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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: Adnexal torsion,ovarian torsion,gangrenous ovary. prediction of torsion
- چکیده:
- چکیده انگلیسی:
Background: Adnexal torsion results in ischemia of structures distal to twisted pedicle and acute onset of pain is responsible for about 3% of all gynecologic emergencies. Ovarian torsion classically occurs in a pathological enlarged ovary, as with cancer, but diagnosis remains a challenge. Objective: Our purpose was to evaluate clinical risk factors predictive of torsion with gangrenous adnexa. Material and methods: A retrospective descriptive study and chart review of surgically proven ovarian torsion/adnexal torsion cases at the Obstetrics and Gynecology Department of Prapokklao Hospital, Chanthaburi, Thailand between January 2011 and December 2015 was conducted. Result: Seventy-eight cases were identified. Mean age at presentation was 35.5 years. The average maximum diameter of the ovarian tumors was 10.8 cm. The percentage of gangrenous ovarian cysts in this study was 46.2 (36/78). The precision to determine the pathological site by patient, physician and ultrasonography was 8.5, 24.2 and 83.3 percent, respectively with statistically significant variation. Conclusion: Ovarian/adnexal torsion remains a challenge condition especially in young nulliparous women. Sophisticated investigation does not guarantee ovary preservation. Combining clinical acumen, appropriate tests and detailed consideration may be the best practice at the present time.- انتشار مقاله: 16-07-1395
- نویسندگان: Kanckanok Sukkong,Panya Sananpanichkul,Prasong Teerakidpisan,Kornkarn Bhamarapravatana,Komson Suwannarurk
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: Keywords: Cervical cancer,Papanicolaou Smear,liquid based,conventional
- چکیده:
- چکیده انگلیسی: Objectives: To determine the prevalence of abnormal Papanicolaou (Pap) smear, cervical intraepithelial neoplasia
(CIN) 2 or higher and cancer between conventional Pap smear (CPP) and liquid based Pap smear (LBP). Methods: This
retrospective study was conducted at Bhumibol Adulyadej Hospital, Bangkok, Thailand between January 2011 and
December 2016. Data was collected from medical records of participants who attended for cervical cancer screening test.
Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy for detecting
CIN 2 or higher were evaluated by using the most severity of histopathology reports. Results: A total of 28,564 cases
were recruited. Prevalence of abnormal Pap smear from CPP and LBP were 4.8 % (1,092/22,552) and 5.7 % (345/6,012),
respectively. Percentage of unsatisfactory smears in CPP (52.3%) was higher than LBP (40.5%). From CPP and LBP,
cervical cancer percentages were 0.2 and 0.1, respectively. Sensitivity, specificity, PPV, NPV and accuracy of CPP and
LBP for detection cancer were 42.5 vs 26.1%, 99.9 vs 100.0%, 69.8vs 75.0%, 99.7 vs 100.0 % and 99.7 vs 99.7%,
respectively. Conclusion: Prevalence of abnormal cervical cytology and cancer from CPP and LBP were 4.8/0.2
and 5.7/0.1 percent, respectively. Unsatisfactory smear of LBP was less than CPP. Sensitivity, specificity, PPV, NPV
and accuracy of CPP and LBP for detection CIN 2 or higher and cancer were comparable.- انتشار مقاله: 19-09-1396
- نویسندگان: Paweena Phaliwong,Piyawan Pariyawateekul,Nathaya Khuakoonratt,Worrawan Sirichai,Kornkarn Bhamarapravatana,Komsun Suwannarurk
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: Endometriosis,Epithelial Ovarian Cancer,Abnormal uterine bleeding
- چکیده:
- چکیده انگلیسی: Objective: To determine any association between the menopausal status and epithelial ovarian cancer coexisting
with endometriosis (EOC-E). In addition, the prevalence and possible risk factors were assessed. Methods: Medical
records of 172 women with epithelial ovarian cancer between January 2011 and December 2016 at Prapokklao Hospital
were reviewed and divided into two groups: EOC-E defined as the case group and without endometriosis (EOC-NE)
as the control group. Results: The proportion of EOC-E was 18% (31/172). There were no significant differences
between the two groups in baseline clinical characteristics and presenting symptoms except for history of smoking
and abnormal uterine bleeding found more often in EOC-E cases. Most EOC-E were of clear cell histological type
followed by endometrioid and serous types (35.5, 25.8 and 22.6 %; respectively). The clear cell type was 8 times
more likely in the EOC-E than in the EOC-NE (OR 8.0, 95% CI 2.97-21.89, p-value <0.001) group. Nulliparity and
smoking increased risk of EOC-E 2 and 7 times, respectively (OR 2.3, 95%CI 1.03-5.00, p-value 0.041 and OR 7.4,
95%CI 1.18-46.63, p-value 0.032). Conclusions: EOC-E are relatively common. Abnormal uterine bleeding is the only
significant presenting symptom in the EOC-E as compared with the EOC-NE group. Endometriosis was a predictive
factor for clear cell and endometrioid type I EOC. Menopausal status and age were not associated with a presentation
of endometriosis with EOC.- انتشار مقاله: 20-09-1396
- نویسندگان: Supanee Muangtan,Wineeya Suknikhom,Panya Sananpanichkul,Kornkarn Bhamarapravatana,Komsun Suwannarurk
- مشاهده