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Cancer obstetrics. Gynecologist

Mustafa Ozturk, Haldun Umudum, Ibrahim Alanbay, Mustafa Ulubay, Ulas Fidan, Murat Dede, Müfit Cemal Yenen
BACKGROUND: Current cervical cancer screening guidelines recommend a 1-year follow-up period for patients with a postmenopausal low-grade squamous intraepithelial lesion (LSIL) who are test negative for high-risk human papillomavirus (HrHPV). The aim of this study was to assess whether such patients had an increased immediate risk of high-grade squamous intraepithelial lesion. METHODS: We assessed 54 HrHPV-negative women with postmenopausal LSIL in the Department of Obstetrics and Gynecology of our hospital between 2012 and 2013...
August 16, 2016: Diagnostic Cytopathology
Chia-Ming Chang, Chi-Mu Chuang, Mong-Lien Wang, Ming-Jie Yang, Cheng-Chang Chang, Ming-Shyen Yen, Shih-Hwa Chiou
Serous carcinoma (SC) is the most common subtype of epithelial ovarian carcinoma and is divided into four stages by the Federation of Gynecologists and Obstetrics (FIGO) staging system. Currently, the molecular functions and biological processes of SC at different FIGO stages have not been quantified. Here, we conducted a whole-genome integrative analysis to investigate the functions of SC at different stages. The function, as defined by the GO term or canonical pathway gene set, was quantified by measuring the changes in the gene expressional order between cancerous and normal control states...
2016: International Journal of Molecular Sciences
R E Bohîlțea, V Ancăr, M M Cirstoiu, V Rădoi, L C Bohîlțea, F Furtunescu
RATIONALE: Endometrial cancer recorded a peak incidence in ages 60-64 years in Romania, reaching in 2013 the average value of 8.06/ 100,000 women, and 15.97/ 100,000 women within the highest risk age range, having in recent years an increasing trend, being higher in urban than in rural population. Annually, approximately 800 new cases are registered in our country. The estimated lifetime risk of a woman to develop endometrial cancer is of about 1,03%. Based on an abnormal uterine bleeding, 35% of the endometrial cancers are diagnosed in an advanced stage of the disease, with significantly diminished lifetime expectancy...
July 2015: Journal of Medicine and Life
(no author information available yet)
A hereditary cancer syndrome is a genetic predisposition to certain types of cancer, often with onset at an early age, caused by inherited mutations in one or more genes. Cases of cancer commonly encountered by obstetrician-gynecologists or other obstetric-gynecologic providers--such as breast cancer, ovarian cancer, and endometrial cancer--are features of specific hereditary cancer syndromes. The most common hereditary cancer syndromes related to gynecologic cancer include hereditary breast and ovarian cancer syndrome, Lynch syndrome, Li-Fraumeni syndrome, Cowden syndrome, and Peutz-Jeghers syndrome...
June 2015: Obstetrics and Gynecology
Michal Zikán
OBJECTIVE: To present an overview of indications and recommendations for genetic testing in patients with hereditary susceptibility to develop malignant gynecological tumors. SUBJECT: Review. SETTING: Gynecological Oncology Center, Department of Obstetrics and Gynecology, Charles University, First Faculty of Medicine and General Faculty Hospital, Prague. SUBJECT AND METHOD: Literature review and recommendations for practice based on evidence and clinical experience...
March 2015: Ceská Gynekologie
Nicolae Bacalbasa, Irina Balescu, Simona Dima, Vlad Herlea, Leonard David, Vladislav Brasoveanu, Irinel Popescu
BACKGROUND: Prognosis in ovarian cancer is determined by completeness of cytoreduction and proper management by specialized oncological gynecologists. Incomplete initial debulking surgery in non-specialized Centers is, however, a reality and there is ongoing discussion about the best subsequent management of such patients. PATIENTS AND METHODS: Patients with advanced ovarian cancer (International Federation of Gynecology and Obstetrics--FIGO FIGO stages IIIC-IV) who had biopsy by laparotomy or incomplete cytoreduction followed or not by chemotherapy further referred to our Institution between January 2002 and May 2014 were included...
April 2015: Anticancer Research
Chung Chang, An Jen Chiang, Hui-Ching Wang, Wei-An Chen, Jiabin Chen
PURPOSE: To explore the risk factors in ovarian cancer with respects of time-varying effects on recurrence and survival. METHODS: Two hundred and ninety-eight patients with epithelial ovarian cancer in the Kaohsiung Veterans' General Hospital from January 1995 to the end of 2011 were included in the study. The assumption of the Cox proportional hazard model, i.e., the hazard ratio is a constant with time, was tested for available prognostic factors. An extended Cox model was then applied, and a statistical package was constructed to perform multivariate analysis in presence of both time-varying and time-independent factors...
November 2015: Annals of Surgical Oncology
Cécile A Unger
BACKGROUND: Medical school and residency curricula are lacking in content on the care of the transgender patient. As a result, many providers do not have enough experience and knowledge to adequately care for this patient population. The aim of this study was to assess gynecologists' preferences and knowledge base with regard to transgender healthcare. METHODS: This was a cross-sectional survey of obstetrics and gynecology (OBGYN) providers. An anonymous survey was sent via electronic mail to nine academic OBGYN departments across the United States...
February 2015: Journal of Women's Health
Sara Farag, Kathy Chyjek, Katherine T Chen
OBJECTIVE: To systematically identify the number of applications ("apps") compatible with the iPhone and the iPad that are potentially useful to obstetrician-gynecologists (ob-gyns). METHODS: Obstetrics and gynecology MeSH terms were searched in the Apple iTunes Store. A master list of unique apps was created and the apps were divided into categories and subcategories. RESULTS: A total of 1,816 unique apps using 55 different obstetrics and gynecology MeSH terms were found...
November 2014: Obstetrics and Gynecology
Mazin Baazeem, Haim Abenhaim
OBJECTIVES: Identifying the gaps in public knowledge of women's health related issues has always been difficult. With the increasing number of Internet users in the United States, we sought to use the Internet as a tool to help us identify such gaps and to estimate women's most prevalent health concerns by examining commonly searched health-related keywords in Google search engine. METHODS: We collected a large pool of possible search keywords from two independent practicing obstetrician/gynecologists and classified them into five main categories (obstetrics, gynecology, infertility, urogynecology/menopause and oncology), and measured the monthly average search volume within the United States for each keyword with all its possible combinations using Google AdWords tool...
2014: Online Journal of Public Health Informatics
Meng Xie, Xuyin Zhang, Zhan Jia, Yunyun Ren, Wenping Wang
The aim of the present study was to evaluate tumor stiffness by ultrasound elastography, which has the potential to provide additional information that is useful in predicting the response to neoadjuvant chemotherapy (NACT) in high-grade serous ovarian carcinoma (HGSC) patients. In total, 32 patients with International Federation of Gynecology and Obstetrics stage III and IV epithelial ovarian cancer treated with NACT underwent transvaginal and transabdominal sonography, followed by elastography and finally, by interval cytoreductive surgery...
October 2014: Oncology Letters
Jacqueline W Miller, Laura-Mae Baldwin, Barbara Matthews, Katrina F Trivers, C Holly Andrilla, Denise Lishner, Barbara A Goff
OBJECTIVE: To study physicians' beliefs about the effectiveness of different tests for cancer screening. METHODS: Data were examined from the Women's Health Survey of 1574 Family Medicine, Internal Medicine, and Obstetrics-Gynecology physicians to questions about their level of agreement about the clinical effectiveness of different tests for breast, cervical, ovarian, and colorectal cancer screening among average risk women. Data were weighted to the U.S. physician population based on the American Medical Association Masterfile...
December 2014: Preventive Medicine
Yan Zhao, Melissa Goist
INTRODUCTION: Early detection of cervical dysplasia can reduce the incidence and mortality of cervical cancer, but unnecessary testing may lead to invasive evaluation and psychological harm. In 2012 the American College of Obstetricians and Gynecologists published revised cervical cancer screening guidelines. This study aims to assess the knowledge and awareness of these recommendations among specialties at the Ohio State University Medical Center. METHODS: Anonymous surveys were distributed to all residents in the internal medicine, family medicine, and obstetrics-gynecology programs...
May 2014: Obstetrics and Gynecology
Christopher M Morosky, Kathleen D Kueck
INTRODUCTION: Salpingectomy at the time of hysterectomy for benign indications is a controversial topic in gynecologic surgery. Emerging research points to the fallopian tube as a possible origin of some pelvic cancers. The aim of this study was to determine the practice patterns of generalist obstetrician-gynecologists regarding salpingectomy at the time of benign hysterectomy. METHODS: We distributed a 22-question electronic survey to 400 obstetrician-gynecologists whose e-mail addresses were published in the 2011-2012 edition of the Manual of the Association of Professors of Gynecology and Obstetrics...
May 2014: Obstetrics and Gynecology
Jennifer Tsui, Annika M Hofstetter, Karen Soren
OBJECTIVES: In December 2009, the American College of Obstetricians and Gynecologists recommended that cervical cancer screening begin at age 21 for young women. In this study, we examine receipt of first lifetime Papanicolaou (Pap) test and predictors of over-screening among adolescents within a large urban ambulatory care network. METHODS: We compared the proportion of first lifetime Pap test of adolescents aged 13-20years between June 2007 - November 2009 (n=7700) and December 2009-June 2012 (n=9637) using electronic health records...
June 2014: Preventive Medicine
M Murat Naki, Hasniye Celik, Oluş Api, Sadık Toprak, Erdem Ozerden, Orhan Unal
OBJECTIVE: This study was designed to evaluate the awareness, knowledge and attitudes of healthcare providers related to HPV infection and vaccine. MATERIAL AND METHODS: A total of 311 healthcare providers working in specialties other than obstetrics and gynecology at the Dr. Lutfi Kırdar Kartal Education and Research Hospital as physicians (n=142) or non-physician healthcare providers (n=169) were included in the present study. A questionnaire developed by researchers based on literature and including items concerning socio-demographic features, awareness of HPV infection and vaccine, attitudes related to HPV vaccine and regular gynecological controls and knowledge about HPV infection was applied to participants via a face to face interview method...
2010: Journal of the Turkish German Gynecological Association
(no author information available yet)
Human genetics and molecular testing are playing an increasingly important role in medicine, including obstetric and gynecologic practice. As the genetic basis for reproductive disorders, common diseases, and cancer is elucidated with improved molecular technology, genetic testing opportunities are expanding and influencing treatment options and prevention strategies. It is essential that obstetrician-gynecologists be aware of advances in the understanding of genetic disease and the fundamental principles of genetic screening and molecular testing as genetics becomes a more integral part of routine medical practice...
February 2014: Obstetrics and Gynecology
Amos D Mwaka, Henry R Wabinga, Harriet Mayanja-Kizza
BACKGROUND: There are limited data on perceptions of health professionals on challenges faced by cervical cancer patients seeking healthcare in the developing countries. We explored the views of operational level health professionals on perceived barriers to cervical screening and early help-seeking for symptomatic cervical cancer and the proposed remedies to the challenges. METHODS: Fifteen key informant interviews were held with health professionals including medical directors, gynecologists, medical officers, nurses and midwives in the gynecology and obstetrics departments of two hospitals in northern Uganda during August 2012 to April 2013...
2013: BMC Family Practice
Kristina M Mori, Nikki L Neubauer
Minimally invasive surgery has been utilized in the field of obstetrics and gynecology as far back as the 1940s when culdoscopy was first introduced as a visualization tool. Gynecologists then began to employ minimally invasive surgery for adhesiolysis and obtaining biopsies but then expanded its use to include procedures such as tubal sterilization (Clyman (1963), L. E. Smale and M. L. Smale (1973), Thompson and Wheeless (1971), Peterson and Behrman (1971)). With advances in instrumentation, the first laparoscopic hysterectomy was successfully performed in 1989 by Reich et al...
2013: ISRN Obstetrics and Gynecology
Hajar Kadivar, Barbara A Goff, William R Phillips, C Holly A Andrilla, Alfred O Berg, Laura-Mae Baldwin
BACKGROUND: Professional organizations have issued guidelines recommending breast cancer screening for women 50 years of age. OBJECTIVE: This study examines the percent of U.S. primary care physicians who report breast cancer screening practices that are not consistent with guidelines, and the characteristics of physicians who reported offering extra test modalities. DESIGN: We analyzed a subset of a 2008 cross-sectional Women's Health Care survey sent to primary care physicians randomly selected from the national American Medical Association (AMA) Physician Masterfile...
January 2014: Journal of General Internal Medicine
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