetrics & Gynecology","volume":"64 1","pages":"Pages 166-169"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ivana Joksic , Mina Toljic , Nela Maksimovic , Dijana Perovic , Tatjana Damnjanovic , Aleksandar Jurisic
{"title":"Prenatal diagnosis of chromothripsis causing complex chromosomal rearrangement involving chromosomes 5, 7 and 11 leading to TWIST1 deletion and Saethre-Chotzen syndrome","authors":"Ivana Joksic , Mina Toljic , Nela Maksimovic , Dijana Perovic , Tatjana Damnjanovic , Aleksandar Jurisic","doi":"10.1016/j.tjog.2024.09.023","DOIUrl":"10.1016/j.tjog.2024.09.023","url":null,"abstract":"<div><h3>Objective</h3><div>Prenatal detection of complex chromosomal rearrangements (CCR) is extremely rare, but is of great clinical importance, since CCR can be causative of different congenital disorders. We present an exceptionally rare case of prenatally diagnosed Saethre-Chotzen syndrome (SCS) rising as a consequence of chromothripsis involving chromosomes 5, 7 and 11 and deletion of <em>TWIST1</em> gene.</div></div><div><h3>Case report</h3><div>Brachycephaly, hypertelorism, flat face, micrognathia, relative macroglossia and small posterior fossa were noted on ultrasound examination at 28th gestational week. Fetal karyotyping revealed <em>de novo</em> translocation 46,XY,t(7;11)(p15.5;q21)dn. Chromosomal microarray showed presence of three microdeletions on chromosome 7 (7p21.1p15.3 including <em>TWIST1</em>, 7p12.1p11.2 and 7q21.11), and one on chromosome 5p12p11.</div></div><div><h3>Conclusion</h3><div>Use of advanced molecular diagnostic techniques in combination with cytogenetic methods allows for precise characterization of CCRs and detection of molecular mechanisms of their origin. Phenomenon of chromothripsis can be causative of rare genetic syndromes such as SCS.</div></div>","PeriodicalId":49449,"journal":{"name":"Taiwanese Journal of Obstetrics & Gynecology","volume":"64 1","pages":"Pages 134-137"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Challenging and continuing laparoscopic radical hysterectomy for more than 30 Years at a single institution. After the LACC trial, should minimally invasive surgery for early-stage cervical cancer really be discarded?","authors":"Kohei Omatsu, Chyi-Long Lee, Kuan-Gen Huang","doi":"10.1016/j.tjog.2024.08.006","DOIUrl":"10.1016/j.tjog.2024.08.006","url":null,"abstract":"<div><h3>Objective</h3><div>The laparoscopic approach to cervical cancer (LACC) trial highlighted the necessity of an open approach for radical hysterectomy due to its negative impact on oncological outcomes. While minimally invasive surgery is an option for other organ cancers, its application in cervical cancer remains a challenge for surgeons. In this study, we aimed to assess the oncological outcomes of patients with early-stage cervical cancer who underwent minimally invasive radical hysterectomy performed by experienced oncologic endoscopists in gynecology at a single institution.</div></div><div><h3>Materials and methods</h3><div>This study was a retrospective chart review conducted at Chang Gung Memorial Hospital, Linkou, between 2014 and 2023. We retrospectively analyzed clinical data from patients diagnosed with the International Federation of Gynecology and Obstetrics (FIGO) 2018 stage IA1 to IB1 cervical cancer. Patients underwent laparoscopic radical hysterectomy performed by experienced oncologic endoscopists in gynecology.</div></div><div><h3>Results</h3><div>Our analysis included 22 patients, with 5 at FIGO stage IA1, 3 at IA2, and 14 at IB1. The median operation time was 274 min (range: 173–410 min), with an estimated blood loss of 125 mL (range: 50–300 mL). While no major intraoperative complications were observed, one patient reported a poor sensation of urination postoperatively. No recurrences or mortality occurred during the follow-up period.</div></div><div><h3>Conclusion</h3><div>Our findings suggest that minimally invasive radical hysterectomy performed by experienced oncologic endoscopists in gynecology is a viable treatment option for early-stage cervical cancers with a diameter of ≤2 cm.</div></div>","PeriodicalId":49449,"journal":{"name":"Taiwanese Journal of Obstetrics & Gynecology","volume":"64 1","pages":"Pages 82-85"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on “natural conception and term pregnancy after hysteroscopic incision of complete septate uterus with septate cervix: A case report and literature review”","authors":"Sivalakshmi Ramu, Rinchen Zangmo","doi":"10.1016/j.tjog.2024.08.011","DOIUrl":"10.1016/j.tjog.2024.08.011","url":null,"abstract":"","PeriodicalId":49449,"journal":{"name":"Taiwanese Journal of Obstetrics & Gynecology","volume":"64 1","pages":"Page 201"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}