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Torsión anexial en una gestación espontánea. A propósito de un caso 自发性妊娠的附件扭转。关于一个案件
Q4 Medicine Pub Date : 2022-01-25 DOI: 10.51288/00820116
M. Pineda Mateo, Marta Romero Matas, Angela Morales Bueno, María del Valle Aguilar- Martín
Adnexal torsion during pregnancy is a rare event mainly associated with the use of assisted reproductive techniques. However, it can occasionally also occur in spontaneous pregnancies without any predisposing factors. Its nonspecific clinical presentation in addition to the sometimes limited sensitivity of the gold standard test, Doppler ultrasound, leads to difficulty in preoperative diagnosis. For this reason, in most cases it is necessary to perform a laparoscopy in order to directly visualize the twisted ovary to obtain diagnostic confirmation. This is why, nowadays, adnexal torsion continues to be considered a diagnostic dilemma that should not delay the therapeutic approach, since a delay over 48 hours associates several irreversible lesions of the adnexa. At present, laparoscopy is the main surgical approach in pregnant women with suspicion of adnexal torsion due to the safety and advantages it provides. Keywords: Adnexal torsion, pregnancy, ovarian cyst, gynecological laparoscopy
妊娠期附件扭转是一种罕见的事件,主要与辅助生殖技术的使用有关。然而,它偶尔也会发生在没有任何诱发因素的自然妊娠中。它的非特异性临床表现,加上金标准测试多普勒超声有时灵敏度有限,导致术前诊断困难。因此,在大多数情况下,有必要进行腹腔镜检查,以便直接观察扭曲的卵巢以获得诊断确认。这就是为什么如今,附件扭转仍然被认为是一个诊断难题,不应延迟治疗方法,因为延迟超过48小时会导致附件的几个不可逆病变。目前,腹腔镜检查由于其安全性和优点,是怀疑附件扭转的孕妇的主要手术方法。关键词:附件扭转、妊娠、卵巢囊肿、妇科腹腔镜
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引用次数: 0
Carcinoma de células pequeñas extrapulmonar de mama. Reporte de caso 肺外小细胞癌。个案报告
Q4 Medicine Pub Date : 2022-01-25 DOI: 10.51288/00820114
E. Reyna-Villasmil,, Valeria Fernández-Casado, Florance Cárdenas-Palomino.
Small cell carcinoma represents 20% of lung cancers, rarely occurs in other sites. Extrapulmonary small cell carcinoma is aggressive with a propensity for regional and distant dissemination. This type of carcinoma is a rare neoplasm in the breast. Although the clinical appearance is nonspecific, it often responds well to therapy and has a good prognosis of survival. We present the case of a 50-year-old woman with extrapulmonary small cell carcinoma of the breast. Physical examination showed a lesion of 4 x 3 x 3 centimeters confirmed by magnetic resonance imaging of left breast. Diagnosis was made by a core biopsy that showed the characteristics of small, round, lymphocyte-like cells with hyperchromatic nuclei and scarce cytoplasm compatible with small cell carcinoma of the breast. Patient was treated with chemotherapy before undergoing total mastectomy and resection of the lymph nodes. Keywords: Breast, Breast carcinoma, Extrapulmonary small cell carcinoma, Small cell cancer
小细胞癌占肺癌的20%,很少发生在其他部位。肺外小细胞癌具有侵袭性,有局部和远处播散的倾向。这种类型的癌是一种罕见的乳腺肿瘤。尽管临床表现是非特异性的,但它通常对治疗反应良好,并具有良好的生存预后。我们报告了一例50岁的女性肺外小细胞乳腺癌。体格检查显示左乳房的磁共振成像证实了一个4 x 3 x 3厘米的病变。通过核心活检进行诊断,显示小而圆的淋巴细胞样细胞的特征,细胞核深染,细胞质稀少,与乳腺小细胞癌相容。患者在接受乳房切除术和淋巴结切除术之前接受了化疗。关键词:乳腺癌、乳腺癌、肺外小细胞癌、小细胞癌症
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引用次数: 0
Riesgo de malignización de pólipos endometriales 子宫内膜息肉恶性的风险
Q4 Medicine Pub Date : 2022-01-25 DOI: 10.51288/00820112
Jefferson Salguero-Sánchez, Leonardo González-García
Endometrial polyps are common lesions and their prevalence in the general population is relatively low; however, they can be associated with abnormal uterine bleeding, increased risk of endometrial cancer and, in some cases, infertility. These conditions can be considered as a malignant lesion depending on their characteristics. The risk of malignancy of an endometrial polyp varies between 0.8% to 8%. The malignancy that these represent cannot be observed in isolation but rather together with the other factors that increase the risk of endometrial cancer. The diagnosis is principally realized by transvaginal ultrasound and histeroscopia. The managing will depend on the individual evaluation of every patient and it can go from resection up to only follow-up. Keywords: Endometrial Polyps, Uterine Polyps, Endometrial Neoplasms, Risk factors, Polypectomy
子宫内膜息肉是一种常见的病变,其在普通人群中的患病率相对较低;然而,它们可能与子宫异常出血、子宫内膜癌风险增加以及在某些情况下导致不孕有关。根据这些情况的特点,可以认为是恶性病变。子宫内膜息肉发生恶性肿瘤的风险在0.8%到8%之间。这些代表的恶性肿瘤不能单独观察,而是与增加子宫内膜癌风险的其他因素一起观察。诊断主要通过阴道超声和组织镜来实现。管理将取决于每个病人的个人评估,它可以从切除到仅随访。关键词:子宫内膜息肉,子宫息肉,子宫内膜肿瘤,危险因素,息肉切除术
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引用次数: 1
Importancia clínica de la evaluación ecográfica de la translucencia nucal fetal 胎儿颈项半透明超声评价的临床意义
Q4 Medicine Pub Date : 2022-01-25 DOI: 10.51288/00820111
E. Reyna-Villasmil,, Carlos Briceño-Pérez, Juan Carlos Briceño-Sanabria
Nuchal translucency is the hypoechoic region of subcutaneous fluid accumulation at the back of the fetal neck, at the level of the cervical spine, between the skin and soft tissues. Its measurement during the first trimester is part of the prenatal screening protocol for trisomies 21, 18 and 13. Between 11-13.6 weeks of gestation, its increase above the 95th percentile places the fetus at greater risk of congenital chromosomal and structural abnormalities. The individual measurement of nuchal translucency is a partially effective detection tool but its combination with biochemical markers increases its ability to predict the risk of Down syndrome and other fetal alterations. In cases of fetuses without aneuploidies, their increase is associated with adverse results. The objective of this article was to review the current evidence on the clinical significance of ultrasound assessment of fetal nuchal translucency. Keywords: Fetal nuchal translucency, Ultrasound, Fetal aneuploidies, Chromosomopathies, Congenital heart anomalies, Prenatal high risk, Prenatal diagnosis
软核半透明是胎儿颈部后部、颈椎水平、皮肤和软组织之间皮下积液的低回声区域。它在妊娠早期的测量是21、18和13三体产前筛查方案的一部分。在妊娠11-13.6周期间,其增加超过第95个百分位会使胎儿面临更大的先天性染色体和结构异常风险。珠心半透明度的个体测量是一种部分有效的检测工具,但它与生化标志物的结合提高了预测唐氏综合征和其他胎儿改变风险的能力。在没有非整倍体的胎儿中,它们的增加与不良结果有关。本文的目的是回顾超声评估胎儿颈部半透明性的临床意义的现有证据。关键词:胎儿颈部半透明,超声,胎儿非整倍体,染色体病,先天性心脏异常,产前高危,产前诊断
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引用次数: 0
Alternativas de terapia neoadyuvante en el manejo del paciente con cáncer de ovario recurrente, a propósito del artículo: Rol de la citorreducción secundaria en cáncer de ovario recurrente 新辅助治疗在复发性卵巢癌患者管理中的替代方案,文章目的:二次细胞减少在复发性卵巢癌中的作用
Q4 Medicine Pub Date : 2022-01-25 DOI: 10.51288/00820117
P. S. Montes-Arcón
No abstract
没有抽象的
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引用次数: 0
Diabetes gestacional: factores de riesgo y complicaciones perinatales 妊娠糖尿病:危险因素和围产期并发症
Q4 Medicine Pub Date : 2022-01-25 DOI: 10.51288/00820106
Carlos Lugo León, Naybi Bolaños, Carla Vallejo Narvaez, Jesús Vasquez, Alexandra Rivero Fraute, Mireya González-Blanco
Objective: To determine the risk factors and perinatal complications in pregnant women with diabetes mellitus who attended the Concepción Palacios Maternity between 2010 and 2015. Methods: Retrospective, descriptive and cross-sectional study involving 108 gestational diabetic patients and 108 without diabetes.Risk factors were compared, complications and their risk factors were assessed. Results: Among gestational diabetics, 76.8% were 35 years of age or older (p-0.013), there were 18.5% primigestas (p-0.031), 86.9% obese (p-0.000), 75% increased by more than 10 kg (p-0,000), 83.3% had a history of gestational diabetes (p-0.000), 31.5% family history of chronic arterial hypertension (p-0.000) and 41 % diabetes mellitus (p-0.001). Maternal complications were hypertensive pregnancy disorder (p-0.004), hyperglycemies (p-0.000) and prolonged hospital stay (p-0.000). Neonatal complications were low (p-0.003), hypoglycemia (p-0.000), macrosomia (p-0.000) and admission to intensive therapy (p-0.001). Risk factors for hypertensive pregnancy disorder were 35 years or more (p-0.0049), a family history of hypertension and diabetes (p-0.000) and personal history of gestational diabetes (p-0.0135). For hyperglycemia, age 35 years lower than 35 years (p-0.005). For neonatal complications, age less than 35 years (p-0.0001), primigestas (p-0.0002), history of gestational diabetes (p-0.000) and relatives of chronic hypertension and diabetes mellitus (p-0.0019). Conclusions: A body mass index greater than 25 kg/m2, a personal history of gestational diabetes, family members of diabetes and hypertension, and excessive weight gain during pregnancy are risk factors for gestational diabetes. Associated complications were hypertensive pregnancy disorder and hyperglycemia. Keywords: Gestational diabetes, Risk factors, Perinatal complications.
目的:了解2010 - 2015年在Concepción Palacios产科就诊的糖尿病孕妇的危险因素及围产期并发症。方法:回顾性、描述性和横断面研究纳入108例妊娠期糖尿病患者和108例非糖尿病患者。比较危险因素,评估并发症及其危险因素。结果:妊娠期糖尿病患者中,年龄≥35岁的占76.8% (p-0.013),原发性糖尿病占18.5% (p-0.031),肥胖占86.9% (p-0.000),体重增加10 kg以上的占75% (p- 000),妊娠期糖尿病史占83.3% (p-0.000),慢性动脉高压家族史占31.5% (p-0.000),糖尿病占41% (p-0.001)。产妇并发症为高血压妊娠障碍(p-0.004)、高血糖(p-0.000)和住院时间延长(p-0.000)。新生儿并发症低(p-0.003),低血糖(p-0.000),巨大儿(p-0.000)和入院强化治疗(p-0.001)。高血压妊娠障碍的危险因素为35岁及以上(p-0.0049)、高血压和糖尿病家族史(p-0.000)和妊娠糖尿病个人史(p-0.0135)。对于高血糖,35岁低于35岁(p-0.005)。对于新生儿并发症,年龄小于35岁(p-0.0001)、primigestas (p-0.0002)、妊娠糖尿病史(p-0.000)和慢性高血压和糖尿病亲属(p-0.0019)。结论:体重指数大于25kg /m2、有妊娠糖尿病史、有糖尿病和高血压家族史、孕期体重增加过多是妊娠糖尿病的危险因素。相关并发症为高血压妊娠障碍和高血糖。关键词:妊娠期糖尿病危险因素围产期并发症
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引用次数: 0
Open Researcher and Contributor Identification (ORCID) ¿Por qué registrarse? 开放研究人员和贡献者身份识别(ORCID) ?
Q4 Medicine Pub Date : 2021-12-17 DOI: 10.51288/00810403
Mireya González-Blanco
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引用次数: 1
Púrpura trombocitopénica idiopática en el embarazo: a propósito de un caso 妊娠特发性血小板减少紫癜:综述一例
Q4 Medicine Pub Date : 2021-12-17 DOI: 10.51288/00810413
Claudia Milena López-López, Luis Carlos Gerena-Pallares
Idiopathic purple thrombocytopenia is a hemorrhagic pathology, characterized by a decrease in the platelet count during pregnancy, mediated by cells and anti-platelet antibodies, causing the premature destruction of platelets by the reticuloendothelial system, which during pregnancy could lead to a commitment to maternal fetal wellbeing in severe stages. This pathology occurs in 1 out of every 1,000 to 10,000 pregnancies, and corresponds to 3% of thrombocytopenic pregnancies. The goal of management is to maintain platelet counts within safe ranges, recommending starting harmacological management when a platelet count lower than 10,000 / uL is found at any time during pregnancy or 30,000 / uL in the second or third trimester. The case presented corresponds to a 40-yearold woman in the first trimester of pregnancy with a history of chronic idiopathic purple thrombocytopenic, with severe thrombocytopenia at the time of admission to the Hospital. Keywords: Idiopathic thrombocytopenic purpura. Pregnancy. Blood platlets.
特发性紫色血小板减少症是一种出血性病理,其特征是在怀孕期间血小板计数减少,由细胞和抗血小板抗体介导,导致网状内皮系统过早破坏血小板,这在怀孕期间可能导致严重阶段对母体胎儿健康的承诺。这种病理发生在每1000至10000例妊娠中1例,相当于3%的血小板减少性妊娠。管理的目标是将血小板计数维持在安全范围内,建议当血小板计数在妊娠期间任何时候低于10,000 / uL或在妊娠中期或晚期低于30,000 / uL时开始药理学管理。该病例对应于一名40岁的怀孕前三个月的妇女,有慢性特发性紫色血小板减少症的病史,入院时伴有严重的血小板减少症。关键词:特发性血小板减少性紫癜;怀孕。血液platlets。
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引用次数: 0
Sistema Internacional Yokohama para el informe de la citología mamaria. Academia Internacional de Citología 横滨国际乳腺细胞学报告系统。国际细胞学学院
Q4 Medicine Pub Date : 2021-12-17 DOI: 10.51288/00810409
Morelva Toro de Méndez, Ana Beatriz Azuaje de Inglessis
Fine needle aspiration biopsy cytology is part of the diagnostic triad in the evaluation of breast pathology, along with clinical and mammography or ultrasound findings. The Yokohama international system of the International Agency for Cytology has been proposed to report fine needle puncture-aspiration biopsy breast cytology, through 5 diagnostic categories: Inadequate/insufficient, benign, atypical, suspicious for malignancy and malignant, including in each of these definitions, key cytological diagnostic criteria and suggestions for clinical management. The objective of this article was to know the guidelines of this new breast cytological classification system for its implementation in this region. Fine needle puncture-aspiration biopsy is a precise and effective method to diagnose different breast lesions, which requires an adequate cell sample and a precise cytomorphological interpretation. The application of standardized Yokohama system will allow to improve the evaluation, diagnosis and clinical management of the breast pathology. Keywords: Breast cytology. Fine-needle aspiration biopsy (FNAB). Reporting system Yokohama.
细针抽吸活检细胞学是评估乳腺病理的诊断三联征的一部分,同时也是临床和乳房X光检查或超声检查结果的一部分。国际细胞学机构横滨国际系统已被提议报告细针穿刺抽吸活检乳腺细胞学,分为5个诊断类别:不足/不足、良性、非典型、可疑恶性和恶性,包括在每个定义中,关键的细胞学诊断标准和临床管理建议。本文的目的是了解这种新的乳腺细胞学分类系统在该地区的实施指南。细针穿刺抽吸活检是诊断不同乳腺病变的精确有效方法,需要足够的细胞样本和精确的细胞形态学解释。标准化横滨系统的应用将有助于改善乳腺病理学的评估、诊断和临床管理。关键词:乳腺细胞学。细针抽吸活检(FNAB)。横滨报告系统。
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引用次数: 0
Cáncer de endometrio: influencia del tratamiento en la calidad de vida y función sexual 子宫内膜癌:治疗对生活质量和性功能的影响
Q4 Medicine Pub Date : 2021-12-17 DOI: 10.51288/00810405
Ernesto Lara, Franco Calderaro
Objective: To determine the influence of the treatment received, in the quality of life and sexual function of women survivors of endometrial cancer during the period: January 2017 - August 2019. Methods: Prospective, observational, analytical, longitudinal research, in endometrial cancer survivors, to whom the SF-12 health questionnaire and the Female Sexual Function Index were applied, to determine the quality of life and sexual health respectively, before and after treatment. Results: Patients exposed to surgery alone who perceived deterioration in their physical health after treatment was 56.5 %, while in those exposed to surgery plus adjuvant treatment was 97.4 %, in those exposed to neoadjuvant treatment plus surgery was 100.0 % as in those exposed to external radiotherapy only. No patient treated with surgery or external radiotherapy alone perceived deterioration in their mental health after treatment, while the patients undergoing surgery plus adjuvant treatment the percentage was 33.33 % and in those exposed to neoadjuvant treatment plus surgery was 12.50 %. 40 women had sexual dysfunction after treatment, 65.5 % of women undergoing surgery alone, 93.3 % of those undergoing surgery plus adjuvant treatment and 100 % of those exposed to neoadjuvant treatment plus surgery. Conclusion: The prevalence of deterioration of physical health, mental health and sexual dysfunction in women exposed to combined treatments was higher than in those exposed to surgery alone. Key words: Endometrial Cancer, Quality of Life, Sexual Function, Physical Health, Mental Health.
目的:确定2017年1月至2019年8月期间接受的治疗对子宫内膜癌女性幸存者生活质量和性功能的影响。方法:采用前瞻性、观察性、分析性、纵向研究方法,对子宫内膜癌幸存者进行SF-12健康问卷和女性性功能指数调查,分别测定治疗前后的生活质量和性健康状况。结果:单纯接受手术的患者在治疗后感觉身体健康恶化的比例为56.5%,而接受手术加辅助治疗的患者为97.4%,接受新辅助治疗加手术的患者为100.0%,与单纯接受外部放疗的患者相比。单纯接受手术或外放疗的患者治疗后均无心理健康状况恶化,而接受手术加辅助治疗的患者心理健康状况恶化的比例为33.33%,接受新辅助治疗加手术的患者心理健康状况恶化的比例为12.50%。40名妇女在治疗后出现性功能障碍,65.5%的妇女单独接受手术,93.3%的妇女接受手术加辅助治疗,100%的妇女接受新辅助治疗加手术。结论:接受联合治疗的女性身体健康、心理健康和性功能障碍的发生率高于单纯接受手术的女性。关键词:子宫内膜癌,生活质量,性功能,生理健康,心理健康
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引用次数: 0
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Revista de Obstetricia y Ginecologia de Venezuela
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