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Cervical disease

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https://www.readbyqxmd.com/read/29908339/radical-hysterectomy-efficacy-and-safety-in-the-dawn-of-minimally-invasive-techniques
#1
Antonio Gil-Moreno, Melchor Carbonell-Socias, Sabina Salicrú, Cristina Centeno-Mediavilla, Silvia Franco-Camps, Eva Colas, Ana Oaknin, Assumpció Pérez-Benavente, Berta Díaz-Feijoo
STUDY OBJECTIVE: To analyze the effect that the introduction of minimally invasive procedures has had on surgical and oncological outcomes when compared with conventional open radical hysterectomy (ORH) in a national reference cancer after 17 years of experience in radical hysterectomy (RH). DESIGN: A prospective controlled study (Canadian Task Force II-2) SETTING: A university teaching hospital PATIENTS: All patients that underwent RH as primary treatment for cervical cancer in our institution between May 1999 and June 2016, with a total of 188 patients...
June 13, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29907675/high-reproducibility-of-an-automated-measurement-of-mobility-for-patients-with-axial-spondyloarthritis
#2
Juan L Garrido-Castro, Rafael Curbelo, Ramón Mazzucchelli, María E Domínguez-González, Cristina Gonzalez-Navas, Bryan J Flores, Pedro Zarco, Juan Mulero, Luis Cea-Calvo, María J Arteaga, Pilar Font-Ugalde, Loreto Carmona, Eduardo Collantes-Estevez
OBJECTIVE: Conventional measures of spinal mobility used in the assessment of patients with axial spondyloarthritis (axSpA), such as the Bath Ankylosing Spondylitis Metrology Index and its components, are subject to interobserver variability. The University of Córdoba Ankylosing Spondylitis Metrology Index (UCOASMI) is a validated composite index based on a motion video-capture system, UCOTrack. Our objective was to assess its reproducibility in clinical practice settings. METHODS: We carried out an observational study of repeated measures in 3 centers...
June 15, 2018: Journal of Rheumatology
https://www.readbyqxmd.com/read/29907208/well-differentiated-thyroid-cancer-and-robotic-transaxillary-surgery-at-a-north-american-institution
#3
Meghan Garstka, Khuzema Mohsin, Daniah Bu Ali, Hosam Shalaby, Kareem Ibraheem, Mahmoud Farag, Sang-Wook Kang, Emad Kandil
BACKGROUND: Recent studies from Asia have reported the safety and feasibility of robotic-assisted thyroid surgery. In the United States, several small series and case reports have been published, mostly regarding treatment of benign disease. The aim of our study is to report the safety and feasibility of robotic surgery for well-differentiated thyroid cancer patients at a North American institution. MATERIALS AND METHODS: We performed a retrospective cohort study using a prospectively collected single-center clinical database at Tulane University Medical Center...
August 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29906618/treatment-outcomes-of-17-patients-with-atypical-spinal-meningioma-including-4-with-metastases-a-retrospective-observational-study
#4
Sung Hyun Noh, Kyung Hyun Kim, Dong Ah Shin, Jeong Yoon Park, Seong Yi, Sung Uk Kuh, Keung Nyun Kim, Dong Kyu Chin, Keun Su Kim, Do Heum Yoon, Yong Eun Cho
BACKGROUND CONTEXT: Because of the scarcity of atypical spinal meningioma, there is a lack of research on this type of tumor or its associated metastases. PURPOSE: The aim of this study was to investigate the biological behavior of atypical spinal meningioma and identify its prognostic factors by reviewing surgical and clinical outcomes of patients with these tumors. STUDY DESIGN/SETTING: A retrospective chart review was performed. PATIENT SAMPLE: We retrospectively reviewed the data from all patients who underwent spinal cord tumor excision between 1994 and 2017...
June 12, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29906593/evaluation-of-self-collected-vaginal-specimens-for-the-detection-of-high-risk-hpv-infection-and-the-prediction-of-high-grade-cervical-intraepithelial-lesions-in-a-high-burden-low-resource-setting
#5
P J Toliman, J M Kaldor, S G Badman, S Phillips, G Tan, J M L Brotherton, M Saville, A J Vallely, S N Tabrizi
OBJECTIVES: To compare the performance of self-collected vaginal (V) specimens with clinician-collected cervical (C) specimens for detection of high-risk human papillomavirus (hrHPV) and cervical disease using the Cepheid Xpert HPV, Roche Cobas 4800 HPV, and Hologic Aptima HPV assays. METHODS: Women aged 30-59 years (N=1005) were recruited at two clinics in Papua New Guinea, and provided specimens for testing at point-of-care using the Xpert HPV Test, and for subsequent testing using the Cobas HPV (n=981) and Aptima HPV (n=983) assays...
June 12, 2018: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/29906583/prevalence-incidence-co-morbidity-and-mortality-rates-of-ossification-of-posterior-longitudinal-ligament-opll-in-the-cervical-spine-a-nested-case-control-cohort-study
#6
Bong Ju Moon, Sun Kyu Choi, Dong Ah Shin, Seong Yi, Keung Nyun Kim, Do Heum Yoon, Yoon Ha
OBJECT: To evaluate the prevalence, incidence, morbidity, and mortality rates of cervical ossification of posterior longitudinal ligament (OPLL), using data from a 12-year national cohort of 1,025,340 Korean people. METHODS: A nested case-control cohort study was performed using the insurance claims database, during 2002 to 2013, provided by the National Health Insurance Service. We examined the prevalence and incidence of cervical OPLL. Age/sex-matched controls were randomly extracted, with 10 times the number of OPLL cases...
June 12, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29905042/-long-term-clinical-efficacy-of-cervical-artificial-disc-replacement-for-cervical-spondylotic-radiculopathy
#7
Qingpeng Song, Wei Tian, Da He, Xiao Han, Ning Zhang, Jinchao Wang, Zuchang Li
Objective: To evaluate the long-term efficacy and influencing factors of cervical artificial disc replacement (CADR) for patients with cervical spondylotic radiculopathy (CSR). Methods: The data of 29 CSR patients who underwent Bryan artificial disc replacement between December 2003 and December 2007 and followed up more than 10 years were retrospectively analysed. There were 16 males and 13 females with an average age of 54.1 years (range, 40-70 years). The disease duration was 2-144 months (mean, 19...
June 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29904822/spatial-relationship-of-2-deoxy-2-18-f-fluoro-d-glucose-positron-emission-tomography-and-magnetic-resonance-diffusion-imaging-metrics-in-cervical-cancer
#8
John M Floberg, Kathryn J Fowler, Dominique Fuser, Todd A DeWees, Farrokh Dehdashti, Barry A Siegel, Richard L Wahl, Julie K Schwarz, Perry W Grigsby
BACKGROUND: This study investigated the spatial relationship of 2-deoxy-2-[18 F]-fluoro-D-glucose positron emission tomography ([18 F]FDG-PET) standardized uptake values (SUVs) and apparent diffusion coefficients (ADCs) derived from magnetic resonance (MR) diffusion imaging on a voxel level using simultaneously acquired PET/MR data. We performed an institutional retrospective analysis of patients with newly diagnosed cervical cancer who received a pre-treatment simultaneously acquired [18 F]FDG-PET/MR...
June 15, 2018: EJNMMI Research
https://www.readbyqxmd.com/read/29904734/hazards-of-sparing-the-ipsilateral-parotid-gland-in-the-node-positive-neck-with-intensity-modulated-radiation-therapy-spatial-analysis-of-regional-recurrence-risk
#9
Allen M Chen, Taeko Yoshizaki, Pin-Chieh Wang, Darlene Veruttipong, Phillip J Beron, Robert Chin, Argin G Mikaeilian, Minsong Cao
Purpose: The practice of deliberately sparing the ipsilateral parotid gland with intensity modulated radiation therapy (IMRT) in patients with node-positive head and neck cancer is controversial. We sought to compare the clinical outcomes among consecutive cohorts of patients with head and neck cancer who were treated with differing strategies to spare the parotid gland that is ipsilateral to the involved neck using IMRT. Methods and materials: A total of 305 patients were treated with IMRT for node-positive squamous cell carcinoma of the head and neck...
April 2018: Advances in Radiation Oncology
https://www.readbyqxmd.com/read/29904488/a-rare-case-of-primary-spinal-cord-melanoma
#10
Marc Wuerdeman, Samuel Douglass, Rafik Ben Abda, Michael Krasnokutsky
Primary central nervous system melanoma is rare, accounting for approximately 1% of total melanoma cases (1-3). Primary central nervous system melanoma localized to the spinal cord is even rarer. The cervical and thoracic levels are most frequently involved. There are no pathognomonic imaging characteristics and diagnosis must be confirmed immunohistologically. The preferred treatment is gross total resection. Utilization of adjuvant radiotherapy and chemotherapy may improve disease-free survival. The prognosis for primary central nervous system melanoma is generally better than that of metastatic and cutaneous melanoma, although there are relatively few cases from which to draw conclusions...
April 2018: Radiology Case Reports
https://www.readbyqxmd.com/read/29904049/a-promising-tool-for-flail-arms-amyotrophic-lateral-sclerosis-rehabilitation-a-case-report
#11
Simona Portaro, Vincenzo Cimino, Maria Accorinti, Alessandra Pidalà, Antonino Naro, Rocco S Calabrò
BACKGROUND: Amyotrophic Lateral Sclerosis flail arm (ALS-FA) is a motor neuron disease form confined to the upper limbs (cervical spinal cord region), often with asymmetric onset. To date, there is no defined neurorehabilitative strategy for ALS patients, although aerobic exercises may be of some help. CASE REPORT: A 69 year-old woman affected by ALS-FA was admitted to our research institute because of upper limb muscles weakness. She was then submitted to two different conventional physiotherapy programs, the first stand-alone and the second combined to a robotic treatment...
June 14, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29902979/topical-imiquimod-treatment-of-residual-or-recurrent-cervical-intraepithelial-neoplasia-topic-2-trial-a-study-protocol-for-a-randomized-controlled-trial
#12
A J M van de Sande, M M Koeneman, C G Gerestein, A J Kruse, F J van Kemenade, H J van Beekhuizen
BACKGROUND: Cervical dysplasia (cervical intraepithelial neoplasia (CIN)) is caused by Human Papillomavirus (HPV) and is most common in women of reproductive age. Current treatment of moderate to severe CIN is surgical. This procedure has potential complications, such as haemorrhage, infection and preterm birth in subsequent pregnancies. Moreover, 15% of women treated for high grade CIN develop residual/recurrent CIN or cervical cancer after surgical excision. Finally, 75-100% of patients with a residual and recurrent CIN 2-3 lesion are still HPV positive...
June 15, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29902826/anterior-cervical-fusion-with-stand-alone-trabecular-metal-cages-to-treat-cervical-myelopathy-caused-by-degenerative-disk-disease-observations-in-88-cases-with-minimum-12-month-follow-up
#13
Luciano Mastronardi, Raffaelino Roperto, Guglielmo Cacciotti, Francesco Calvosa
BACKGROUND:  Anterior cervical fusion (ACF) with autologous bone was reported > 50 years ago. The continuous development of materials with elastic properties close to that of the cortical bone improves induction of osteogenesis and simplifies the technique of interbody fusion. To determine the safety and efficiency of stand-alone trabecular metal (TM) (or porous tantalum) cages for ACF, we performed a retrospective analysis of 88 consecutive patients with one-level or two-level degenerative disk disease (DDD) causing cervical myelopathy treated by interbody fusion with stand-alone TM cages...
June 14, 2018: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/29902813/-uterine-torsion-in-cattle-treatment-risk-of-injury-for-the-cow-and-prognosis-for-the-calf
#14
Daniela Klaus-Halla, Bettina Mair, Carola Sauter-Louis, Holm Zerbe
OBJECTIVE: In cows with uterine torsion, clinical parameters and different treatments were evaluated with regards to their success. The aim of the study was to investigate important factors for diagnosis and prognosis of uterine torsion and their consequences for treatment decisions. MATERIAL AND METHODS: The study presents 114 cases of uterine torsion documented under field conditions. The cows were examined before retorsion of the uterus and immediately post partum...
June 2018: Tierärztliche Praxis. Ausgabe G, Grosstiere/Nutztiere
https://www.readbyqxmd.com/read/29902639/outpatient-anterior-cervical-discectomy-a-french-study-and-literature-review
#15
Antoine Gennari, Simon Mazas, Pierre Coudert, Olivier Gille, Jean-Marc Vital
INTRODUCTION: In France, surgery for lumbar disc herniation is now being done in the outpatient ambulatory setting at select facilities. However, surgery for the cervical spine in this setting is controversial because of the dangers of neck hematoma. We wanted to share our experience with performing ambulatory anterior cervical discectomy in 30 patients at our facility. RESULTS: Since 2014, 30 patients (16 men, 14 women; mean age of 47.2 years) with cervical radiculopathy due to single-level cervical disc disease (19 at C5-C6 and 11 at C6-C7) were operated at our ambulatory surgery center...
June 11, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29900030/primary-solitary-retro-clival-amyloidoma
#16
Julia R Schneider, Kevin Kwan, Kay O Kulason, Lukas J Faltings, Stephanie Colantonio, Scott Safir, Tina Loven, Jian Yi Li, Karen S Black, B Todd Schaeffer, Mark B Eisenberg
Background: Amyloidosis encompasses a group of disorders sharing the common feature of intercellular deposition of amyloid protein by several different pathogenetic mechanisms. Primary solitary amyloidosis, or amyloidoma, is a rare subset of amyloidosis in which amyloid deposition is focal and not secondary to a systemic process or plasma cell dyscrasia. Case Description: This 84-year-old female presented with history of multiple syncopal episodes, dysphagia, and ataxia...
2018: Surgical Neurology International
https://www.readbyqxmd.com/read/29899771/missing-links-between-genetically-inherited-molecules-in-split-cord-malformation-and-other-anomaly-a-bench-to-bedside-approach
#17
Mayadhar Barik, Pravash R Mishra, Ashok Kumar Mohapatra
Aim: Split cord malformation (SCM) is associated with extensive vertebral fusions (Klippel-Feil anomaly). In light of previous embryological theories and recent research findings, we attempt to document the origin of split cord, and vertebral fusions involvement of spectrum of genes is necessary to know better the etiopathogenesis of SCM and its associated diseases. Materials and Methods: We used the various databases such as PubMed/MEDLINE, Cochrane Review, Hinari, and Google Scholar for the recently published medical literature...
January 2018: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/29898732/identification-of-a-low-risk-population-for-parametrial-invasion-in-patients-with-early-stage-cervical-cancer
#18
Yohann Dabi, Claire Willecocq, Marcos Ballester, Xavier Carcopino, Sofiane Bendifallah, Lobna Ouldamer, Vincent Lavoue, Geoffroy Canlorbe, Emilie Raimond, Charles Coutant, Olivier Graesslin, Pierre Collinet, Alexandre Bricou, Cyrille Huchon, Emile Daraï, Bassam Haddad, Cyril Touboul
BACKGROUND: Recent studies have challenged radical procedures for less extensive surgery in selected patients with early-stage cervical cancer at low risk of parametrial invasion. Our objective was to identify a subgroup of patients at low risk of parametrial invasion among women having undergone surgical treatment. METHODS: Data of 1447 patients with cervical cancer treated between 1996 and 2016 were extracted from maintained databases of 10 French University hospitals...
June 14, 2018: Journal of Translational Medicine
https://www.readbyqxmd.com/read/29898440/results-of-cervical-cancer-screening-in-the-rural-population-of-lucknow-west-india-through-a-camp-approach
#19
Jata S Misra, Anand N Srivastava, Hem P Gupta
OBJECTIVE: Cytological screening was carried out in rural women of Lucknow West, India, through a camp approach to detect cervical cancer in its preinvasive phase and to see whether the primitive living conditions in the villages have any effect on the incidence of precancer and carcinoma of the cervix and the associated predisposing factors of cervical carcinogenesis. STUDY DESIGN: During a span of 4 years (May 2013 to March 2017), a total of 135 camps were organized under the auspice of Era's Lucknow Medical College and Hospital (Lucknow, India)...
June 13, 2018: Acta Cytologica
https://www.readbyqxmd.com/read/29898093/x-linked-spinal-and-bulbar-muscular-atrophy-kennedy-s-disease-the-first-case-described-in-the-brazilian-amazon
#20
Camila Nascimento Alves, Tiago Kiyoshi Kitabayashi Braga, Danusa Neves Somensi, Bruno Sérgio Vilhena do Nascimento, José Antônio Santos de Lima, Satomi Fujihara
The X-linked spinal and bulbar muscular atrophy (Kennedy's disease) is a rare X-linked, recessive, lower motor neuron disease, characterized by weakness, atrophy, and fasciculations of the appendicular and bulbar muscle. The disease is caused by an expansion of the CAG repetition in the androgen receptor gene. Patients with Kennedy's disease have more than 39 CAG repetitions. We report a case of 57-year-old man, resident of Monte Dourado (PA, Brazil) who complained of brachiocrural paresis evolving for 3 years along with fasciculations and tremors of extremities...
June 7, 2018: Einstein
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