Current opinion in gynecology and obstetrics最新文献

Can We Treat Racism with Baby Aspirin? 我们能用婴儿阿司匹林治疗种族主义吗？

Current opinion in gynecology and obstetrics Pub Date : 2023-01-01 Epub Date: 2023-10-27

Obianuju Sandra Madueke-Laveaux, Resham Tanna, Ayman Al-Hendy

引用次数: 0

The Application of Different Surgical Methods in Endometrial Cancer 不同手术方法在子宫内膜癌中的应用

Current opinion in gynecology and obstetrics Pub Date : 2021-12-05 DOI: 10.18314/cogo.v4i1.2116

L. H., Huang C, Zhu S, W. J, Shu S

引用次数: 0

Office Procedures in Cosmetic Gynaecology 妇科美容的办公室程序

Current opinion in gynecology and obstetrics Pub Date : 2021-09-09 DOI: 10.18314/cogo.v4i1.2115

Anagnostou N, Gkrozou F, Ioannidi L, Papadimitriou A, Tsonis O

引用次数: 0

Ovarian Cryopreservation: An Overview of Current Evidence around the Globe 卵巢冷冻保存:全球现有证据综述

Current opinion in gynecology and obstetrics Pub Date : 2021-01-01 DOI: 10.18314/cogo.v4i1.2112

Gkrozou F, Tsonis O

引用次数: 1

Bilateral Krukenberg Tumor with Undetermined Origin during Pregnancy 妊娠期来源不明的双侧Krukenberg肿瘤

Current opinion in gynecology and obstetrics Pub Date : 2019-11-13 DOI: 10.18314/cogo.v2i1.1938

J SiufiNeto, W. Moraes, Andres Mp

{"title":"Bilateral Krukenberg Tumor with Undetermined Origin during Pregnancy","authors":"J SiufiNeto, W. Moraes, Andres Mp","doi":"10.18314/cogo.v2i1.1938","DOIUrl":"https://doi.org/10.18314/cogo.v2i1.1938","url":null,"abstract":"Krukenberg tumor is a rare neoplasia and its occurrence during pregnancy is even more uncommon. In 80% of the cases, Krukenberg tumors are bilateral and the prognosis is poor, especially during pregnancy, which can mimic symptoms and delay diagnosis. We present the case of a 25-year-old woman with a gestational age of 15 weeks diagnosed with bilateral ovarian tumors in a routine ultrasound. Investigation with colonoscopy, esophagogastroduodenoscopy and breast ultrasound was negative. The MRI showed two expansive formations in the pelvic-abdominal region. The right-sided mass measured 12.6 x 12.8 x 14.0 cm with a volume of 1174 cc and the left-sized mass measured 6.0 x 6.8 x 5.1 cm with a volume of 108 cc. Neither side showed signs of invasion of adjacent structures. It was also observed a marked thickening of the greater omentum, minimal thickening of the iliac peritoneal surface, and a large amount of free fluid in the abdominal cavity. Ca – 125 levels were higher than 251, with normal Ca 19-9 and CEA levels. A diagnostic laparoscopy was firstly performed and further bilateral adnexectomy with omentectomy. Pathology report revealed both ovaries infiltrated by epithelioid cells with irregular nuclei consistent with signet-cells. Immunohistochemistry was positive for cytokeratin 20 (CK20), CDX2 and focally positive for cytokeratin 7 (CK7). Based on these findings, the final pathology report was mucinous adenocarcinoma with “signet ring” cells (Krukenberg tumor) favoring gastrointestinal tract origin (CK20, CDX2 and CK7 positive). Due to the need for systemic treatment, pregnancy was interrupted at 31 weeks and a C-section was performed, still showing ascites and multiple tumor implants. A viable female infant was born, weighting 1,715 g with Apgar scores 9 and 10. The infant was admitted to the neonatal intensive care unit for further care and was discharged home after five weeks in good conditions. The patient died one month after giving birth due to severe impairment of her general condition due to disease progression.","PeriodicalId":92345,"journal":{"name":"Current opinion in gynecology and obstetrics","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86896179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Qualitative Analysis of Knowledge, Attitudes, and Perceptions of Family Planning Among Syrian Refugees in Lebanon 在黎巴嫩的叙利亚难民对计划生育的知识、态度和观念的定性分析

Current opinion in gynecology and obstetrics Pub Date : 2019-10-31 DOI: 10.18314/cogo.v2i1.1924

R. Jain, C. Davison, S. Michael, Durand Ma, S. Bartels

{"title":"A Qualitative Analysis of Knowledge, Attitudes, and Perceptions of Family Planning Among Syrian Refugees in Lebanon","authors":"R. Jain, C. Davison, S. Michael, Durand Ma, S. Bartels","doi":"10.18314/cogo.v2i1.1924","DOIUrl":"https://doi.org/10.18314/cogo.v2i1.1924","url":null,"abstract":"Introduction: The Syrian conflict has displaced approximately 1.5 million people to Lebanon. In this setting of forced displacement, child marriage, insecurity, and limited access to sexual and reproductive health services can lead to increased rates of adolescent pregnancy, which have been linked to exacerbated maternal morbidity and mortality. Family planning can help to delay childbirth, increase time between pregnancies, and empower women to make their own reproductive health choices. To date, there is limited research on the knowledge of, and attitudes towards, family planning among Syrian refugees in Lebanon.Objective: Identify knowledge, attitudes, and perceptions towards family planning among Syrian refugees with the overarching goal of informing response strategies to improve sexual and reproductive health for displaced Syrian families in Lebanon.Methods: A thematic qualitative analysis of focus group discussions conducted in Lebanon in January 2017 by the ABAAD Resource Center for Gender Equality. The sample of 99 participants included Syrian women, girls and men.Results: While contraceptive use was generally deemed acceptable by women and girls, husbands’ and mother-inlaws’ attitudes towards fertility influenced their decisions about its use in practice. Additionally, reliable family planning services and sexual and reproductive health education were perceived as seldom available to Syrian refugees in Lebanon. Participants suggested that family planning awareness programs were needed for both parents and girls.Discussion: Changes at the policy, service, community, and individual levels are required to increase knowledge regarding and access to family planning services for Syrian refugees in Lebanon. In the interim, non governmental organizations may play a role in providing educational and supportive services for displaced Syrian girls and women.","PeriodicalId":92345,"journal":{"name":"Current opinion in gynecology and obstetrics","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86339809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Pulmonary Arterial Hypertension in Pregnancy: Outline of Multidisciplinary Care 妊娠期肺动脉高压:多学科护理大纲

Current opinion in gynecology and obstetrics Pub Date : 2019-10-10 DOI: 10.18314/cogo.v2i1.1832

Patel Mb, S. Kellerhals, Horton Jp, Fisher Mr, I. Krishna, M. Badell

引用次数: 1

How Benign is Endometriosis: Multi-Scale Interrogation of Documented Evidence 子宫内膜异位症有多良性:文献证据的多尺度询问

Current opinion in gynecology and obstetrics Pub Date : 2019-10-04 DOI: 10.18314/cogo.v2i1.1840

D. Ghosh, G. Anupa, Muzaffer Ahmed Bhat, J. Bharti, Mridha Ar, J. Sharma, K. Roy, J. Sengupta

{"title":"How Benign is Endometriosis: Multi-Scale Interrogation of Documented Evidence","authors":"D. Ghosh, G. Anupa, Muzaffer Ahmed Bhat, J. Bharti, Mridha Ar, J. Sharma, K. Roy, J. Sengupta","doi":"10.18314/cogo.v2i1.1840","DOIUrl":"https://doi.org/10.18314/cogo.v2i1.1840","url":null,"abstract":"Endometriosis is an inflammatory disease characterized by the presence of endometrium-like tissue outside the uterus primarily on pelvic organs and tissues. It affects up to 15% of women in the reproductive age group and is often associated with pelvic pain and subfertility. Different theories explain how retrograde menstruation gives rise to endometrial deposits at ectopic sites, and how several other factors are involved in the progression of the disease. Its final diagnosis is established through direct visualization at laparoscopy or surgery followed by histological confirmation. Available epidemiological reports along with histopathological observations and molecular studies shed interesting light on the pathogenetic basis of different variants of the disease like deep infiltrating endometriosis and ovarian endometriosis. Evidence also suggests that endometriosis is a neoplastic condition which serves as a precursor of ovarian and endometrial cancers. In the present review, we have attempted to take a stock of the current epidemiological and molecular knowledge regarding endometriosis associated cancers and develop a model of functional network with interactions among critical genomic factors regulating cellular processes leading to fibrotic reaction. It is being conjectured that cyclic bleeding associated with inflammatory and oxidative stress followed by repeated tissue injury and repair along with recurrent estrogenic stimulation and ovulatory events in the pelvic environment bring about the complex phenotype of atypical endometriosis and associated neoplasm with a trade-off malignant transformation in high risk population. Finally, we have presented an algorithm for pre-emptive monitoring and management of endometriosis-associated cancers.","PeriodicalId":92345,"journal":{"name":"Current opinion in gynecology and obstetrics","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87592774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Unusual Early Cerebral Metastasis of Ovarian Carcinoma as Initial Presentation 卵巢癌早期异常脑转移的初步表现

Current opinion in gynecology and obstetrics Pub Date : 2019-08-29 DOI: 10.18314/cogo.v2i1.1802

Q. S, Al-Barbarawi Mm, Bany Amer N

{"title":"Unusual Early Cerebral Metastasis of Ovarian Carcinoma as Initial Presentation","authors":"Q. S, Al-Barbarawi Mm, Bany Amer N","doi":"10.18314/cogo.v2i1.1802","DOIUrl":"https://doi.org/10.18314/cogo.v2i1.1802","url":null,"abstract":"Background: Although systemic malignancies are frequently metastasizing to the central nervous system (CNS), ovarian carcinoma, which is a common malignancy in females, is rarely affecting brain. In general, the outcome for ovarian carcinoma with brain metastases is dismal as most of these patients usually present late with metastases elsewhere.Materials and methods: A retrospective review of four cases with cerebral metastases as the initial presentation of ovarian carcinoma in patients ages 25 to 45 years. Three patients received hormonal therapy for infertility. All cases presented initially with symptoms and signs suggestive of increased intracranial pressure with unknown primary pathology. CT and MRI scans showed intracranial enhancing lesions in different locations. Full malignancy work up showed a primary lesion arising from the pelvis with no other lesions detected.Results: Three patients underwent laparotomy for ovarian carcinoma resection once their neurological condition optimized, one case died early before she had laparotomy. All cases underwent Craniotomy for excision of the solitary metastatic lesion. In all cases, the histopathology demonstrated metastatic ovarian carcinoma. Subsequently, patients received chemo-radiotherpy. Although treatment all cases died within two years.Conclusion: It is unusual for ovarian carcinoma to present initially with CNS involvement. Unlike other primary tumours, ovarian carcinoma does not have a predilection for the central nervous system. However, CNS involvement occurs at late stage of the disease. Although multimodal treatment the outcome still poor. Hormonal therapy for infertility may be a risk factor for ovarian carcinoma and its aggressive behavior with cerebral metastasis.","PeriodicalId":92345,"journal":{"name":"Current opinion in gynecology and obstetrics","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82815246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Determinants of Tocolysis Failure in Preterm Labor: A Case-Control Study in Two Hospital in Yaounde 雅温得两家医院早产儿溶胎失败的决定因素

Current opinion in gynecology and obstetrics Pub Date : 2019-08-21 DOI: 10.18314/COGO.V2I1.1712

F. Essiben, G. Ayissi, Noa Ncc, Porro Amj, S. Dohbit, P. Foumane

{"title":"Determinants of Tocolysis Failure in Preterm Labor: A Case-Control Study in Two Hospital in Yaounde","authors":"F. Essiben, G. Ayissi, Noa Ncc, Porro Amj, S. Dohbit, P. Foumane","doi":"10.18314/COGO.V2I1.1712","DOIUrl":"https://doi.org/10.18314/COGO.V2I1.1712","url":null,"abstract":"Background: Tocolysis aims to prolong pregnancy by stopping labor to achieve lung maturation. Failure of tocolysis is a common situation in obstetrics with its share of risks and complications for the fetus.Objective: To identify the determinants of tocolysis failure in two Hospitals in Yaounde.Patients and methods: We carried out a case-control study over a 6 months period at Yaoundé Gyneco-Obstetric and Pediatric Hospital (YGOPH) and Yaounde Central Hospital (YCH). We compared each case (patient with failure of tocolysis after 48 hours) with 3 controls (patients with successful tocolysis after 48 hours). The association degree between two variables was measured by calculating the odds ratio (OR) with their confidence interval. Multivariate analysis was performed to eliminate confounders.Results: In this study,238 women were included: 62 cases and 186 controls after multivariate analysis, predictive factors were: sexual activity during the last two month of pregnancy (AOR = 2.76; CI: 1.06-7.23, p = 0,038), prenatal follow-up by midwife or nurse (AOR = 8.96 CI: 2,05-39.22, p = 0,003), the persistence of the temperature ≥ to 38°C after 48 H (AOR = 3.89; CI: 1.36-11.6, p = 0,011),) and the Bishop score ≥ 7 at admission (AOR = 12.50; CI: 4.30-36.27, p < 0,001).Conclusion: The determinants of tocolysis failure in our study were sexual activity during the last two month of pregnancy, prenatal midwife/nurse follow-up, temperature persistence ≥ 38°C after 48 hours of tocolysis, Bishop’s score ≥ 7 at admission.","PeriodicalId":92345,"journal":{"name":"Current opinion in gynecology and obstetrics","volume":"2012 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86407290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0