Mengpei Zhang, Jinghong Chen, Kemin Li, Yan Luo, R. Yin
{"title":"Real-world study of 191 cases with cervical cancer who were diagnosed by loop electrosurgical excision procedure","authors":"Mengpei Zhang, Jinghong Chen, Kemin Li, Yan Luo, R. Yin","doi":"10.21037/gpm-21-13","DOIUrl":"https://doi.org/10.21037/gpm-21-13","url":null,"abstract":"","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45425418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
: In this video, we share the treatment of a 36-year-old woman of childbearing age. After a routine gynecological examination, this woman was found to have cervical poisoning, accompanied with bleeding. Meanwhile, her uterine body was in a horizontal position, of normal size, without feeling of pain. During color ultrasound screening, a mixed echo mass with a size of 6.7 cm × 4.9 cm ×5.1 cm was found in her left adnexal area, which was suspected to be a teratoma. Upon on further consultation, it was diagnosed as a left accessory tumor. It is also most likely to be a teratoma in the left ovary. After communication, the patient agreed to perform surgery to remove the tumor. In this study, we performed single-port laparoscopic surgery to treat patients. Intraoperatively, an endoscopic cyst was found in the patient’s left ovary. After the cyst was removed, the laboratory results showed that it was indeed a mature teratoma, which was consistent with color ultrasound and outpatient results. After the removal of the tumor, we performed plastic surgery on the patient’s belly button. This video captures and describes how the process works. The success of this operation not only eliminates the patients’ physical pain, but also greatly reduces the patients’ psychological burden. After all, the advantages and disadvantages of this operation and its future development trend are analyzed, too.
在这段视频中，我们分享了一位36岁育龄妇女的遭遇。经常规妇科检查，发现该妇女宫颈中毒，伴有出血。同时，子宫体呈水平位，大小正常，无痛感。彩超示左侧附件区一混合回声肿块，大小6.7 cm × 4.9 cm ×5.1 cm，疑为畸胎瘤。经进一步咨询，诊断为左侧副肿瘤。左侧卵巢也很可能是畸胎瘤。经过沟通，患者同意进行手术切除肿瘤。在本研究中，我们采用单孔腹腔镜手术治疗患者。术中，内镜下发现患者左侧卵巢囊肿。囊肿切除后，实验室结果显示确实为成熟畸胎瘤，与彩超及门诊结果一致。肿瘤切除后，我们对病人的肚脐进行了整形手术。这个视频捕捉并描述了这个过程是如何工作的。该手术的成功不仅消除了患者的身体疼痛，而且大大减轻了患者的心理负担。最后，分析了该操作的优缺点以及未来的发展趋势。
{"title":"A method for removing cysts from the left ovary by using laparoendoscopic single-site surgery accompanied by an umbilical incision plastic surgery","authors":"X. Shu, S. Xia","doi":"10.21037/GPM-20-75","DOIUrl":"https://doi.org/10.21037/GPM-20-75","url":null,"abstract":": In this video, we share the treatment of a 36-year-old woman of childbearing age. After a routine gynecological examination, this woman was found to have cervical poisoning, accompanied with bleeding. Meanwhile, her uterine body was in a horizontal position, of normal size, without feeling of pain. During color ultrasound screening, a mixed echo mass with a size of 6.7 cm × 4.9 cm ×5.1 cm was found in her left adnexal area, which was suspected to be a teratoma. Upon on further consultation, it was diagnosed as a left accessory tumor. It is also most likely to be a teratoma in the left ovary. After communication, the patient agreed to perform surgery to remove the tumor. In this study, we performed single-port laparoscopic surgery to treat patients. Intraoperatively, an endoscopic cyst was found in the patient’s left ovary. After the cyst was removed, the laboratory results showed that it was indeed a mature teratoma, which was consistent with color ultrasound and outpatient results. After the removal of the tumor, we performed plastic surgery on the patient’s belly button. This video captures and describes how the process works. The success of this operation not only eliminates the patients’ physical pain, but also greatly reduces the patients’ psychological burden. After all, the advantages and disadvantages of this operation and its future development trend are analyzed, too.","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43221315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The challenges and opportunities in ovarian cancer relapse—the role of second and third-line chemotherapy: literature review","authors":"S. Greening, N. Sood, S. Nicum","doi":"10.21037/gpm-21-29","DOIUrl":"https://doi.org/10.21037/gpm-21-29","url":null,"abstract":"","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42022944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Koninckx, A. Ussia, J. Keckstein, M. Malzoni, L. Adamyan, A. Wattiez
The indication and technique of endometriosis surgery changed rapidly over the last 50 years since better understanding the disease and an improved diagnosis. This review will therefore include a short discussion of the importance and limits of evidence-based medicine (EBM), the clinical importance and diagnostic value of imaging and the alternative medical treatments. Surgery is the cornerstone of infiltrating and fibrotic endometriosis and useful for minor endometriosis. We suggest redefining the aim of surgery, as the elimination of all endometrium like cells with genetic or epigenetic (G-E) endometriotic changes. Microscopic endometriosis in the peritoneum, in the bowel wall and in lymph nodes at distance from a deep endometriosis nodule does not need surgery since there is no evidence that it causes pain, infertility or progression into more severe forms of endometriosis. Subtle and typical lesions need excision or destruction since some of them might progress because of G-E changes. Excision of cystic ovarian endometriosis is associated with fewer recurrences, probably since more complete, but with more ovarian damage than superficial destruction of the lining of the cyst. However, since endometriotic infiltration in the cyst wall is less than 2 mm deep, the rest of the capsule being fibrosis, chemical superficial destruction might combine completeness with superficial treatment. For the surgery of deep endometriosis, the authors have reached consensus on many aspects. This comprises the prevention of nerve damage, the complete excision from the vaginal fornix, the complete excision from the bladder preserving the intramural ureter, ureter excision and anastomosis for fibrotic stenosis, short instead of large bowel resections when necessary and the liberal use of sigmoid resections. Other aspects remain debated, such as the excision of fibrotic endometriosis surrounding and extending below the ureter risking to damage the inferior hypogastric plexus, the exact indication of rectum resections versus complete excision with eventual suture of muscularis or mucosa versus limited excision completed by discoid excision with a circular stapler. The concept of completeness of excision will be discussed since the outer layers might be metaplastic cells without G-E changes. Also, the treatment of macroscopically fibrotic lesions without endometriosis is not clear.
{"title":"Review on endometriosis surgery","authors":"P. Koninckx, A. Ussia, J. Keckstein, M. Malzoni, L. Adamyan, A. Wattiez","doi":"10.21037/GPM-21-17","DOIUrl":"https://doi.org/10.21037/GPM-21-17","url":null,"abstract":"The indication and technique of endometriosis surgery changed rapidly over the last 50 years since better understanding the disease and an improved diagnosis. This review will therefore include a short discussion of the importance and limits of evidence-based medicine (EBM), the clinical importance and diagnostic value of imaging and the alternative medical treatments. Surgery is the cornerstone of infiltrating and fibrotic endometriosis and useful for minor endometriosis. We suggest redefining the aim of surgery, as the elimination of all endometrium like cells with genetic or epigenetic (G-E) endometriotic changes. Microscopic endometriosis in the peritoneum, in the bowel wall and in lymph nodes at distance from a deep endometriosis nodule does not need surgery since there is no evidence that it causes pain, infertility or progression into more severe forms of endometriosis. Subtle and typical lesions need excision or destruction since some of them might progress because of G-E changes. Excision of cystic ovarian endometriosis is associated with fewer recurrences, probably since more complete, but with more ovarian damage than superficial destruction of the lining of the cyst. However, since endometriotic infiltration in the cyst wall is less than 2 mm deep, the rest of the capsule being fibrosis, chemical superficial destruction might combine completeness with superficial treatment. For the surgery of deep endometriosis, the authors have reached consensus on many aspects. This comprises the prevention of nerve damage, the complete excision from the vaginal fornix, the complete excision from the bladder preserving the intramural ureter, ureter excision and anastomosis for fibrotic stenosis, short instead of large bowel resections when necessary and the liberal use of sigmoid resections. Other aspects remain debated, such as the excision of fibrotic endometriosis surrounding and extending below the ureter risking to damage the inferior hypogastric plexus, the exact indication of rectum resections versus complete excision with eventual suture of muscularis or mucosa versus limited excision completed by discoid excision with a circular stapler. The concept of completeness of excision will be discussed since the outer layers might be metaplastic cells without G-E changes. Also, the treatment of macroscopically fibrotic lesions without endometriosis is not clear.","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42468386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Perivasuclar epithelioid cell tumor (PEComa) is a rare group of mesenchymal tumors with unique histological and immunophenotypes, which was first proposed by Zamboni in 1996 (1). PEComa can be occured in any ages, mostly in the middle-age. The lesions can involve in various parts of bodies, and uterus is the most common organ (2,3). Retroperitoneal PEComas are extremely rarely seen and almost all benign lesions (2,3). Herein, we present a case of malignant retroperitoneal PEComa with literature review to draw attention to this disease. Based on a literature review in PubMed and Web of Science with the terms of (“malignant perivascular epithelioid cell tumor” or “malignant PEComa”) and (“Post-peritoneal” or “retroperitoneal”), similar report of retroperitoneal malignant PEComa in this paper was rare reported before, especially the one from China (4,5). Compared with former cases, we focused on histological and immunohistochemical Case Report
血管周围上皮样细胞瘤（PEComa）是一组罕见的间充质肿瘤，具有独特的组织学和免疫表型，由Zamboni于1996年首次提出（1）。PEComa可发生在任何年龄段，主要发生在中年。病变可累及身体各部位，子宫是最常见的器官（2，3）。腹膜后PEComas极为罕见，几乎所有的病变都是良性的（2，3）。在此，我们报告一例腹膜后恶性PEComa，并结合文献复习，以引起对该疾病的关注。根据PubMed和Web of Science上关于（“恶性血管周围上皮样细胞瘤”或“恶性PEComa”）和（“腹膜后”或“腹膜后）的文献综述，本文中腹膜后恶性PEComa的类似报道以前很少报道，尤其是来自中国的报道（4，5）。与以前的病例相比，我们专注于组织学和免疫组织化学病例报告
{"title":"Retroperitoneal malignant perivascular epithelioid cell tumor: a rare case report and literature review","authors":"Xi Zeng, Jin-ke Li","doi":"10.21037/gpm-21-44","DOIUrl":"https://doi.org/10.21037/gpm-21-44","url":null,"abstract":"Perivasuclar epithelioid cell tumor (PEComa) is a rare group of mesenchymal tumors with unique histological and immunophenotypes, which was first proposed by Zamboni in 1996 (1). PEComa can be occured in any ages, mostly in the middle-age. The lesions can involve in various parts of bodies, and uterus is the most common organ (2,3). Retroperitoneal PEComas are extremely rarely seen and almost all benign lesions (2,3). Herein, we present a case of malignant retroperitoneal PEComa with literature review to draw attention to this disease. Based on a literature review in PubMed and Web of Science with the terms of (“malignant perivascular epithelioid cell tumor” or “malignant PEComa”) and (“Post-peritoneal” or “retroperitoneal”), similar report of retroperitoneal malignant PEComa in this paper was rare reported before, especially the one from China (4,5). Compared with former cases, we focused on histological and immunohistochemical Case Report","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48204296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dongmei Wei, Yueyue Chen, Jie Yang, Yue Hu, Xiaoyu Niu
Dongmei Wei West China Women's and Children's Hospital: Sichuan University West China Second University Hospital Yueyue Chen West China Women's and Children's Hospital: Sichuan University West China Second University Hospital Jie Yang West China Women's and Children's Hospital: Sichuan University West China Second University Hospital Yue Hu West China Women's and Children's Hospital: Sichuan University West China Second University Hospital Xiaoyu Niu ( hxfeynxy@163.com ) West China Women's and Children's Hospital: Sichuan University West China Second University Hospital
{"title":"Prospective cohort study of the treatment of non-neoplastic epithelial disorders of the vulva with a fractional Carbon Dioxide laser","authors":"Dongmei Wei, Yueyue Chen, Jie Yang, Yue Hu, Xiaoyu Niu","doi":"10.21037/gpm-20-40","DOIUrl":"https://doi.org/10.21037/gpm-20-40","url":null,"abstract":"Dongmei Wei West China Women's and Children's Hospital: Sichuan University West China Second University Hospital Yueyue Chen West China Women's and Children's Hospital: Sichuan University West China Second University Hospital Jie Yang West China Women's and Children's Hospital: Sichuan University West China Second University Hospital Yue Hu West China Women's and Children's Hospital: Sichuan University West China Second University Hospital Xiaoyu Niu ( hxfeynxy@163.com ) West China Women's and Children's Hospital: Sichuan University West China Second University Hospital","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49606910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Special series on uterine sarcomas","authors":"A. Perrone, P. De Iaco","doi":"10.21037/gpm-21-58","DOIUrl":"https://doi.org/10.21037/gpm-21-58","url":null,"abstract":"","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44877266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Keckstein, G. Hudelist, P. Koninckx, Sigrid Keckstein, S. Keckstein
{"title":"The #Enzian classification for the diagnosis and surgery of endometriosis: a narrative review","authors":"J. Keckstein, G. Hudelist, P. Koninckx, Sigrid Keckstein, S. Keckstein","doi":"10.21037/gpm-21-38","DOIUrl":"https://doi.org/10.21037/gpm-21-38","url":null,"abstract":"","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44779947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The impact of surgical start time on complications in gynaecological surgery: a retrospective cohort study","authors":"Hillary Hu, Amy Goh","doi":"10.21037/gpm-22-5","DOIUrl":"https://doi.org/10.21037/gpm-22-5","url":null,"abstract":"","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42305559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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