Ginekologia polska最新文献

{"title":"Smooth muscle tumor of uncertain malignant potential (STUMP): diagnostic and therapeutic challenges in uterine tumors.","authors":"Joanna Pietras, Anna Markowska, Wieslaw Markwitz","doi":"10.5603/gpl.105967","DOIUrl":"https://doi.org/10.5603/gpl.105967","url":null,"abstract":"<p><strong>Objectives: </strong>This article aimed to systematically review the literature on smooth muscle tumors of uncertain malignant potential, known as STUMPs. These tumors pose both diagnostic and therapeutic challenges.</p><p><strong>Material and methods: </strong>A literature search was conducted in PubMed using the keyword STUMP, covering articles from the last 5 years. Relevant articles were retrieved in full format and reviewed for additional references, from which further eligible articles were also included RESULTS: STUMPs often resemble leiomyomas or leiomyosarcomas. While they typically have a benign course, some patients may experience recurrence and distant metastasis. There are no standardized guidelines for treatment; however, hysterectomy is commonly performed, or myomectomy may be considered to preserve fertility.</p><p><strong>Conclusions: </strong>The findings highlight the necessity for additional studies to standardize the diagnosis and treatment of these tumors. Continuous monitoring of patients post-surgery is essential to identify any recurrence or metastasis.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214899","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":"Maternal and neonatal outcomes following French Ambulatory Cesarean Section (FAUCS): preliminary results of a prospective study.","authors":"Daniel Wolder, Anna Blazuk-Fortak, Agata Michalska, Karol Bielasik, Aleksandra Gladys-Jakubczyk, Piotr Kaczmarek, Grzegorz Swiercz, Luka Velemir","doi":"10.5603/gpl.107599","DOIUrl":"https://doi.org/10.5603/gpl.107599","url":null,"abstract":"<p><strong>Objectives: </strong>The French Ambulatory Cesarean Section (FAUCS) is an extraperitoneal cesarean technique aimed at enhancing maternal recovery and reducing postoperative morbidity. While early trials suggest certain benefits over conventional cesarean section (CS), real-world data remains scarce. This study compares maternal and neonatal outcomes between FAUCS and CS in a prospective cohort, with emphasis on perioperative recovery.</p><p><strong>Material and methods: </strong>This prospective study included women undergoing elective cesarean section (FAUCS or CS) at term (37-40 Hbd) between September 2023 and December 2024. Maternal outcomes included surgery duration, blood loss, time to mobilization, food oral intake, and initiation of breastfeeding. Neonatal outcomes included birth weight, Apgar scores, and umbilical cord arterial pH. Comparisons used t-tests, Wilcoxon tests, or Chi-square tests (p < 0.05; analysis in R).</p><p><strong>Results: </strong>Sixty-six patients were included (FAUCS: 30; CS: 36). Baseline maternal or obstetric characteristics were comparable. No differences were found in gestational age or birthweight. FAUCS neonates had marginally lower umbilical pH (7.33 ± 0.07 vs 7.36 ± 0.06, p = 0.009). No difference was found in Apgar scores. FAUCS was associated with longer surgery (30.7 ± 4.1 min vs 26.4 ± 10.3 min, p = 0.006), but significantly faster mobilization, food oral intake, and breastfeeding (all p < 0.001). Fundal pressure was used less often (p < 0.001), and instrumental assistance more frequently (p < 0.001) in FACUS. The use of weak opioids was also lower (p = 0.036). The hospital stay was similar.</p><p><strong>Conclusions: </strong>FAUCS appears to enhance early recovery without compromising maternal or neonatal outcomes, supporting its use in select patients.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214932","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":"From compassion to action: perinatal palliative care at the Bonifratres Medical Centre (2014-2023) - part one.","authors":"Katarzyna A Urbanska, Anna Jarosz-Lesz, Magdalena Wasek-Buko, Beata M Naworska, Rafal Stojko, Jakub Staniczek, Agnieszka B Drosdzol-Cop","doi":"10.5603/gpl.106961","DOIUrl":"10.5603/gpl.106961","url":null,"abstract":"<p><strong>Objectives: </strong>In recent years, advances in prenatal diagnostics have enabled the identification of congenital abnormalities, including genetically determined disorders, at an early stage of fetal development. Diagnosing a lethal fetal anomaly affects the entire family and is often a traumatic experience for the parents. Perinatal palliative care provided by perinatal hospice is a model of specialized care for families following the prenatal diagnosis of a lethal fetal condition.</p><p><strong>Material and methods: </strong>After ten years of operation, we analyzed the perinatal palliative care protocol implemented in the Hospital of the Brothers Hospitallers in Katowice, a part of Bonifratres Medical Centre.</p><p><strong>Results: </strong>We aimed to present the model of perinatal and postnatal care developed at the hospital for families receiving such support in the Silesian agglomeration.</p><p><strong>Conclusions: </strong>We also wanted to show the importance of perinatal palliative care provided by one team from the prenatal period through delivery until the child's death or until the pediatric hospice provides the care of the child.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056578","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":"Statement of the Polish Society of Gynecologists and Obstetricians on paracetamol use during pregnancy and autism risk.","authors":"Maria Szubert, Rafal Stojko, Piotr Sieroszewski","doi":"10.5603/gpl.108872","DOIUrl":"https://doi.org/10.5603/gpl.108872","url":null,"abstract":"","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214945","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":"What are the risk factors for unsuccessful surgery in hysteroscopic isthmocele resection?","authors":"Nurullah Peker, Abdurrahman Sengi, Talip Karacor, Serhat Ege, İImail Yildiz, Elif Agacayak, Mehmet Siddik Evsen","doi":"10.5603/gpl.106814","DOIUrl":"https://doi.org/10.5603/gpl.106814","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to present the postoperative results of patients who underwent a hysteroscopic isthmocele resection, identify factors affecting patients who experienced surgical failure, and develop a new treatment algorithm for managing an isthmoceles, whose treatment remains unclear.</p><p><strong>Material and methods: </strong>The hospital records of women who underwent hysteroscopic istmocele resection due to postmenstrual spot-bleeding at a tertiary central university hospital were examined. The patients were divided into two groups: successful surgery (Group 1) and unsuccessful surgery (Group 2) after hysteroscopic isthmocele resection. To evaluate the results of unsuccessful surgery in patients with failed hysteroscopic isthmocele resection, the number of caesarean sections, BMI and isthmocele area were considered as candidate predictors.</p><p><strong>Results: </strong>During the study period, 53 patients who met the inclusion criteria and underwent hysteroscopic isthmocele resection were evaluated. Surgical success was detected in 34 patients (64.1%), while unsuccessful surgery was detected in 19 patients (35.9%). In the ROC analysis performed to predict an unsuccessful surgery, AUC was detected as 0.717, sensitivity was 79%, specificity was 68% and p value was 0.009 in patients with a BMI > 27.5. In patients with previous caesarean sections, the number > 2.5; AUC was 0.765, sensitivity was 58%, specificity was 91% and p value was 0.002 in the receiver operating characteristic (ROC) analysis. In patients with isthmocele area > 23.5 mm², AUC was 0.781, sensitivity was 63%, specificity was 91% and p value was 0.001 in the ROC analysis. In the multivariate regression analysis, the effect of the isthmocele area in predicting unsuccessful surgery was determined to be a statistically significant independent variable [OR: 1.239, 95% CI (1.050-1.462), p = 0.011].</p><p><strong>Conclusions: </strong>Although a hysteroscopic isthmocele resection is recommended for patients with an RMT over 3 mm, certain factors increase the risk of surgical failure. If an isthmocele area exceeds 23.5 mm², the number of previous caesarean sections is three or more or a person's BMI is 27.5 or higher, the risk of unsuccessful hysteroscopic surgery is high. In these patients, isthmocele repair should be performed via the laparoscopy, laparotomy or vaginal approach.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145152148","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":"Clinical and biochemical predictors of large for gestational age during pregnancy in women with type 1 diabetes mellitus - current insight.","authors":"Milena Skibinska, Katarzyna Cypryk","doi":"10.5603/gpl.105127","DOIUrl":"https://doi.org/10.5603/gpl.105127","url":null,"abstract":"<p><strong>Objectives: </strong>Large for gestational age (LGA) is defined as a birth weight equal to or higher than the 90th centile for a certain gestational age. Despite the efforts to optimize therapeutic goals to stabilize diabetes, there is still a high rate of LGA in type 1 diabetes mellitus (T1DM) mothers. The aim of this paper is a literature review of the data on predictors of LGA incidence in pregnancies complicated by type 1 diabetes mellitus.</p><p><strong>Results: </strong>Potential LGA predictors in pregestational diabetes include glucose concentration during pregnancy, maternal age, diabetes duration, increased body weight both at the beginning of gestation and at the time of delivery, as well as the weight gain in pregnancy. LGA risk is also associated with the use of an insulin pump (CSII), especially without the support of a continuous glucose monitoring system (CGMS). Significant glycaemic control parameters among others include average fasting glycaemia in the 3rd trimester, HbA1c in the 1st and 3rd trimesters, and among CGMS parameters - shorter TIR (time in range), shorter TBR (time below range) in the 2nd and 3rd trimesters, longer TAR (time above range) > 140 and average glycaemia in each trimester of gestation.</p><p><strong>Conclusions: </strong>There is still a need for identification of new predictors and theraputic goals in pregnancy in T1DM women to reduce the prevalence of LGA newborns.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151607","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":"Indications and findings of fetal echocardiography: a retrospective analysis of a high-risk cohort in a polish center.","authors":"Grzegorz Swiercz, Katarzyna Janiak, Lukasz Pawlik, Katarzyna Cedro, Piotr Kaczmarek, Marta Mlodawska, Jakub Mlodawski","doi":"10.5603/gpl.106984","DOIUrl":"https://doi.org/10.5603/gpl.106984","url":null,"abstract":"<p><strong>Objectives: </strong>Fetal echocardiography (FE) is a critical diagnostic tool for assessing cardiac and extracardiac abnormalities in high-risk pregnancies. In this paper we evaluate indications and findings of FE in a high-risk cohort at a Polish fetal echocardiography clinic.</p><p><strong>Material and methods: </strong>This retrospective, observational cohort study included 991 patients undergoing FE between January 2023 and December 2024. A single prenatal cardiologist with extensive FE experience performed all examinations. Indications and findings were analyzed, with results categorized into subgroups.</p><p><strong>Results: </strong>Mean maternal age was 31.6 years (SD 5.3), with a median gestational age of 26 weeks (IQR = 4). The most frequent indications were intermediate risk of chromosomal aberrations from first-trimester screening (17.76%), intra-cardiac echogenic foci (13.32%), and elevated risk of chromosomal aberrations (12.82%), comprising 43.69% of referrals. Normal FE results were observed in 88.49% of cases (n = 877). Abnormalities (cardiac or extracardiac) occurred in 11.51%, with cardiac abnormalities in 7.16% (71 cases: 3.12% structural, 4.03% functional). Ventricular septal defect (1%) and arrhythmias (1.31%) were the most common structural and functional findings, respectively. Extracardiac abnormalities with normal cardiac imaging occurred in 4.3%. No significant differences in abnormality prevalence were found between high/intermediate chromosomal risk groups and the cohort (odds ratios: 0.47-1.14).</p><p><strong>Conclusions: </strong>First-trimester screening results and soft markers predominantly drove FE referrals. The 11.51% abnormality rate underscores the importance of FE in high-risk pregnancies, despite no significant association with chromosomal risk levels.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151617","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":"Adaptation to cancer among Polish patients with cervical cancer in relation to illness acceptance, life satisfaction, and dispositional optimism.","authors":"Weronika Biber, Malgorzata Fras, Maria Ciechacka, Mahdi Al-Jeabory, Ewelina Bak","doi":"10.5603/gpl.108039","DOIUrl":"https://doi.org/10.5603/gpl.108039","url":null,"abstract":"<p><strong>Objectives: </strong>Activating positive coping strategies for cancer in the face of a new, changed health situation, good acceptance of the illness, life satisfaction, and dispositional optimism influence the quality of life of patients and are key factors important in the healing process.</p><p><strong>Material and methods: </strong>The study was conducted among 101 women diagnosed with cervical cancer. The research took place between 2023 and 2024. The diagnostic survey method was used, along with the following research tools: an original questionnaire, the Acceptance of Illness Scale (AIS), the Satisfaction with Life Scale (SWLS), the Life Orientation Test-Revised (LOT-R), and the Mini-Mental Adjustment to Cancer Scale (Mini-MAC).</p><p><strong>Results: </strong>Sperman correlation analysis showed that LOT-R, SWLS and AIS significantly (p < 0.05) and negatively (r < 0) correlate with three Mini-MAC coping strategies: anxious preoccupation, helplessness-hopelessness, and destructive style. This means that higher levels of these strategies are associated with lower levels of dispositional optimism, life satisfaction, and acceptance of illness. Additionally, LOT-R, SWLS, and AIS significantly (p < 0.05) and positively (r > 0) correlate with two Mini-MAC strategies: fighting spirit and constructive style. Thus, higher levels of these adaptive coping strategies correspond to higher levels of optimism, life satisfaction, and illness acceptance.</p><p><strong>Conclusions: </strong>The most chosen style by the patients was the constructive style, as opposed to the destructive style, which promotes acceptance of illness, life satisfaction, and dispositional optimism. The determinants influencing acceptance of illness, life satisfaction, and optimism, as well as adaptation to cancer, were age, place of residence, duration of illness, and type of procedure performed.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006934","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":"Recommendations of the Polish Society of Gynaecologists and Obstetricians and the Polish Society of Epidemiologists and Doctors of Infectious Diseases for screening, diagnosis and management of cytomegalovirus infection in pregnancy and congenital CMV infection.","authors":"Magda Rybak-Krzyszkowska, Lidia Stopyra, Renata Jaczynska, Malgorzata Swiatkowska-Freund, Dariusz Borowski, Justyna Czech-Kowalska, Bartosz Czuba, Mariusz Grzesiak, Sebastian Kwiatkowski, Magdalena Marczynska, Malgorzata Pawlowska, Lukasz Przyslo, Piotr Sieroszewski, Krzysztof Tomasiewicz, Miroslaw Wielgos","doi":"10.5603/gpl.108135","DOIUrl":"https://doi.org/10.5603/gpl.108135","url":null,"abstract":"","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006927","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":"Ovarian serous cystadenoma mimicking polycystic ovarian morphology in prepubertal girl: a case report and literature review.","authors":"Karolina Kowalczyk, Anna Zmelonek-Znamirowska, Karolina Piskorowska, Dawid Wolak, Paulina Rutecka, Rafal Stojko, Agnieszka Drosdzol-Cop","doi":"10.5603/gpl.105849","DOIUrl":"10.5603/gpl.105849","url":null,"abstract":"<p><strong>Background: </strong>Precocious puberty (PP) in girls is defined as the appearance of clinical signs of puberty before the age of eight. While central precocious puberty (CPP) is commonly idiopathic, peripheral precocious puberty (PPP) can be linked to estrogen-producing ovarian cysts or tumors. This study presents a rare case of ovarian serous cystadenoma mimicking polycystic ovarian morphology (PCOM) in a prepubertal girl, contributing to persistent hormonal disturbances and symptoms of PP. The objective is to highlight the diagnostic challenges and management strategies for such cases.</p><p><strong>Methods: </strong>A retrospective case review was performed, detailing the clinical course, diagnostic imaging, laboratory findings, treatment decisions, and histopathological results. A literature review was conducted using the EMBASE and MEDLINE databases to compare this case with previously reported instances of ovarian cystadenoma associated with precocious puberty.</p><p><strong>Results: </strong>A 15-year-old girl presented with persistent ovarian cysts and PP symptoms first noted at the age of 5. Initial imaging revealed enlarged ovaries with a polycystic appearance. Despite treatment with a GnRH analog, hormonal abnormalities persisted, with increasing estrogen and androgen levels. MRI demonstrated progressive ovarian enlargement with cystic transformation. Surgical intervention was performed at age 15, and histopathological examination confirmed serous cystadenoma. Following surgery, hormonal levels normalized, and clinical symptoms resolved.</p><p><strong>Conclusions: </strong>This case illustrates an unusual presentation of ovarian serous cystadenoma mimicking PCOM and contributing to persistent precocious puberty. Given the diagnostic challenge, a multidisciplinary approach involving endocrinologists and gynecologists is essential. Early recognition, close monitoring, and appropriate surgical intervention are crucial to managing such rare cases effectively.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877546","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}