Journal of clinical gynecology and obstetrics最新文献

{"title":"High-Grade Serous Carcinoma of Ovary With Choriocarcinomatous Differentiation: A Case Report and Review of Literature","authors":"Q. Sadiq, Radhika Sekhri, S. Lanjewar","doi":"10.14740/jcgo669","DOIUrl":"https://doi.org/10.14740/jcgo669","url":null,"abstract":"Non-gestational choriocarcinoma (NGC) of the ovary is a rare, highly malignant neoplasm usually of germ cell origin. Rarely, NGC has been observed in association with ovarian epithelial neoplasms. So far 11 cases of NGC with choriocarcinomatous differentiation have been described in the relevant literature. Here we describe a case of NGC differentiation in a high-grade serous carcinoma of the ovary. A 53-year-old nulliparous, postmenopausal woman presented with abdominal pain and vaginal bleeding. Abdominal imaging revealed a complex pelvic mass and carcinomatosis. The patient underwent a total abdominal hysterectomy with bilateral salpingo-oophorectomy and peritoneal tumor debulking. Microscopic examination of the bilateral ovarian mass tissue revealed a high-grade serous carcinoma with a distinct component of choriocarcinomatous differentiation. The presence of choriocarcinomatous differentiation in epithelial malignancy is associated with a very poor prognosis. Our patient succumbed to disease within 2 months of diagnosis. J Clin Gynecol Obstet. 2020;9(3):53-59 doi: https://doi.org/10.14740/jcgo669","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41480785","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":"Did COVID-19 Have a Positive Impact on Any Aspects of Women’s Health Care?","authors":"G. Davila","doi":"10.14740/jcgo690","DOIUrl":"https://doi.org/10.14740/jcgo690","url":null,"abstract":"","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45145253","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":"Mommy Meltdown: Understanding Racial Differences Between Black and White Women in Attitudes About Postpartum Depression and Treatment Modalities.","authors":"Talelia S House,&nbsp;Eva Alnajjar,&nbsp;Madhuri Mulekar,&nbsp;Lisa B Spiryda","doi":"10.14740/jcgo664","DOIUrl":"https://doi.org/10.14740/jcgo664","url":null,"abstract":"<p><strong>Background: </strong>Postpartum depression is a major public health problem, but limited information is available about risk factors and attitudes of minority women about postpartum depression. The objective of this study is to determine attitudes of minority women toward postpartum depression and treatment.</p><p><strong>Methods: </strong>In this prospective study at an academic resident and faculty clinic, 39 women (19 black and 20 white) at the 6-week postpartum visit completed a survey that was developed for this study to assess personal and family attitudes about postpartum depression in addition to the routinely distributed Edinburgh postnatal depression scale. The primary outcome variable was the presence of postpartum depression amongst minority women compared to other races. The secondary outcome looked at descriptors of attitudes about depression and treatment. Data were analyzed with Chi-square test for categorical data and Student's <i>t</i>-test for continuous data.</p><p><strong>Results: </strong>Black and white participants were comparable in age, distribution of gestational age at birth, delivery type and pregnancy complications. The diagnosis of postpartum depression was not different in either population (two black and three white women; P = 0.667). Black participants were referred less frequently to counseling as treatment (5% vs. 30%; P = 0.052) but both black and white study participants viewed counseling as helpful (84% vs. 80%; P = 0.345). Black participants had a lower frequency of family history of depression (11% vs. 40%; P = 0.052) but both study groups were comfortable discussing the topic with their families, felt that their families were not ashamed of any social stigma about depression, and would be supportive of either counseling or medications as a treatment modality.</p><p><strong>Conclusions: </strong>Postpartum depression was common among our patients regardless of race. Most black and white women were willing to discuss depression with their families and accept treatment. Despite previous evidence to the contrary, black women stated that they were open to counseling as treatment for depression.</p>","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":"9 3","pages":"37-42"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7962419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25489030","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":"Primary Fallopian Tube Carcinoma Preoperatively Diagnosed as Cervical Cancer","authors":"Misa Kobayashi, H. Adachi","doi":"10.14740/jcgo630","DOIUrl":"https://doi.org/10.14740/jcgo630","url":null,"abstract":"Primary fallopian tube carcinoma (PFTC) is an uncommon gynecologic malignancy that is often diagnosed in the advanced stage. We present herein a case of a 59-year-old female with PFTC diagnosed with an approximately 20-mm cervical tumor on visual inspection. Cervical biopsy showed carcinoma and systemic computed tomography demonstrated no evidence of metastasis. The patient was accordingly diagnosed with cervical adenocarcinoma stage IB1 (FIGO 2008). Abdominal radical hysterectomy including bilateral salpingo-oophorectomy and pelvic lymphadenectomy was performed. However, it was difficult to operate because of dense pelvic organ adhesions and pouch of Douglas obliteration accompanied with deep infiltrating endometriosis. There was no peritoneal dissemination. On histopathological examination, high-grade serous carcinomas arising from the left fallopian tube and metastasized to the endometrium, cervix, vagina and multiple pelvic lymph nodes and forming a tumor in the cervix were noted. The patient was diagnosed with PFTC stage IIIA1 (ii) (FIGO 2014), pT2aN1bM0 (eighth UICC). She received six cycles of docetaxel and carboplatin every 3 weeks and presented no evidence of disease for 6 months after the chemotherapy. In conclusion, this is a rare case in which PFTC was preoperatively diagnosed as cervical cancer. J Clin Gynecol Obstet. 2020;9(1-2):21-24 doi: https://doi.org/10.14740/jcgo630","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48591625","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":"COVID-19: Beware of Potentially Serious Indirect Consequences on Women’s Health","authors":"G. Davila","doi":"10.14740/jcgo661","DOIUrl":"https://doi.org/10.14740/jcgo661","url":null,"abstract":"","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41479597","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":"Uterine Artery Embolization Prior to Induced Second-Trimester Abortion With Placenta Previa: Report of a Series of Cases","authors":"Patricia Perez-Moneo Perez, Nerea Ruiz Sacedón, Belén Navarro, Jorge Gomez Valdes, Reyes Balanzá Chancosa","doi":"10.14740/JCGO.V9I1-2.511","DOIUrl":"https://doi.org/10.14740/JCGO.V9I1-2.511","url":null,"abstract":"Due to the higher prevalence of placenta previa in induced second-trimester abortions, prophylactic uterine artery embolization prior to induction of labor is a safe and effective technique to reduce maternal blood loss and morbidity. J Clin Gynecol Obstet. 2020;9(1-2):25-28 doi: https://doi.org/10.14740/jcgo511","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":"9 1","pages":"25-28"},"PeriodicalIF":0.0,"publicationDate":"2020-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42044106","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":"Proximal Hamstring Avulsion During Childbirth","authors":"Marya Ghazzi, Justin D. Stull, Christopher J. Mehallo, C. Dodson","doi":"10.14740/jcgo637","DOIUrl":"https://doi.org/10.14740/jcgo637","url":null,"abstract":"Hormonal changes during pregnancy that increase soft tissue laxity and extreme body position during labor may predispose women to musculoskeletal injuries. This case describes a rare example of an acute proximal hamstring avulsion during childbirth. A 39-year-old female presented to the clinic with 2 weeks of right posterior thigh pain and bruising after the vaginal delivery of her infant. McRoberts’ maneuver was utilized during childbirth, which may have contributed to a proximal hamstring avulsion ultimately requiring surgical repair. Pregnant women may be at risk of tendinous injuries due to particular body positioning and concurrent hormonal changes. Special attention may be warranted in prenatal and perinatal women to avoid excessive stress on tendons, thus potentially preventing acute strain or rupture. J Clin Gynecol Obstet. 2020;9(1-2):17-20 doi: https://doi.org/10.14740/jcgo637","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":"108 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41245120","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":"I-STOP Sling Tape: Is It Associated With Reduced Exposure Rates in Apical Prolapse and Urinary Incontinence Procedures?","authors":"D. Ossin, G. Davila","doi":"10.14740/jcgo643","DOIUrl":"https://doi.org/10.14740/jcgo643","url":null,"abstract":"Background: Type 1 polypropylene synthetic mesh has been the preferred mesh material used for reconstructive surgery in the female pelvis in the past. I-STOP is an inelastic monofilament macroporous polypropylene mesh tape with looped edges. Our primary aim was to assess the incidence of mesh complications, including exposure/erosion in women who underwent I-STOP suburethral sling or apical sling suspension procedures. Methods: This study was a retrospective review of a comprehensive urogynecological database at the Cleveland Clinic Florida of who underwent I-STOP suburethral sling procedures or apical sling suspension between 2009 and 2018. A total of 165 apical slings and 476 suburethral slings were collected at predetermined follow-up visits at 6 weeks, 6 months, and then yearly. Results: Of the apical slings, 86 (52%) had a follow-up for 6 months or longer, with the maximum patient follow-up of 99 months (mean of 19 months). Zero of the 86 patients that were followed up in the review developed mesh erosion/exposure. A total of 307 (64%) patients who underwent I-STOP suburethral slings had follow-up for 6 months or longer with the maximum patient follow-up of 158 months (mean of 36 months). Two patients developed mesh erosion/exposure with a calculated complication rate at 0.42%. No patients in either group developed clinically evident mesh contraction. Conclusions: Our study demonstrated lower mesh erosion/exposure and complication rates with the use of the I-STOP tape both in apical sling and suburethral sling procedures compared to complication rates reported with the use of other mesh products. J Clin Gynecol Obstet. 2020;9(1-2):12-16 doi: https://doi.org/10.14740/jcgo643","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46863764","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":"Regional Differences in External Cephalic Version and Management of Vaginal Breech Delivery: A Survey in the Netherlands","authors":"Tessa J. Slutter, D. A. Vinkenvleugel, M. V. Pampus, L. E. Rheenen-Flach, B. Hermsen, J. Velzel","doi":"10.14740/jcgo624","DOIUrl":"https://doi.org/10.14740/jcgo624","url":null,"abstract":"Background: This study aims to gain insight into external cephalic version (ECV) and regional differences in management of vaginal breech delivery in the Netherlands. Methods: A nationwide online survey was sent to the obstetric department of each hospital (n = 80). Results: The response rate was 81% (65 of 80 hospitals). All centers performed ECV and 98% offered ECV to more than 90% of the eligible women. ECV was mostly performed by gynecologists (89%). A special ECV outpatient clinic existed in 35% of the centers, ECV was conducted at the regular outpatient clinic in 15% and in 44% ECV was conducted in the clinic. For uterine relaxation atosiban (46%) was the most given, followed by ritodrine (32%), fenoterol (18%) and nifedipine (4%). All centers are experienced in vaginal breech delivery. Induction for obstetrical reasons was allowed in 72% and labor augmentation, if needed, was administered in 83% of the responders. Pain relief for vaginal breech delivery was offered in all centers when requested. A selected team of gynecologists assisting vaginal breech delivery existed in 28% of the centers. Preterm vaginal breech delivery was possible in 92% of the centers. Conclusions: In the Netherlands, ECV is well implemented, and large variations in practice concerning ECV and the use of several tocolytic agents for ECV exist. Vaginal breech delivery at term is possible in all centers; however, intrapartum management of vaginal breech delivery differs among centers. J Clin Gynecol Obstet. 2020;9(1-2):3-11 doi: https://doi.org/10.14740/jcgo624","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43073664","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":"Uterine Artery Embolization Prior to Induced Second-Trimester Abortion With Placenta Previa: Report of a Series of Cases","authors":"Patricia Perez-Moneo Perez, N. Ruiz Sacedon, Belen Aparicio Navarro, Jorge Gomez Valdes, Reyes Balanzá Chancosa","doi":"10.14740/jcgo511","DOIUrl":"https://doi.org/10.14740/jcgo511","url":null,"abstract":"Due to the higher prevalence of placenta previa in induced secondtrimester abortions, prophylactic uterine artery embolization prior to induction of labor is a safe and effective technique to reduce maternal blood loss and morbidity.","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67223760","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}