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endometrial polyp

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https://www.readbyqxmd.com/read/29792852/is-there-a-survival-advantage-in-diagnosing-endometrial-cancer-in-asymptomatic-postmenopausal-patients-an-israeli-gynecology-oncology-group-study
#1
Ofer Gemer, Yakir Segev, Limor Helpman, Nasreen Hag-Yahia, Ram Eitan, Oded Raban, Zvi Vaknin, Sophia Leytes, Alon Ben Arie, Amnon Amit, Tally Levy, Ahmed Namazov, Michael Volodarsky, Inbar Ben Shachar, Ilan Atlas, Ilan Bruchim, Ofer Lavie
BACKGROUND: Incidental ultrasonographic findings in asymptomatic postmenopausal women, such as thickened endometrium or polyps, often lead to invasive procedures and to the occasional diagnosis of endometrial cancer. Data supporting a survival advantage of endometrial cancer diagnosed prior to the onset of postmenopausal bleeding (PMB) are lacking. OBJECTIVE: To compare the survival of endometrial cancer patients diagnosed in asymptomatic and bleeding post-menopausal patients...
May 21, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29741102/endometrial-pathology-in-recurrent-postmenopausal-bleeding-observational-study-of-385-women
#2
A Ghoubara, S Sundar, A A A Ewies
OBJECTIVES: Women with recurrent postmenopausal bleeding (PMB) are considered as being at higher risk for endometrial hyperplasia and cancer, and guidelines suggest offering hysterectomy in unexplained cases with repeated negative investigations. This study aims to determine the prevalence of endometrial pathology in women referred with recurrent PMB to help inform clinical practice. METHODS: This was an observational study of prospectively collected data over a 5-year period, including 1902 women referred to the PMB clinic...
May 9, 2018: Climacteric: the Journal of the International Menopause Society
https://www.readbyqxmd.com/read/29731210/no-249-asymptomatic-endometrial-thickening
#3
Wendy Wolfman
OBJECTIVE: To formulate clinical recommendations for the assessment of endometrial thickening when it is found on ultrasound in a postmenopausal patient without bleeding. OUTCOMES: Ensure that women with asymptomatic thickening and endometrial polyps found on ultrasound are managed appropriately. EVIDENCE: Published literature was retrieved through searches of English language articles from the EMBASE, Cochrane, and PubMed databases for relevant peer-reviewed articles dating from 1970 to 2009, using appropriate controlled vocabulary (e...
May 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29729409/subcutaneous-progesterone-for-endometrial-polyps-in-premenopausal-women-a-preliminary-retrospective-analysis
#4
Roberta Venturella, Gianmarco Miele, Katia Cefalì, Daniela Lico, Pietro D'Alessandro, Bruno Arduino, Annalisa Di Cello, Fulvio Zullo, Costantino Di Carlo
STUDY OBJECTIVE: To investigate the effects of three cycles of subcutaneous progesterone, administered during the luteal phase, on the regression rate of symptomatic and asymptomatic endometrial polyps in premenopausal woman. DESIGN: A retrospective study (Canadian Task Force classification II-2). SETTING: A Department of Obstetrics and Gynecology in a university hospital. PATIENTS: One hundred twenty-seven reproductive-aged women presented with endometrial polyps from January to December 2016...
May 2, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29725280/endometrial-histopathology-results-and-evaluation-of-endometrial-cancer-risk-in-geriatric-women
#5
Emre Günakan, Zeliha Atak, Mustafa Albayrak, Yüksel Kurban, Gülçin G Şimşek
The incidence of premalignant and malignant endometrial disorders increases during the postmenopausal period. In the literature, endometrial disorders are usually discussed in the context of menopausal status. But there are limited data regarding endometrial disorders in geriatric patients. Early diagnosis of endometrial cancers with aggressive behaviour that increases during the geriatric period may allow simpler treatment options and also decrease the treatment-associated morbidity risk. Records of geriatric patients who underwent an endometrial histopathological evaluation between 2011 and 2016 were evaluated...
March 2018: Przeglad Menopauzalny, Menopause Review
https://www.readbyqxmd.com/read/29581594/comparison-of-ultrasound-with-hysteroscopic-and-histological-findings-for-intrauterine-assessment
#6
Lukas Reznak, Milan Kudela
INTRODUCTION: Hysteroscopy with biopsy is a common diagnostic and therapeutic method in gynaecology. Its use is preceded by ultrasound examination. The success rate of predicting intrauterine findings based on ultrasound has not been assessed in the Czech Republic for a long time. In the meantime, there have been technological improvements in ultrasound devices. METHOD: Patients indicated for hysteroscopy underwent ultrasound examination and their medical history was recorded...
March 27, 2018: Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia
https://www.readbyqxmd.com/read/29568523/blood-microvasculature-and-lymphatic-densities-in-endometrial-polyps-and-adjacent-and-distant-endometrium
#7
Njume Peter Nijkang, Lyndal Anderson, Robert Markham, Ian Stewart Fraser, Frank Manconi
Objective: Endometrial polyps are localised growths of endometrial tissue containing glands, stroma and blood vessels, covered with epithelium. The reported prevalence of endometrial polyps is dependent upon the population being studied and the uterine imaging technique utilised. The light microscopy literature provides very little information regarding their microvasculature and lymphatic systems; however, a plethora of ultrasound data demonstrating single central arteries in most medium- or large-sized endometrial polyps are well documented...
2018: SAGE Open Medicine
https://www.readbyqxmd.com/read/29566859/predicting-the-recurrence-of-endometrial-polyps-a-commentary
#8
EDITORIAL
Mary Ellen Pavone
No abstract text is available yet for this article.
March 2018: Fertility and Sterility
https://www.readbyqxmd.com/read/29559235/routine-histologic-features-in-complex-atypical-hyperplasia-can-predict-the-presence-of-endometrial-carcinoma-a-clinicopathologic-study-of-222-cases
#9
Cunxian Zhang, Edmond Y Wang, Fang Liu, C James Sung, M Ruhul Quddus, Joyce Ou, Michele Lomme, W Dwayne Lawrence
There is a wide range of finding endometrial adenocarcinoma (ADCA) in the uterus following a diagnosis of complex atypical hyperplasia (CAH), likely due to a poor diagnostic reproducibility and an inherent heterogeneity in CAH. We evaluated whether histologic subtyping of CAH would help predict ADCA. Our study consisted of 222 cases of CAH diagnosed by endometrial biopsy or curettage. ADCA was seen in 38.3% of these cases at hysterectomy. We divided CAH into two subtypes: type A was defined as back-to-back glands in a focus smaller than 2...
March 17, 2018: Human Pathology
https://www.readbyqxmd.com/read/29555319/fertility-and-infertility-definition-and-epidemiology
#10
REVIEW
Mélodie Vander Borght, Christine Wyns
Infertility is a disease characterized by the failure to establish a clinical pregnancy after 12 months of regular and unprotected sexual intercourse. It is estimated to affect between 8 and 12% of reproductive-aged couples worldwide. Males are found to be solely responsible for 20-30% of infertility cases but contribute to 50% of cases overall. Secondary infertility is the most common form of female infertility around the globe, often due to reproductive tract infections. The three major factors influencing the spontaneous probability of conception are the time of unwanted non-conception, the age of the female partner and the disease-related infertility...
March 16, 2018: Clinical Biochemistry
https://www.readbyqxmd.com/read/29553218/giant-endometrial-polyps-does-size-matter
#11
Brittany van Staalduinen, Andrew Stahler, Catherine Abied, Rita Shats, Nisha A Lakhi
No abstract text is available yet for this article.
March 16, 2018: Minerva Ginecologica
https://www.readbyqxmd.com/read/29543077/hysteroscopic-polypectomy-a-comparison-between-22-fr-and-26-fr-resectoscopes-under-paracervical-block-anesthesia-a-randomized-controlled-study
#12
Cristina Remondi, Francesco Sesti, Giuseppe Sorrenti, Giovannella Venezia, Roberto Sorge, Adalgisa Pietropolli, Beatrice Silvi, Emilio Piccione
OBJECTIVE: The aim of this study was to compare 22 Fr unipolar resectoscope with the traditional 26 Fr unipolar resectoscope in endometrial polypectomy performed under paracervical block anesthesia. METHODS: The trial took place in Gynecologic Unit, Department of Surgery, Tor Vergata University Hospital, Rome. Inclusion criteria were: diagnosis of endometrial polyps <3 cm at office hysteroscopy; agreement of patients to perform surgery under paracervical block anesthesia but not in office setting...
March 15, 2018: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/29530560/-diagnosis-accuracy-of-endoscopy-laparoscopy-hysteroscopy-fertiloscopy-cystoscopy-colonoscopy-in-case-of-endometriosis-cngof-has-endometriosis-guidelines
#13
A Tardieu, F Sire, T Gauthier
OBJECTIVE: To provide clinical practice guidelines from the French college of obstetrics and gynecology (CNGOF) with the Haute Autorité de santé (HAS), based on the best evidence available, concerning the diagnosis accuracy of endoscopy (laparoscopy, hysteroscopy, fertiloscopy, cystoscopy, colonoscopy) in case of endometriosis. MATERIAL AND METHODS: English and French review of literature about the diagnosis accuracy of endoscopy in case of endometriosis. RESULTS AND CONCLUSION: Laparoscopy is useful in case of suspected endometriosis in patients with symptoms or infertility when appropriate preoperative assessment is negative (grade C)...
March 2018: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/29525689/high-number-of-endometrial-polyps-is-a-strong-predictor-of-recurrence-findings-of-a-prospective-cohort-study-in-reproductive-age-women
#14
Fang Gu, Huanxiao Zhang, Simin Ruan, Jiamin Li, Xinyan Liu, Yanwen Xu, Canquan Zhou
OBJECTIVE: To compare the incidence of recurrence between a cohort with a high number (≥6) of endometrial polyps (EPs) and a single-EP cohort among reproductive-age patients after polypectomy. DESIGN: Prospective observational cohort study. SETTING: Single university center. PATIENT(S): Premenopausal women who underwent hysteroscopic endometrial polypectomy were recruited. INTERVENTION(S): Patients underwent a transvaginal ultrasound scan every 3 months after polypectomy to detect EP recurrence...
March 2018: Fertility and Sterility
https://www.readbyqxmd.com/read/29524609/the-incidence-of-unexpected-uterine-malignancy-in-women-undergoing-hysteroscopic-myomectomy-or-polypectomy-a-national-population-based-study
#15
Jin-Sung Yuk, Ji-Yeon Shin, Hye-Sung Moon, Jung Hun Lee
OBJECTIVE: The objective of this study was to investigate the incidence of unexpected uterine malignancy (UUM) diagnosed after hysteroscopic surgery for presumed submucosal leiomyomas or endometrial polyps. STUDY DESIGN: From the Korean national health insurance database between January 1, 2009 and December 31, 2015, we analyzed inpatient sample data that were extracted by a stratified random sampling (gender and age) method. We extracted women with or without UUM that was diagnosed after hysteroscopic surgery using diagnosis codes and procedure codes...
May 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29511542/fertility-potential-in-a-man-with-ankylosing-spondylitis-as-revealed-by-semen-analysis-by-light-electron-and-fluorescence-microscopy
#16
Katerina Chatzimeletiou, Nikiforos Galanis, Alexandros Karagiannidis, Antonia Sioga, George Pados, Dimitrios Goulis, Antonis Kalpatsanidis, Basil C Tarlatzis
Ankylosing spondylitis affects 0.1%-0.5% of the adult population. The aim was to investigate the possible effects of both the disease and its treatment on semen quality by performing a highly detailed analysis in a man with ankylosing spondylitis, presenting for infertility. Sperm characteristics were evaluated by light microscopy, morphology by electron microscopy (transmission electron microscopy), DNA fragmentation by terminal deoxynucleotidyl transferase dUTP nick end labeling using fluorescence microscopy and chromosomal abnormalities by fluorescence in situ hybridisation using probes for chromosomes 13,15,16,18,21,22,X and Y...
2018: SAGE Open Medical Case Reports
https://www.readbyqxmd.com/read/29504731/expression-of-matrix-metalloproteinase-enzymes-in-endometrium-of-women-with-abnormal-uterine-bleeding
#17
Barbara Grzechocinska, Filip A Dabrowski, Marcin Chlebus, Agata Gondek, Katarzyna Czarzasta, Lukasz Michalowski, Agnieszka Cudnoch-Jedrzejewska, Miroslaw Wielgos
OBJECTIVES: Abnormal uterine bleeding (AUB) is caused by derangement of physiological processes of tissue growth, shedding and regeneration. It is known that interplay between metalloproteinases (MMP's) and tissue inhibitors of metalloproteinases (TIMP's) may play a crucial role in its occurrence. AIM: To define if expression of proMMP-2, MMP-2 and TIMP-1 in endometrium of women with AUB is dependent on steroid sex hormone concentration and histopathological picture...
February 2018: Neuro Endocrinology Letters
https://www.readbyqxmd.com/read/29483851/ultrasonography-of-uterine-leiomyomas
#18
REVIEW
Andrzej Woźniak, Sławomir Woźniak
Uterine leiomyomas or uterine fibroids are the most common gynaecological tumours and occur in about 20-50% of women around the world. Ultrasonography (USG) is the first-line imaging examination in suspected fibroids and shows high sensitivity and specificity in diagnosing this condition. Ultrasound scans can be performed transvaginally (transvaginal scan - TVS) or transabdominally (transabdominal scan - TAS); both scans have advantages and limitations, but, in general, transvaginal sonography is superior to transabdominal sonography in most cases of pelvic pathology...
December 2017: Przeglad Menopauzalny, Menopause Review
https://www.readbyqxmd.com/read/29454147/factors-associated-with-malignancy-in-hysteroscopically-resected-endometrial-polyps-a-systematic-review-and-meta-analysis
#19
Lizandra Moura Paravidine Sasaki, Keitty Regina Cordeiro Andrade, Ana Claudia Morais Godoy Figueiredo, Miriam da Silva Wanderley, Maurício G Pereira
In this study, we aimed to estimate the frequency of premalignant and malignant lesions in endometrial polyps, and to evaluate associated clinical and demographic factors. A literature search was performed in major databases and the gray literature using the terms polyps OR endometrial polyp AND endometrial neoplasms OR endometrial cancer OR endometrial hyperplasia OR malignan*. Studies describing the frequency of premalignant and malignant lesions in endometrial polyps and any clinical or demographic factors associated with malignant lesions extracted using hysteroscopy were considered eligible...
February 14, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29449000/an-immunohistochemical-and-molecular-analysis-of-papillary-proliferation-of-the-endometrium
#20
Colin J R Stewart, Susan Bigby, Tino Giardina, Fabienne Grieu-Iacopetta, Benhur Amanuel
Papillary proliferations of the endometrium (PPEs) are uncommon lesions that are often associated with endometrial polyps. PPEs occasionally precede or co-exist with atypical endometrial hyperplasia or adenocarcinoma, but their pathogenesis and relationship to endometrial neoplasia is uncertain. In the present study 11 PPEs, including eight benign papillary proliferations (BPPs) and three complex papillary hyperplasias (CPHs) were examined immunohistochemically for expression of PAX2, BAF250a, p16, β-catenin and DNA mismatch repair (MMR) proteins...
April 2018: Pathology
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