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Journal of Pediatric and Adolescent Gynecology

Hanyuan Liu, Zhen Shen, Dabao Wu, Ying Zhou
INTRODUCTION: Uterine adenosarcoma with sarcomatous overgrowth (ASSO) is a rare and aggressive disease. A case of a 16-year old girl with uterine ASSO is reported herein. The patient received surgical resection and chemotherapy and remained alive without disease 11 months after the surgery. CASE REPORT: A 16-year-old girl was diagnosed with uterine ASSO, International Federation of Gynecology and Obstetrics (FIGO 2009) stage I c. She underwent total abdominal hysterectomy, bilateral salpingectomy and chemotherapy...
January 6, 2018: Journal of Pediatric and Adolescent Gynecology
Victor M Salinas-Torres, Rafael A Salinas-Torres, Ricardo M Cerda-Flores, Laura E Martínez-de-Villarreal
STUDY OBJECTIVE: To explore the prevalence, mortality, and spatial distribution of gastroschisis using a large population-based sample with cases identified by birth and death certificates (Q79.3) through the General Directorate of Health Information of the Secretary Health of Mexico, over the course of a 15-year period. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: A descriptive study examining 10 287 cases of gastroschisis was performed from 2000-2014 using public natality data for denominators (more than 25 million live births)...
January 6, 2018: Journal of Pediatric and Adolescent Gynecology
Beryl L Manning-Geist, Antonio R Perez-Atayde, Marc R Laufer
BACKGROUND: Granular cell tumors (GCTs) are rare soft tissue lesions that can involve the female genital tract, including the vulva. While malignant tumors are aggressive and uncommon, benign and atypical lesions still have associated risks, including recurrence and multi-site development. CASES: Four cases of pediatric vulvar GCT are presented, including one atypical and three benign tumors. The atypical lesion occurred in a 3-year-old girl, the youngest reported patient with GCT of the vulva...
January 3, 2018: Journal of Pediatric and Adolescent Gynecology
Joyce A Adams, Karen J Farst, Nancy D Kellogg
Most sexually abused children will not have signs of genital or anal injury, especially when examined non-acutely. A recent study found that only 2.2% (26/1160) of sexually abused girls examined non-acutely had diagnostic physical findings, while among those examined acutely, the prevalence of injuries was 21.4% (73/340). 1 It is important for health care professionals who examine children who may have been sexually abused to be able to recognize and interpret any physical signs or laboratory results that may be found...
December 30, 2017: Journal of Pediatric and Adolescent Gynecology
Milena Bastos Brito, Fernanda Scoppetta Sampaio Alves, Marlene Quadro Souza, Samara Rezende Requião
STUDY OBJECTIVES: To describe knowledge and use of contraceptive methods among pregnant teens in Brazil. DESIGN: A cross-sectional survey. SETTING: A tertiary care center in Bahia, Brazil. PARTICIPANTS: Pregnant teens 10-19 years old INTERVENTION: Participants were asked about contraceptive knowledge and previous contraceptive use. MAIN OUTCOME MEASURE: Contraceptive knowledge; previous contraceptive use; and contraceptive intentions for after pregnancy...
December 30, 2017: Journal of Pediatric and Adolescent Gynecology
Alexandra L Martin, Evan Jolliffe, S Paige Hertweck
BACKGROUND: Ovarian teratomas are rarely associated with paraneoplastic autoimmune meningoencephalitis. In addition to the well-known N-Methyl-D-Aspartate Receptor (NMDA-R) antibody, the glial fibrillary acidic protein (GFAP) antibody is a novel biomarker of autoimmune meningoencephalitis that may be seen in patients with ovarian teratoma. CASE: A 13-year-old girl with acute-onset meningoencephalitis and incidental finding of ovarian teratoma was found to have co-existing anti-NMDA-R and GFAP antibodies present in her cerebrospinal fluid (CSF)...
December 30, 2017: Journal of Pediatric and Adolescent Gynecology
Heather Soni, Jennifer Kurkowski, Danielle Guffey, Jennifer E Dietrich, Lakshmi V Srivaths
INTRODUCTION: The prevalence, clinical features and management of gynecologic bleeding complications and health care provider awareness of these in post-menarchal adolescents on anti-thrombotic medications has rarely been addressed in the literature. We sought to review our experience in a pediatric tertiary care center addressing these issues. MATERIALS AND METHODS: A retrospective chart review was conducted with Institutional Review Board approval from 2004-2014, on eligible post-menarchal adolescents on antithrombotic medications...
December 20, 2017: Journal of Pediatric and Adolescent Gynecology
Hannah N Ladenhauf, M Georgina Brandtner, Christa Schimke, M A Ardelean, Roman Metzger
BACKGROUND: Sacrococcygeal teratoma (SCT) accounts for the most common solid tumor in neonates. Due to improved technology, 50%-70% of cases can be diagnosed antenatally during routine ultrasound screenings. If not diagnosed antenatally, clinical findings at birth are distinct in most cases including a palpable or visible mass. CASE: We report an unusual case of a one-year old girl presenting with persistent vaginal discharge leading to diagnosis of a mucosal polypoid lesion of the vagina, ultimately revealing a hidden SCT...
December 18, 2017: Journal of Pediatric and Adolescent Gynecology
Maya Mundkur Greer, Monica E Kleinman, Leslie B Gordon, Joe Massaro, Ralph B D'Agostino, Kristin Baltrusaitis, Mark W Kieran, Catherine M Gordon
No abstract text is available yet for this article.
December 16, 2017: Journal of Pediatric and Adolescent Gynecology
Kylie G Fowler, Pranshu Mohindra, Aerang Kim, Veronica Gomez-Lobo
No abstract text is available yet for this article.
December 9, 2017: Journal of Pediatric and Adolescent Gynecology
Sinem Akgül, Yasemin Düzçeker, Nuray Kanbur, Orhan Derman
OBJECTIVE: While early diagnosis of polycystic ovary syndrome (PCOS) in adolescents may allow for earlier treatment and prevention of chronic disorders, incorrect or premature diagnosis carries risks of unnecessary treatment and psychological distress. There is no consensus concerning which diagnostic criteria to use for adolescents and current criteria vary. The objective of this study was to determine whether using different diagnostic criteria will affect PCOS diagnosis in adolescents...
December 9, 2017: Journal of Pediatric and Adolescent Gynecology
Paula J Adams Hillard
No abstract text is available yet for this article.
December 6, 2017: Journal of Pediatric and Adolescent Gynecology
Andrea J Hoopes, Stephanie Teal, Aletha Y Akers, Jeanelle Sheeder
OBJECTIVE: To examine what predicts low personal acceptability of four different contraceptive methods among young women. DESIGN: Cross-sectional survey SETTING: Urban adolescent contraception clinic in Colorado PARTICIPANTS: Female clinic patients ages 13-24 initiating contraception from 8/2011-4/2012 METHODS: Survey participants reported their personal acceptability for oral contraceptive pills (OCPs), depot medroxyprogesterone (DMPA), contraceptive implants, and intrauterine devices (IUD) on a scale from 0 (low) to 10 (high)...
November 30, 2017: Journal of Pediatric and Adolescent Gynecology
Paritosh Kaul, Jennifer Fisher, Janice L Hanson
PURPOSE: To develop and evaluate an educational activity designed to teach the adolescent HEADS examination METHODS: Participants were third-year medical students in their pediatric clerkships. Students received an article on the HEADS interview and attended an adolescent medicine educational session. The session included individualized goal setting and coached role play. Students' skills in doing a HEADS interview were evaluated through a standardized patient encounter (SPE) with a checklist and a retrospective pre- and post-test survey...
November 23, 2017: Journal of Pediatric and Adolescent Gynecology
Aytekin Tokmak, Serkan Bodur, Selcuk Erkilinc, Sule Ozel, Yaprak Engin-Ustun
STUDY OBJECTIVE: This study was designed to evaluate and compare the serum total prostatic specific antigen (PSA) levels in adolescent girls in with and without polycystic ovary syndrome (PCOS) to show whether evaluation of PSA levels have a diagnostic benefit over existing diagnostic criteria. DESIGN: Case-control study. SETTING: A territory referral center. PARTICIPANTS: A total of 89 (15-19 years) non-obese (18-24...
November 18, 2017: Journal of Pediatric and Adolescent Gynecology
Sarah E Timmons, Emily Birchfield Shakibnia, Melanie A Gold, Samantha Garbers
STUDY OBJECTIVE: Develop and test the feasibility of a Health Belief Model theory-based interactive smartphone application (app) aimed at providing information and support to adolescents with long-acting reversible contraception (LARC). DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS: Using a mixed-method design, we conducted 30 in-person interviews with adolescent LARC users who were enrolled in School-Based Health Centers (SBHCs) in New York City. Interviews were conducted in two phases: during Phase 1, 12 participants viewed a pilot version of the app (MyLARC); during Phase 2, 18 additional participants interacted with an expanded version of the app...
November 18, 2017: Journal of Pediatric and Adolescent Gynecology
Caitlin J Handy, Hannah L H Lange, Brittny E Manos, Elise D Berlan, Andrea E Bonny
STUDY OBJECTIVES: To describe contraceptive use among female adolescents initiating outpatient treatment for opioid use disorder. DESIGN: Retrospective chart review. SETTING: Outpatient clinic providing medication-assisted treatment for substance use disorders to adolescents and young adults. PARTICIPANTS: Non-pregnant female adolescents presenting for treatment from January 1, 2013 to January 31, 2016 (N=123). INTERVENTION: None...
November 18, 2017: Journal of Pediatric and Adolescent Gynecology
Ashli Lawson, Adnan Mir, Ellen E Wilson
BACKGROUND: Mastocytosis is a rare benign disorder characterized by the finding of mast cells in the skin and other organs, occurring in both adult and pediatric age groups. The cutaneous form is the most common presentation in childhood and is rarely located on the vulva. CASE: A 9 year old prepubertal girl presented with bilateral vulvar nodules found incidentally by her pediatrician. Biopsy and histopathologic review confirmed mastocytosis. Her lesions significantly diminished over the following year...
November 18, 2017: Journal of Pediatric and Adolescent Gynecology
Amy B Middleman, Sara Reed, Kelly A Curran
BACKGROUND: Patients' underlying medical conditions may impact the presentation and progression of an eating disorder. CASE: We describe a patient with an undiagnosed, rare, genetic skeletal dysplasia with effects on body mass index that likely led to body image distortion and delayed the diagnosis of an eating disorder. SUMMARY: It is critical to assess disordered eating fully in the context of each patient's clinical status.
November 14, 2017: Journal of Pediatric and Adolescent Gynecology
Julie S Downs, Amie M Ashcraft, Pamela J Murray, Elise D Berlan, Wändi Bruine de Bruin, Joan Eichner, Baruch Fischhoff, Janie A Leary, Robert B McCall, Elizabeth Miller, Jennifer Salaway, Janell Smith-Jones, Gina S Sucato
STUDY OBJECTIVE: To assess the effects of the Seventeen Days interactive video on young women's perceived self-efficacy for using condoms six months after being offered the intervention, relative to a control. DESIGN: Multisite randomized controlled trial SETTING: Twenty participating health clinics and county health departments in Ohio, Pennsylvania, and West Virginia PARTICIPANTS: Sexually active females ages 14 to 19 INTERVENTIONS: Seventeen Days (treatment intervention; sex education) versus Driving Skills for Life (control intervention; driving education) MAIN OUTCOME MEASURES: Perceived self-efficacy for condom use RESULTS AND CONCLUSIONS: Participants in the Seventeen Days group reported higher perceived condom acquisition self-efficacy after six months than those in the driving group...
November 7, 2017: Journal of Pediatric and Adolescent Gynecology
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