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Gynecologic Oncology Reports

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https://www.readbyqxmd.com/read/28706968/brca1-reversion-mutation-acquired-after-treatment-identified-by-liquid-biopsy
#1
Paul Mayor, Laurie M Gay, Shashikant Lele, Julia A Elvin
•Secondary, reversion mutations in BRCA genes can restore protein function.•Reversion mutations can underlie resistance to therapies such as PARP inhibitors.•Reversion mutations arise during the course of treatment.
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28702501/patterns-of-cervical-cancer-care-in-argentina-applying-asco-recommendations-adjusted-by-local-resources
#2
REVIEW
Agustín Apás Pérez De Nucci, Lucas Minig, Myriam Perrotta
There are significant differences in cervical cancer incidence and mortality between low-middle and high-income countries. The American Society of Clinical Oncology (ASCO) resource-stratified clinical practice guideline was designed to provide an appropriate cervical cancer treatment based on the best available evidence in scenarios with different diagnostic and therapeutic resources. Argentina, a Latin American high middle income country, shows however, that cervical cancer rates are similar to those of low-income countries...
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28702500/surgical-management-of-a-large-neurilemmoma-like-leiomyoma-of-the-uterine-cervix-mimicking-a-retroperitoneal-tumor
#3
David A Morales F, Oscar Suescún, Laura Martínez, Isabel Dulcey
•A large cervical neurilemmoma-like leiomyoma can simulate a retroperitoneal tumor.•They are extremely rare tumors that require adequate bleeding control.•Comprehensive anatomo-pathological study should be done to rule out malignancy.
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28702499/metastasis-of-cervical-cancer-to-breast-a-case-report-and-review-of-literature
#4
Ankit Mangla, Nikki Agarwal, Farid Saei Hamedani, Jiaxiang Liu, Shweta Gupta, Michael R Mullane
Metastasis to the breast from an extra-mammary malignancy has been documented in literature, however cervical cancer metastasis to the breast is very rare. Thirty-eight cases of metastatic deposit to the breast from cervical cancer have been reported in literature. Though most patients present with a breast lump, it is very difficult to clinically distinguish a primary breast malignancy from a metastatic deposit. Histopathology of the tissue, aided with immune-histochemical staining pattern provides a definitive diagnosis...
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28664182/abdominal-radical-trachelectomy-for-vaginal-cancer-a-case-report
#5
Mari Matsuoka, Rumiko Yamamoto, Natsuki Tsuji, Koichi Terakawa, Tadayoshi Nagano
•Vaginal cancer is most common in elderly woman and very rare in young woman.•Stage I vaginal cancer is treated with surgery and radiotherapy.•Vaginal cancer in a young patient was treated by intra-arterial chemotherapy followed by abdominal radical trachelectomy.
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28664181/apparent-ectopic-pregnancy-with-unexpected-finding-of-a-germ-cell-tumor-a-case-report
#6
Calen Kucera, Callie Cox-Bauer, Caela Miller
•Ovarian germ cell tumors can produce hCG and be confused with ectopic pregnancy.•Ovarian germ cell tumors can present with subacute pelvic pain.•Ectopic pregnancy should be the primary differential diagnosis due to its acuity.
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28664180/metastatic-hepatoid-carcinoma-of-ovarian-origin-a-case-report-from-northern-pakistan
#7
Humera Mahmood, Hadia Fatima, Mohammad Faheem
•Hepatoid carcinoma of the ovary is rapidly progressing rare epithelial ovarian tumor.•The term 'hepatoid' refers to the morphological resemblance with hepatocellular carcinoma.•Final diagnosis is made via positive staining for alpha fetoprotein along with immunohistochemistry•Combination chemotherapy can be considered superior over the targeted agents while treating this tumor.
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28664179/the-tell-tale-heart-a-case-of-recurrent-vulvar-carcinoma-with-cardiac-metastasis-and-review-of-literature
#8
Syed Imran Mustafa Jafri, Naveed Ali, Salman Farhat, Faizan Malik, Mark Shahin
A 50-year-old female was diagnosed with vulvar cancer treated with left partial vulvectomy and bilateral lymphadenectomy. Ten months after her surgery, she presented with increased labial swelling, pain and discharge. Biopsy confirmed recurrence of squamous cell vulvar carcinoma. Incidentally, on restaging radiographic scans, she was found to have a large right ventricular mass which, after surgical debulking, was shown to be a squamous cell cancer of vulvar origin. She was commenced on chemotherapy with carboplatin and paclitaxel along with concurrent radiation therapy...
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28653032/paraneoplastic-antigens-as-biomarkers-for-early-diagnosis-of-ovarian-cancer
#9
REVIEW
Madhumita Chatterjee, Laura C Hurley, Michael A Tainsky
Paraneoplastic syndromes are a group of rare disorders that can be triggered by an abnormal immune response to proteins from tumors of the lung, ovary, lymphatics, or breast. Paraneoplastic clinical syndromes affect < 1% of patients with cancer; however, the frequency of subclinical levels of paraneoplastic autoantibodies in asymptomatic patients with cancer is unknown. Numerous studies have reported that ovarian cancer patients show signs of paraneoplastic neurological syndromes (PNSs) before or after their cancers are diagnosed...
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28653031/the-hook-effect-causing-a-negative-pregnancy-test-in-a-patient-with-an-advanced-molar-pregnancy
#10
Abigail D Winder, Adria Suarez Mora, Emily Berry, John R Lurain
•At high hCG levels in molar pregnancies, a "hook effect" can cause an artificially negative value.•Delay in diagnosis of a molar pregnancy due to the "hook effect" can lead to severe complications.•Suspicion of a molar pregnancy should be communicated so a diluted sample is used to quantify hCG.
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28649595/unusual-indolent-behavior-of-leiomyosarcoma-of-the-vagina-is-observation-a-viable-option
#11
Ayatallah M Khafagy, Lauren S Prescott, Anais Malpica, Shannon N Westin
•Primary leiomyosarcoma of the vagina is a rare disease.•We identified a case of unanticipated indolent behavior of vaginal leiomyosarcoma.•Observation or hormonal therapy may be viable option for select patients.
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28616458/malignant-brenner-tumor-associated-with-a-germline-brca2-mutation
#12
Michael D Toboni, Haller J Smith, Sarah E Dilley, Lea Novak, Charles A Leath
•The first woman with a Malignant Brenner tumor and a BRCA2 mutation is described.•Not all women with epithelial ovarian cancers are referred for genetic counseling.•Women should be referred for genetics regardless of how rare the histology.
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28616457/cervical-cancer-screening-at-a-tertiary-care-center-in-rwanda
#13
George Ruzigana, Lisa Bazzet-Matabele, Stephen Rulisa, Allison N Martin, Rahel G Ghebre
In limited resource settings such as Rwanda, visual inspection with acetic acid (VIA) is the primary model for cervical cancer screening. The objective of this study was to describe clinical characteristics and outcomes for women presenting for cervical cancer screening. A prospective, observational study was conducted between September 2015 and February 2016 at Kigali University Teaching Hospital (CHUK). Women referred to the VIA clinic were enrolled and completed a semi-structured questionnaire. During the six-month study period, 150 women were enrolled and evaluated with VIA followed by colposcopy directed biopsy for VIA positive...
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28560298/successful-treatment-of-low-grade-endometrial-cancer-in-premenopausal-women-with-an-aromatase-inhibitor-after-failure-with-oral-or-intrauterine-progesterone
#14
Alli Straubhar, Andrew P Soisson, Mark Dodson, Elise Simons
INTRODUCTION: Young women with endometrial intraepithelial hyperplasia or low-grade endometrial carcinoma are potential candidates for conservative fertility sparing therapy utilizing progesterone rather than hysterectomy. High-dose progesterone treatment is associated with 55-80% initial response but high relapse rates. Using aromatase inhibitors in conjunction with high-dose progesterone has largely been unstudied. CASE DESCRIPTIONS: Three obese premenopausal women with endometrial cancer failed to respond to oral or intrauterine progesterone as first line therapy...
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28560297/uterine-lipoleiomyosarcoma-complete-medullary-compression-as-presentation-of-a-solitary-metastasis
#15
Véronique Drapeau-Zgoralski, Josée Doyon, Marie-Josée Berthiaume, Sophie Mottard
•A rare case of lipoleiomyosarcoma.•Patient presented at our center with paraplegia caused by a solitary vertebral metastasis of a uterine cancer.•Lobectomy performed for a solitary lung metastasis.
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28540361/efforts-towards-erasing-borders-in-gynecologic-cancer
#16
EDITORIAL
Linus T Chuang, Thomas C Randall, Beth Y Karlan
•Cervical cancer is the second most common cancer among women in LMIC.•Major efforts to improve research in gynecologic cancer in LMIC are needed.•GOR provides a platform featuring research and review of cancer care in LMIC.
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28540360/epithelioid-angiosarcoma-arising-in-a-uterine-leiomyoma-with-associated-elevated-ca-125-a-case-report
#17
Sarah V Strickland, Mark R Kilgore, Elise J Simons, Mara H Rendi
We describe the case of a 67 year old female with longstanding uterine leiomyomas who presented with fatigue, weight loss, elevated CA-125 and an enlarging mass arising from the posterior uterine fundus. Histologic sections of the mass contained a leiomyoma with interspersed foci of malignant epithelioid cells forming anastomosing vascular channels. The neoplastic cells were diffusely positive for CD31 and FLI1, supporting the morphologic impression of epithelioid angiosarcoma. Few cases of epithelioid angiosarcoma arising within a leiomyoma have been described...
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28508030/incidental-leiomyosarcoma-found-at-the-time-of-cesarean-hysterectomy-for-morbidly-adherent-placenta
#18
Lauren C Hand, Alexis C Gimovsky, Joanna S Y Chan, Norman G Rosenblum, Christine H Kim
BACKGROUND: Incidental leiomyosarcoma (LMS) is a rare diagnosis in pregnancy or in the puerperium. To our knowledge, this is the first case reported in the literature of incidental LMS after cesarean hysterectomy for morbidly adherent placenta. CASE: We present a case of a cesarean hysterectomy performed for a suspected morbidly adherent placenta in a patient with three prior cesarean deliveries, an anterior placenta previa and a fundal fibroid. Subsequent pathology identified a LMS on final specimen...
May 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28491946/technique-of-icg-guided-targeted-compartmental-pelvic-lymphadenectomy-tcl-combined-with-pelvic-peritoneal-mesometrial-resection-pmmr-for-locoregional-control-of-endometrial-cancer-a-proposal
#19
Rainer Kimmig, Paul Buderath, Peter Rusch, Bahriye Aktas
•PMMR is a compartment based radical hysterectomy in endometrial cancer.•Pelvic PMMR may be combined with ICG guided Targeted Compartmental Lymphadenectomy (TCL).•Video of Pelvic PMMR and TCL technique may be basis for a prospective study.
May 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28459098/endometrial-adenosarcoma-in-the-setting-of-a-germline-dicer1-mutation-a-case-report
#20
Mary M Mullen, Laura M Divine, Ian S Hagemann, Sheri Babb, Matthew A Powell
•DICER1 mutations play a significant role in gynecologic malignancy.•DICER1 may be involved in the sarcomagenesis of endometrial adenosarcoma.•The knowledge of a genetic mutation can help clarify a patient's medical history.
May 2017: Gynecologic Oncology Reports
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