Przeglad Menopauzalny最新文献

{"title":"Relation between vitamin D and adolescents' serum prolactin.","authors":"Ainur Amanzholkyzy, Ainur Donayeva, Dinara Kulzhanova, Ibrahim A Abdelazim, Talgar Abilov, Zhenisbek Baubekov, Ihab I Samaha","doi":"10.5114/pm.2023.133883","DOIUrl":"10.5114/pm.2023.133883","url":null,"abstract":"<p><strong>Introduction: </strong>To detect whether there is a relation between vitamin D (Vit. D) and adolescents' serum prolactin (PRL) or not.</p><p><strong>Material and methods: </strong>Hundred and seventy-six adolescent girls were recruited for the current study, which was conducted in West Kazakhstan (Aktobe) over two years. After thorough evaluation, blood samples were taken from adolescents to measure thyroid stimulating hormone (TSH), free thyroxine (T4), PRL, glycosylated hemoglobin and 25(OH)D. The studied adolescents were classified into study group [25(OH)D deficient] and controls [normal 25(OH)D]. The acquired adolescents' variables were analyzed using the Student <i>t</i>-test and Pearson's correlation.</p><p><strong>Results: </strong>The serum TSH and PRL were statistically higher in the study group than normal controls (3.73 ±1.45 mIU/ml and 47.5 ±7.6 ng/ml vs. 2.67 ±1.0 and 10.8 ±5.1, respectively), (<i>p</i> = 0.0003 and <i>p</i> = 0.0001, respectively). The free T4 was statistically lower in the study group than normal controls (1.4 ±0.6 ng/ml vs. 1.5 ±0.4), (<i>p</i> = 0.0001). Strong negative associations between the serum PRL and 25(OH)D [<i>r</i> = -0.803 (<i>p</i> < 0.00001)], and between the serum PRL and free T4 [<i>r</i> = -0.6959 (<i>p</i> < 0.00001)] were detected in this study. Additionally, there was a strong positive association between the serum PRL and TSH [<i>r</i> = 0.8137 (<i>p</i> < 0.00001)].</p><p><strong>Conclusions: </strong>A strong negative association between the serum PRL and 25(OH)D and a strong positive association between the serum PRL and TSH were detected in this study. This study recommends further studies to confirm the relation between Vit. D and PRL and screening Vit. D deficient adolescents for PRL and thyroid disorders.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"22 4","pages":"202-206"},"PeriodicalIF":1.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10793607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between routine urinary catheterization and postoperative urinary symptoms and urinary tract infections in women undergoing elective caesarean section.","authors":"Ihab I Samaha, Zaituna Khamidullina, Ibrahim A Abdelazim","doi":"10.5114/pm.2023.133847","DOIUrl":"10.5114/pm.2023.133847","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of the study was to detect the relationship between routine urinary catheterization and postoperative urinary symptoms and urinary tract infections (UTIs) in women undergoing elective caesarean sections (ECSs).</p><p><strong>Material and methods: </strong>One hundred women undergoing ECSs were included in this observational study and randomized into a catheterized (C) group, including women who underwent ECS after insertion of indwelling Foley's catheter, and a non-catheterized (NC) group, including women who underwent ECS without Foley's catheter. The Foley's catheters were removed from all participants in the C group once they were freely ambulant and had recovered from the effect of the spinal anaesthesia. Participants were asked about any abnormal postoperative urinary symptoms (dysuria, frequency, urgency, and/or urinary retention), and to collect urine samples (mid-stream) once they were freely ambulant for urine cultures.</p><p><strong>Results: </strong>The postoperative dysuria, frequency, and urgency were significantly higher in the C group compared to the NC group [36% (18/50), 40% (20/50), and 34% (17/50) vs. 8% (4/50), 6% (3/50), and 6% (3/50), respectively], (<i>p</i> = 0.006, 0.001 and 0.004, respectively). The urinary tract infections and the postoperative antimicrobials used were significantly higher in the C group compared to the NC group [40% (20/50) and 40% (20/50) vs. 6% (3/50) and 6% (3/50), respectively], (<i>p</i> = 0.001 and 0.001, respectively). The postoperative hospital-stay after the ECSs was significantly higher in the C group compared to the NC group (5.4 ±1.8 days vs. 3.8 ±1.15, respectively), (<i>p</i> = 0.001).</p><p><strong>Conclusions: </strong>Routine urinary catheterizations in women undergoing ECS significantly increase the odds of postoperative dysuria, frequency, urgency, UTIs, and the postoperative antimicrobials used.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"22 4","pages":"207-212"},"PeriodicalIF":2.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10793614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A very rare case of echinococcus granulosus arising in the ovary and the uterus.","authors":"Angel Yordanov, Rosen Boncev, Stoyan Kostov, Yavor Kornovski, Yonka Ivanova, Stanislav Slavchev, Venelina Todorova, Konstantina Karakadieva, Lazar Tranchev, Mariela Vasileva-Slaveva","doi":"10.5114/pm.2023.133791","DOIUrl":"10.5114/pm.2023.133791","url":null,"abstract":"<p><p>Hydatidosis is a zoonosis caused by the larval form of a cestode of the species Echinococcus granulosus, the canine tapeworm. It can affect any organ of the human body except nails, hair, and cornea. It most often involves the liver, lungs, muscles, and bones. Involvement of organs in the small pelvis is extremely rare, mainly secondary to dissemination of hydatidosis from another organ, and the ovaries are most often involved, followed by the uterus. We present a 41-year-old Caucasian woman with complaints of mild pain, heaviness in the small pelvis, and a fibroid detected by ultrasound examination. She had reported for 2 previous operations for echinococcus cysts, and we found cystic formations in the liver and pelvis by computed tomography. It was decided that it is a recurrence of echinococcosis with a new cyst both in ovary and uterus. A hysterectomy with adnexectomy was performed, and one year later there is no evidence of recurrence of echinococcosis. In the presence of a formation in the small pelvis, one should always think about echinococcosis, especially if there is evidence of previous manifestations of the disease. Diagnosing this disease is extremely important for proper treatment. As rare as uterine involvement is, this possibility should not be overlooked.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"22 4","pages":"236-239"},"PeriodicalIF":1.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10793605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity, anthropometric measurements, quality of life and menopausal symptoms among South-Indian women.","authors":"Lavanya N, Sathyaprabha B","doi":"10.5114/pm.2023.133867","DOIUrl":"10.5114/pm.2023.133867","url":null,"abstract":"<p><strong>Introduction: </strong>Menopause is the period when the reproductive capacity ceases in women's life. A wide range of symptoms occur as a consequence of estrogen decrease during menopause. Evidence suggests that physically active women have a better quality of life (QoL) and fewer menopausal symptoms. The aim of the study was to analyze the relationship between physical activity (PA), anthropometric measurements, QoL and menopausal symptoms.</p><p><strong>Material and method: </strong>A cross-sectional study was conducted online through WhatsApp and Facebook and via email among menopausal women (April 2021 - June 2021). In total 168 responses were received; 153 responses were included in the study based on the inclusion criteria. Participants were asked to complete the details of anthropometric measurements, the Menopause Rating Scale (MRS), the International Physical Activity Questionnaire and the Menopause-Specific Quality of Life Questionnaire (MENQOL).</p><p><strong>Results: </strong>The majority of menopausal women complained of one or more symptoms in the MRS. A statistically significant difference was noted between the body mass index (BMI) and the menopausal symptoms such as irritability and depressive mood. There was an association between PA and MENQOL physical and sexual domains (<i>p</i>-value ≤ 0.05).</p><p><strong>Conclusions: </strong>There was an association between PA, menopausal symptoms, BMI and MENQOL physical and sexual domains. Hence, moderate PA promotion is recommended among middle aged women to have a healthy menopausal transition.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"22 4","pages":"191-195"},"PeriodicalIF":1.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10793610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Genitourinary syndrome of menopause and intestinal microbiota.","authors":"Oksana Pavlovska, Olga Savelyeva, Kateryna Pavlovska","doi":"10.5114/pm.2023.133828","DOIUrl":"10.5114/pm.2023.133828","url":null,"abstract":"<p><strong>Introduction: </strong>Genitourinary syndrome of menopause (GSM) is one of the pathological symptoms of menopause, which causes significant physical, psycho-emotional, and sexual discomfort to a woman.</p><p><strong>Material and methods: </strong>The study describes an examination of 65 middle-aged women, who were divided into 2 groups. Group I included 39 patients with GSM, who, depending on the duration of symptoms (3-5 years, more than 7 years), were divided into subgroups Ia and Ib. Group II included 26 patients who did not have clinical manifestations of GSM. All patients underwent general clinical studies. Bacteriological examination of faeces was used to assess the state of the intestinal microbiota.</p><p><strong>Results: </strong>It was found that menopause occurred in women with GSM earlier, compared with patients without manifestations of urogenital disorders. Also, the women with GSM were more likely to be diagnosed with type 2 diabetes mellitus, metabolic syndrome, overweight, and iron deficiency anaemia. When analysing the results of a bacteriological study in this group of patients, a statistically significant decrease in the colonization of <i>Bifidobacterium</i> and <i>Lactobacillus</i>, as well as excessive bacterial growth of such conditionally pathogenic bacteria as <i>Escherichia coli</i> with reduced enzymatic activity, and <i>Klebsiella</i> and <i>Streptococcus</i> was revealed. Conclusions: Conducting a fundamental study on the characteristics of the intestinal microbiota in menopausal disorders will be an important step towards understanding the pathogenetic mechanisms of their formation, and correction of intestinal metabolism can become an important condition for effective prevention and treatment.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"22 4","pages":"213-219"},"PeriodicalIF":1.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10793611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between menopausal symptoms, sexual function, and sexual activity - a cross-sectional study.","authors":"Danielly Yani Fausto, Julia Beatriz Bocchi Martins, Juliana da Silveira, Fernando Luiz Cardoso, Adriana Coutinho de Azevedo Guimarães","doi":"10.5114/pm.2023.133570","DOIUrl":"10.5114/pm.2023.133570","url":null,"abstract":"<p><strong>Introduction: </strong>To analyse the possible association between menopausal symptoms (somatic-vegetative, psychological, and urogenital) and sexual function with the maintenance of the sexual activity of women in menopause.</p><p><strong>Material and methods: </strong>This cross-sectional study comprised 96 menopausal women aged 40-59 (52.88 ±4.05) years, who presented a positive score to the menopause rating scale (MRS) and had serum levels of follicle stimulating hormone ≥ 25 IU/ml. Participants who used hormone replacement therapy were excluded.</p><p><strong>Results: </strong>It was observed that participants who had an active sexual life had lower medians in the somatic-vegetative (p < 0.001) and psychological symptoms (p = 0.006), as well as in the general score (p = 0.001) at the MRS; in addition, they had better sexual function in 4 domains (p < 0.005): excitement, lubrication, orgasm, and pain, as well as in the total score of the female sexual function index questionnaire (p < 0.005). It was also found that, regardless of the type of menopause (surgical or natural), women who did not engage in sexual activity had a score of 5.651 points more in the MRS (p = 0.004), demonstrating that the practice of sexual activity predicts in 10.4% the variation in the symptom score.</p><p><strong>Conclusions: </strong>Menopausal women who maintain sexual activity had a lower score on the menopause symptom score and better sexual function compared to those who did not perform sexual activity.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"22 4","pages":"220-226"},"PeriodicalIF":1.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10793606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139493035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The expression and possible role of corticotropin-releasing hormone family peptides and their corresponding receptors in gynaecological malignancies and premalignant conditions: a systematic review.","authors":"Angelos Dimas, Chrysoula Margioula-Siarkou, Anastasia Politi, Alexandros Sotiriadis, Alexios Papanikolaou, Konstantinos Dinas, Stamatios Petousis","doi":"10.5114/pm.2023.133878","DOIUrl":"10.5114/pm.2023.133878","url":null,"abstract":"<p><p>The aim of this systematic review is to investigate the impact of corticotropin-releasing hormone (CRH) family peptides and their corresponding receptors on human physiology and disease onset, with a specific focus on gynaecological malignancies such as breast, endometrial, ovarian, vulvar, and cervical cancer. A comprehensive systematic review of 3 medical databases was conducted by 2 independent reviewers. We reviewed studies that explored the expression and role of CRH peptides in various aspects of cancer biology, in the context of breast, endometrial, ovarian, vulvar, and cervical cancer. Our findings reveal that CRH family peptides and their receptors, CRHR1 and CRHR2, are expressed in diverse gynaecological tissues, including cancer cells. Notably, we observed differential expression patterns among different gynaecological cancer types and stages, indicating potential associations with tumour aggressiveness and patient prognosis. Furthermore, CRH peptides were found to exert significant influences on critical cellular processes, such as cell proliferation, migration, invasion, and immune response, in gynaecological cancers. These findings highlight the multifaceted roles of CRH family peptides in gynaecological malignancies and emphasize the need for further research in this field. Therefore, understanding the mechanisms underlying the involvement of CRH family peptides in tumourigenesis may open new avenues for targeted therapeutic strategies in gynaecological malignancies.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"22 4","pages":"227-235"},"PeriodicalIF":1.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10793609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rapidly growing uterine myoma - should we be afraid of it?","authors":"Marek Nowak,&nbsp;Wojciech Bartosik,&nbsp;Weronika Witana,&nbsp;Krzysztof Nowak,&nbsp;Julia Wilkusz","doi":"10.5114/pm.2023.131497","DOIUrl":"10.5114/pm.2023.131497","url":null,"abstract":"<p><p>During a year, myomas may undergo radical changes in their dimensions - from decreasing by 90% to growing by 200%. On average, myomas of the uterus increase in volume by 20-30% annually in the premenopausal period. On the other hand, myomas regress spontaneously in about 20% of women. After menopause uterine fibroids stabilize or regress. Every new or growing lesion of the uterus after menopause has to be diagnosed. There is no general definition of fast growing uterine myoma. The presence of fast growing uterine myoma, regardless of its definition, is associated with some clinical issues: it may become symptomatic (pain, bleeding, bulk symptoms), may be responsible for infertility, and a malignant process (leiomyosarcoma) may be present. Regardless of common belief, the risk of sarcoma is not related to the size of the uterus or its fast enlargement. The prevalence of sarcoma in myomas is 0.26%, and in rapidly growing myomas is 0.27%. Treatment should be individualized, selected for the age of the woman and her expectations (preservation of fertility, uterus), symptoms, size and localization of the myomas. The methods of surgical treatment of unsuspected \"rapidly growing myomas\" are the same as those of common uterine fibroids. Minimally invasive surgery is optimal, but a decision has to be made after evaluation of the risk factors of sarcoma.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"22 3","pages":"161-164"},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2a/74/MR-22-51494.PMC10566336.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41221037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A new promising approach to urodynamic stress urinary incontinence care can help menopausal women.","authors":"Wael Khafagy,&nbsp;Walaa ElBassioune,&nbsp;Mahmoud Rady,&nbsp;Elmetwally Farouk,&nbsp;Ehab Elhelw,&nbsp;Ahmed Saeed,&nbsp;Ahmed Mahmoud,&nbsp;Hamada Abuelmatti,&nbsp;Ahmed Elsheikh,&nbsp;Mohamed Mahmoud,&nbsp;Mohammed Hussein,&nbsp;Ahmed Zaky,&nbsp;Ahmed Abdeltawab,&nbsp;Soliman Ali,&nbsp;Muhammad Altoraky,&nbsp;Mahmoud Hegazy,&nbsp;Ahmed Almorsy,&nbsp;Moatazza Alghazaly,&nbsp;Mohamed Rehan,&nbsp;Esam Elnady,&nbsp;Saed Khater,&nbsp;Alaa Mahmoud,&nbsp;Ahmed Elsayed,&nbsp;Hazem Deif","doi":"10.5114/pm.2023.131058","DOIUrl":"10.5114/pm.2023.131058","url":null,"abstract":"<p><strong>Introduction: </strong>The goal of this study is to evaluate the effectiveness of single-incision mini-sling in the surgical treatment of postmenopausal urodynamic stress urinary incontinence (SUI) compared to the standard trans-obturator mid-urethral sling.</p><p><strong>Material and methods: </strong>This prospective study was carried out in two tertiary centres; Al-Azhar University Maternity & Urology Hospitals. A total of 120 postmenopausal women with urodynamic SUI were randomized to undergo either single-incision mini-sling (<i>n</i> = 60) or standard trans-obturator mid-urethral sling procedure (<i>n</i> = 60) from May 2019 until Oct 2021. Main outcome measures: efficacy was evaluated utilizing objective cure rate (cough stress test) and subjective cure rate (Sandvik incontinence severity index and International Consultations on Incontinence Questionnaire - Short Form), intraoperative and postoperative complications, and postoperative pain (using a visual analogue scale).</p><p><strong>Results: </strong>The single-incision mini-sling (SIMS) and transobturator tape (TOT) groups had no statistically significant difference in subjective and objective cure rates (p > 0.05). Compared with the transvaginal tape O group, patients in the SIMS group had significantly less postoperative pain, shorter operative duration, and less intraoperative blood loss (all <i>p</i>-values < 0.05). No significant difference in perioperative complications was observed between both groups.</p><p><strong>Conclusions: </strong>Single-incision mini-sling was superior to TOT in postmenopausal as SIMS is of similar effectiveness, more safe and minimally invasive with earlier ambulance.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"22 3","pages":"121-125"},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3b/b7/MR-22-51355.PMC10566331.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41221032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multifocal, biatrial, primary cardiac embryonal rhabdomyosarcoma.","authors":"Ioannis Panagiotopoulos,&nbsp;Anastasia Katinioti,&nbsp;Vasileios Mousafeiris,&nbsp;Vasileios Leivaditis,&nbsp;Konstantinos Skevis,&nbsp;Konstantinos Tasios,&nbsp;Andreas Antzoulas,&nbsp;Christos Pitros,&nbsp;Georgios-Ioannis Verras,&nbsp;Francesk Mulita,&nbsp;Sotirios Prapas","doi":"10.5114/pm.2023.131459","DOIUrl":"10.5114/pm.2023.131459","url":null,"abstract":"<p><p>Malignant primary cardiac tumors are rare, with atrial myxoma and rhabdomyosarcoma the common types in adult and pediatric populations respectively. Rhabdomyosarcomas are rare and are usually located in the atria; they present with symptomatology dependent on their location. A 63-year-old woman presented with the symptomatology of dyspnea, cough, and palpitations and was diagnosed with biatrial primary cardiac rhabdomyosarcoma, which required excision. The postoperative course was uneventful and the patient was discharged on the 5^th postoperative day. Postoperative cardiac functional tests revealed an ejection fraction of 60%, consistent with the preoperative value, and no mitral valve dysfunction. Biatrial rhabdomyosarcomas are extremely rare, with only 3 cases reported, including ours, reported in the literature, to the best of our knowledge. Transthoracic echocardiogram is useful in the diagnosis. They require surgical excision along with chemotherapy or radiotherapy. Their prognosis is poor, with a median survival of almost one year. Primary biatrial rhabdomyosarcoma is an extremely rare diagnosis that can present with symptomatology based on the location, size, and number of masses. There is no consensus on how to manage them due to the scarcity of cases, but they are managed as single rhabdomyosarcomas. The majority require surgical excision, with subsequent chemotherapy or radiotherapy. The prognosis is very poor, with the majority of the patients not surviving longer than one year.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"22 3","pages":"173-176"},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bc/25/MR-22-51469.PMC10566335.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41221036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}