BMC Women's Health最新文献

筛选
英文 中文
Diagnostic value of multimodal hysterosalpingo-contrast sonography combined with negative intrauterine contrast-enhanced ultrasound in female infertility.
IF 2.4 3区 医学
BMC Women's Health Pub Date : 2025-02-12 DOI: 10.1186/s12905-025-03598-2
Fen Fu, Yi-Fan Zhu, Yue-Fan Chen, Jia-Jing Zhuang, Wen-Ting Zheng, Rong-Xi Liang, Qin Ye
{"title":"Diagnostic value of multimodal hysterosalpingo-contrast sonography combined with negative intrauterine contrast-enhanced ultrasound in female infertility.","authors":"Fen Fu, Yi-Fan Zhu, Yue-Fan Chen, Jia-Jing Zhuang, Wen-Ting Zheng, Rong-Xi Liang, Qin Ye","doi":"10.1186/s12905-025-03598-2","DOIUrl":"10.1186/s12905-025-03598-2","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the application value of multimodal hysterosalpingo-contrast sonography (HyCoSy) combined with negative hysterography in assessing tubal patency and diagnosing uterine lesions.</p><p><strong>Methods: </strong>A total of 310 infertility patients were selected and examined using multimodal HyCoSy and negative hysterography to evaluate tubal patency and uterine lesions. Based on the doctors' experience levels, they were divided into high seniority group (more than 5 years of experience in Contrast-enhanced ultrasound) and low seniority group (resident doctors). Various ultrasound modes, including two-dimensional contrast-enhanced ultrasound (2D), static three-dimensional contrast-enhanced ultrasound (3D), real-time three-dimensional contrast-enhanced ultrasound (4D), and transvaginal harmonic imaging (HI), were employed for diagnosis. The χ2 test was used to compare the success rates of tubal patency diagnosis across different mode combinations. The Wilcoxon rank-sum test was used to compare the diagnostic efficiency of tubal patency between high and low seniority groups under multimodal ultrasound.</p><p><strong>Results: </strong>A total of 306 patients successfully completed the examinations, with 538 cases of tubal patency and 74 cases of obstruction identified. The combination of multiple modalities significantly improved diagnostic efficiency, with the 4D + 3D + 2D + HI mode demonstrating a significantly higher diagnostic success rate compared to single modes (P < 0.005). Negative hysterography showed high consistency with hysteroscopy in diagnosing uterine malformations, with 100% sensitivity and specificity. Additionally, it demonstrated good diagnostic ability for cesarean scar diverticulum, endometrial polyps, submucosal fibroids, and uterine adhesions.</p><p><strong>Conclusion: </strong>The combination of multimodal HyCoSy and negative hysterography is a simple, rapid, and accurate examination method suitable for assessing tubal patency and diagnosing uterine lesions.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"62"},"PeriodicalIF":2.4,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: Anxiety, depression, and stress: a comparative study between couples with male and female infertility.
IF 2.4 3区 医学
BMC Women's Health Pub Date : 2025-02-11 DOI: 10.1186/s12905-025-03589-3
Zahra Bostani Khalesi, Fatemeh Jafarzadeh Kenarsari
{"title":"Correction: Anxiety, depression, and stress: a comparative study between couples with male and female infertility.","authors":"Zahra Bostani Khalesi, Fatemeh Jafarzadeh Kenarsari","doi":"10.1186/s12905-025-03589-3","DOIUrl":"10.1186/s12905-025-03589-3","url":null,"abstract":"","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"58"},"PeriodicalIF":2.4,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11816543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coping strategies utilized by patients with cervical cancer: an explorative qualitative study at the Ocean Road Cancer Institute in Dar es Salaam, Tanzania.
IF 2.4 3区 医学
BMC Women's Health Pub Date : 2025-02-11 DOI: 10.1186/s12905-024-03536-8
Joel Seme Ambikile, Emanueli Amosi Msengi, Emmanuel Z Chona, Rashid A Gosse
{"title":"Coping strategies utilized by patients with cervical cancer: an explorative qualitative study at the Ocean Road Cancer Institute in Dar es Salaam, Tanzania.","authors":"Joel Seme Ambikile, Emanueli Amosi Msengi, Emmanuel Z Chona, Rashid A Gosse","doi":"10.1186/s12905-024-03536-8","DOIUrl":"10.1186/s12905-024-03536-8","url":null,"abstract":"<p><strong>Background: </strong>Cervical cancer ranks as the fourth most prevalent cancer among women globally, particularly affecting socioeconomically disadvantaged populations such as those in Tanzania. Receiving a cervical cancer diagnosis induces considerable stress and elicits negative reactions. Coping mechanisms, ranging from adaptive to maladaptive, are employed to navigate this challenging condition and are influenced by factors such as race, socioeconomic status, and sociocultural background. Despite its significance, little is known about the coping strategies utilized by cervical cancer patients in Tanzania.</p><p><strong>Methods: </strong>By employing purposeful sampling, a qualitative descriptive study was conducted at the Ocean Road Cancer Institute in Dar es Salaam from December 2022 to January 2023, aiming to explore coping strategies adopted by cervical cancer patients. Thematic analysis was employed to analyse the gathered data.</p><p><strong>Findings: </strong>The key themes that emerged included problem-focused coping, emotion-focused coping, social support, religious coping, and escapism.</p><p><strong>Conclusions: </strong>Cervical cancer patients employ a diverse array of coping strategies to manage their condition. While many strategies observed were adaptive, some proved to be maladaptive, underscoring the importance of ongoing assessments to bolster adaptive coping mechanisms among this population.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"59"},"PeriodicalIF":2.4,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11816738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Menstrual waste management practices among female students in Niger delta development commission hostels in educational institutions in Niger delta, Nigeria.
IF 2.4 3区 医学
BMC Women's Health Pub Date : 2025-02-11 DOI: 10.1186/s12905-025-03549-x
Doris Eseoghene Ikogho, Festus Dafe Onoharigho
{"title":"Menstrual waste management practices among female students in Niger delta development commission hostels in educational institutions in Niger delta, Nigeria.","authors":"Doris Eseoghene Ikogho, Festus Dafe Onoharigho","doi":"10.1186/s12905-025-03549-x","DOIUrl":"10.1186/s12905-025-03549-x","url":null,"abstract":"<p><strong>Background of the study: </strong>Menstrual waste management encompasses the practices involved in handling menstrual hygiene products from the onset to the conclusion of menstruation. Despite being a crucial public health issue, menstrual waste management remains under-researched, particularly in educational institutions in Nigeria. This study investigates menstrual waste management practices among female students residing in hostels constructed by the Niger Delta Development Commission (NDDC) in the Niger Delta region, focusing on their methods of disposal, associated challenges, and compliance with global standards.</p><p><strong>Methods: </strong>The study targeted first-year undergraduate female students from three tertiary institutions, with a total population of 825. A systematic sampling technique was used to select a sample of 413 respondents. Data were collected using a structured questionnaire adapted from the World Bank's Menstrual Health and Hygiene Resource Package (2021) and validated instruments by Adekunle and Ajayi (Am Int J Social Sci Res 4(2):78--87, 2019), with a reliability coefficient of 0.8. Ethical clearance was obtained from Delta State University.</p><p><strong>Result: </strong>Findings revealed that common menstrual waste materials included cotton wool, pads, and napkins, with many students facing challenges related to affordability and availability of preferred products. Improper disposal practices, such as discarding without wrapping and burying in pits or burning, were prevalent, posing significant health and environmental risks. These unsound practices were exacerbated by the lack of adequate disposal facilities in hostels, limited awareness of proper disposal methods, and non-compliance with global guidelines. Health consequences included an increased risk of infections, while environmental impacts ranged from contamination to prolonged degradation of non-biodegradable materials.</p><p><strong>Conclusion: </strong>The study highlights the urgent need for infrastructural improvements, targeted education on sustainable menstrual hygiene practices, and stricter adherence to global standards. Recommendations include: University management should jointly implement stringent policies to eliminate unsustainable disposal methods, providing affordable and eco-friendly menstrual products, such as reusable pads, integrating menstrual health education into institutional policies, and enhancing waste management systems. These measures are vital for promoting sustainable menstrual hygiene and aligning with global health and environmental goals.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"60"},"PeriodicalIF":2.4,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11816509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Increased plasma lipopolysaccharide-binding protein and altered inflammatory mediators reveal a pro-inflammatory state in overweight women.
IF 2.4 3区 医学
BMC Women's Health Pub Date : 2025-02-10 DOI: 10.1186/s12905-025-03588-4
Christine N Metz, Michael Brines, Xiangying Xue, Prodyot K Chatterjee, Robert P Adelson, Jesse Roth, Kevin J Tracey, Peter K Gregersen, Valentin A Pavlov
{"title":"Increased plasma lipopolysaccharide-binding protein and altered inflammatory mediators reveal a pro-inflammatory state in overweight women.","authors":"Christine N Metz, Michael Brines, Xiangying Xue, Prodyot K Chatterjee, Robert P Adelson, Jesse Roth, Kevin J Tracey, Peter K Gregersen, Valentin A Pavlov","doi":"10.1186/s12905-025-03588-4","DOIUrl":"10.1186/s12905-025-03588-4","url":null,"abstract":"<p><strong>Background: </strong>Chronic low-grade inflammation has been recognized as an underlying event linking obesity to diabetes and cardiovascular disease (CVD). However, inflammatory alterations in individuals and specifically women who are overweight remain understudied. Providing relevant insights is of substantial interest for women's cardiovascular health.</p><p><strong>Methods: </strong>We determined the levels of key circulating biomarkers of innate immune responses and inflammation, including lipopolysaccharide-binding protein (LBP), C-reactive protein (CRP), interleukin-6 (IL-6), leptin, and adiponectin in adult female subjects who were lean (n = 20) or overweight (n = 20) and had high cholesterol and/or high blood pressure - two important conventional risk factors for CVD.</p><p><strong>Results: </strong>Plasma levels of LBP were significantly higher in the overweight group compared with the lean group (P = 0.017). The levels of CRP were also significantly higher in overweight subjects (P = 0.023), as were IL-6 (P = 0.016) and leptin (P = 0.004), pro-inflammatory mediators associated with cardiovascular risk. Levels of adiponectin, an adipokine with anti-inflammatory and anti-atherogenic functions, were significantly lower in the overweight group (P = 0.006). The leptin/adiponectin ratio, a preferential atherogenic marker was significantly increased in women who are overweight (P = 0.0007). LBP, CRP, leptin, IL-6, leptin, and adiponectin levels significantly correlated with BMI, but not with age and there was a significant correlation between LBP and IL-6 levels and LBP and CRP levels.</p><p><strong>Conclusions: </strong>These results reveal the presence of a pro-inflammatory state in overweight women and are of interest for further studies with the goal for improved understanding of cardiovascular health risks in women.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"57"},"PeriodicalIF":2.4,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11809003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
NAT10 promotes ovarian cancer cell migration, invasion, and stemness via N4-acetylcytidine modification of CAPRIN1.
IF 2.4 3区 医学
BMC Women's Health Pub Date : 2025-02-08 DOI: 10.1186/s12905-025-03567-9
Yang Song, Min Cheng
{"title":"NAT10 promotes ovarian cancer cell migration, invasion, and stemness via N4-acetylcytidine modification of CAPRIN1.","authors":"Yang Song, Min Cheng","doi":"10.1186/s12905-025-03567-9","DOIUrl":"10.1186/s12905-025-03567-9","url":null,"abstract":"<p><p>Ovarian cancer (OC) is the most lethal gynecological tumor. N4-acetylcytidine (ac4C) modification, catalyzed by the acetyltransferase NAT10, is involved in the occurrence and development of cancers. This study aimed to investigate the role of NAT10 in OC and the underlying molecular mechanisms. The expression of NAT10 and CAPRIN1 in OC cells lines were measured using quantitative real-time polymerase chain reaction and immunoblotting. Biological behaviors of OC cells were evaluated using EdU, Transwell, sphere formation, and immunoblotting assays. The molecular mechanism of NAT10 function was analyzed using bioinformatics, ac4C- RNA immunoprecipitation, and actinomycin D treatment assay. The effect of NAT10 on OC progression in vivo was evaluated using xenograft tumor model. The results indicated that NAT10 and CAPRIN1 were highly expressed in OC cells. NAT10 knockdown suppressed OC cell proliferation, migration, invasiveness, stemness, and epithelial-mesenchymal transition in vitro, and impeded tumor growth in vivo. Additionally, CAPRIN1 expression was found to be positively related to NAT10 expression in OC. Silencing of NAT10 inhibited ac4C levels of CAPRIN1 and reduced its RNA stability. Moreover, overexpression of CAPRIN1 reversed the suppression of migration, invasion, and stemness caused by NAT10 knockdown, while knockdown of CAPRIN1 alone inhibited these malignant behaviors of OC cells. In conclusion, NAT10 promotes OC progression by promoting cellular migration, invasion, and stemness via upregulating CAPRIN1 expression. Mechanistically, NAT10 stabilizes CAPRIN1 by promoting its ac4C modification. These findings suggest that NAT10 may be a promising therapy target for OC.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"54"},"PeriodicalIF":2.4,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk prediction models for stress urinary incontinence after pelvic organ prolapse (POP) surgery: a systematic review and meta-analysis.
IF 2.4 3区 医学
BMC Women's Health Pub Date : 2025-02-08 DOI: 10.1186/s12905-025-03584-8
Bi Jun Yu, Hao Chong He, Li Wang, Han Mei Shao, Ying Min Liu, Xiao Ying Yan, Jian Liu
{"title":"Risk prediction models for stress urinary incontinence after pelvic organ prolapse (POP) surgery: a systematic review and meta-analysis.","authors":"Bi Jun Yu, Hao Chong He, Li Wang, Han Mei Shao, Ying Min Liu, Xiao Ying Yan, Jian Liu","doi":"10.1186/s12905-025-03584-8","DOIUrl":"10.1186/s12905-025-03584-8","url":null,"abstract":"<p><strong>Objective: </strong>To systematically evaluate existing developed and validated predictive models for stress urinary incontinence after pelvic floor reconstruction.</p><p><strong>Methods: </strong>Relevant literature in PubMed, Embase, Web of Science, Cochrane Library, OVID, China National Knowledge Infrastructure(CNKI), Wan Fang Database, VIP database and Chinese Biomedical Literature Service System (SinoMed) were search from inception to 1 March 2024. Literature screening and data extraction were performed independently by two researchers. The chosen study's statistics included study design, data sources, outcome definitions, sample size, predictors, model development, and performance. The Predictive Modelling Risk of Bias Assessment Tool (PROBAST) checklist was used to assess risk of bias and applicability.</p><p><strong>Results: </strong>A total of 7 studies containing 9 predictive models were included. All studies had a high risk of bias, primarily due to retrospective design, small sample sizes, single-center trials, lack of blinding, and missing data reporting. The meta-analysis revealed moderate heterogeneity (I² = 68.8%). The pooled AUC value of the validated models was 0.72 (95% CI: 0.65, 0.79), indicating moderate predictive ability.</p><p><strong>Conclusion: </strong>The prediction models evaluated demonstrated moderate discrimination, but significant bias and methodological flaws. The meta-analysis revealed moderate heterogeneity (I² = 68.8%) among the included studies, reflecting differences in study populations, predictors, and methods, which limits the generalizability of the findings. Despite these challenges, these models highlight the potential to identify high-risk patients for targeted interventions to improve surgical outcomes and reduce postoperative complications. The findings suggest that by integrating these models into clinical decision-making, clinicians can better tailor surgical plans and preoperative counseling, thereby improving patient satisfaction and reducing the incidence of postoperative stress urinary incontinence. Future research should follow TRIPOD and PROBAST principles, focus on addressing sources of heterogeneity, improve model development through robust designs, large sample sizes, comprehensive predictors, and novel modelling approaches, and validate tools that can be effectively integrated into clinical decision-making to manage stress urinary incontinence after pelvic floor reconstruction.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"55"},"PeriodicalIF":2.4,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Modeling optimal combination of breast and cervical cancer screening strategies in China.
IF 2.4 3区 医学
BMC Women's Health Pub Date : 2025-02-08 DOI: 10.1186/s12905-025-03573-x
Xuewei Liu, Yanbo Wang, Bei Gao, Xinlin Lu, Yuan Wang, Wenli Lu
{"title":"Modeling optimal combination of breast and cervical cancer screening strategies in China.","authors":"Xuewei Liu, Yanbo Wang, Bei Gao, Xinlin Lu, Yuan Wang, Wenli Lu","doi":"10.1186/s12905-025-03573-x","DOIUrl":"10.1186/s12905-025-03573-x","url":null,"abstract":"<p><strong>Background: </strong>Breast and cervical cancers are the commonest cancers among women. Secondary prevention of cancer through screening minimizes disease burden and improves survival outcomes. Optimizing screening strategies for breast and cervical cancers is a challenge in resource-limited settings with a high population density such as China. Therefore, we aimed at assessing the efficiency of different combined screening strategies for breast and cervical cancers under different budgets in China.</p><p><strong>Methods: </strong>Markov cohort model was used to evaluate the cost-effectiveness of 36 strategy combinations for breast and cervical cancer screening with varying screening modality and intervals. The results were used as inputs in the Integer Programming (IP) model to determine the combination of the different screening options under different budgets.</p><p><strong>Results: </strong>The optimal combination strategy was biennial breast ultrasonography (BUS) and mammography (MAM) in parallel screening and quinquennial human papillomavirus (HPV) for breast and cervical cancer screening under the threshold of the annual per capita social cost investment (PCSCI) (18.80 USD) in China. Using this strategy, the total investment cost for 100,000 females was 1,877,984.50 USD, and the incremental life-years compared with no screening was 3,122 life-years. The optimal combination strategy included annual clinical breast examination (CBE), BUS and MAM in series screening, and biennial thin-layer liquid-based cytology (TCT) and HPV in series screening with the annual PCSCI reaching 37.60 USD. Thereafter, as the cost input continued to increase, the optimal combination strategy remained unchanged, and the sum of incremental life-years and actual input costs did not increase.</p><p><strong>Conclusions: </strong>From a social cost-benefit perspective, biennial BUS and MAM in parallel screening, and quinquennial HPV screening is the most efficient combination strategy with limited budget, while annual CBE, BUS and MAM in series screening and biennial TCT and HPV in series screening are the most efficient combination strategy with sufficient budget.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"56"},"PeriodicalIF":2.4,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11807319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endometrial polyps with bizarre stromal cells: a Benign or a low-grade lesion?
IF 2.4 3区 医学
BMC Women's Health Pub Date : 2025-02-05 DOI: 10.1186/s12905-025-03557-x
Musen Wang, Fei Gao, Hongkai Zhang, Wenxin Zheng
{"title":"Endometrial polyps with bizarre stromal cells: a Benign or a low-grade lesion?","authors":"Musen Wang, Fei Gao, Hongkai Zhang, Wenxin Zheng","doi":"10.1186/s12905-025-03557-x","DOIUrl":"10.1186/s12905-025-03557-x","url":null,"abstract":"<p><strong>Background: </strong>Polyps containing bizarre stromal cells are occasionally observed in the lower gynecologic tract, including the vagina, cervix, and endometrium, predominantly in perimenopausal or postmenopausal patients. These cases have traditionally been considered benign without subsequent recurrence or malignancy.</p><p><strong>Case presentation: </strong>We describe a rare instance of a rapid enlarging endometrial polyp characterized by atypical stromal cells in a 76-year-old postmenopausal woman, who presented with vaginal bleeding. Histologically, the polyp was noted for its abundance of atypical stromal cells interspersed among thick-walled vascular channels. Higher magnification revealed eosinophilic cytoplasm in the stromal cells, which exhibited both mono- and multinucleation, hyperchromasia with coarse chromatin, and an absence of conspicuous nucleoli and mitotic figures. A consensus among two of three consulting expert gynecological pathologists supported a benign endometrial polyp diagnosis; however, one pathologist raised the possibility of adenosarcoma, highlighting the diagnostic dilemma these unique lesions present. Despite a hysterectomy recommendation, the patient chose monitoring over immediate surgery. Persistent vaginal bleeding led to her return six months later, whereupon a 7-cm polypoid lesion in the endometrial cavity was found and removed via hysterectomy. The histopathology mirrored the initial findings, showing no myometrial invasion, prompting a re-evaluation of the presumed benign nature of the polyp given its rapid growth. Remarkably, RNA sequencing analysis of the polyp detected a JAK2::NFIB gene fusion, a novel finding for endometrial polyps with atypical stromal cells, the clinical implications of which remain to be elucidated.</p><p><strong>Conclusion: </strong>The rapid recurrence of the polyp within six months raises new questions about the true biological nature of these entities and the relevance of gene fusions like JAK2::NFIB in their pathogenesis, meriting further investigation.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"51"},"PeriodicalIF":2.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11796169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143254692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"Out of sight out of mind": attentional characteristics in mothers who have children with autism.
IF 2.4 3区 医学
BMC Women's Health Pub Date : 2025-02-05 DOI: 10.1186/s12905-024-03534-w
Xue Du, Shuanghong Gao, Ting Huang, Jian Liang, Xiao Xiao
{"title":"\"Out of sight out of mind\": attentional characteristics in mothers who have children with autism.","authors":"Xue Du, Shuanghong Gao, Ting Huang, Jian Liang, Xiao Xiao","doi":"10.1186/s12905-024-03534-w","DOIUrl":"10.1186/s12905-024-03534-w","url":null,"abstract":"<p><strong>Background: </strong>Families are faced with enormous challenges in caring for children with autism spectrum disorder (ASD) over a lifetime. As the main caregiver of children, mothers who have children with autism are in poor health compared to the mothers of typically developing (TD) children. Previous studies have revealed that the mental health of mothers has a direct impact on children. On the other hand, attention bias (AB) can be an important indicator of the mental status. Therefore, the characteristic of AB of mothers who have children with autism can be a window into the treatment of autism.</p><p><strong>Methods: </strong>In this study, 28 mothers who have children with autism and 31 mothers of typically developing children completed the modified dot-probe task to explore the attention bias.</p><p><strong>Results: </strong>We found that there was a significant difference of AB between mothers who have children with autism and mothers of typically developing children, which indicated that mothers who have children with autism tend to avoid negative emotional words.</p><p><strong>Conclusions: </strong>The current study illuminates the attentional characteristics of mothers who have children with autism toward emotional words, which provides a new starting point for the intervention of mothers of children with autism.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"53"},"PeriodicalIF":2.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11796272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143254689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信