- [Uterine lithiasis]. [Journal Article]
- ULUgeskr Laeger 2018 Nov 12; 180(46)
- This is a case report of multiple uterine lithiasis in a 66-year-old, healthy woman. The patient had postmenopausal bleeding but no other complaints. She underwent uneventful vaginal hysterectomy, an...
This is a case report of multiple uterine lithiasis in a 66-year-old, healthy woman. The patient had postmenopausal bleeding but no other complaints. She underwent uneventful vaginal hysterectomy, and multiple loose pieces of detached uterine lithiasis in the uterine cavity were found. It is very rare to find stones in the human uterus without any intrauterine device, neoplasia or malignancy.
- Importance of transvaginal ultrasonography before endometrial sampling in asymptomatic postmenopausal patients. [Journal Article]
- JGJ Gynecol Obstet Hum Reprod 2018 Oct 28
- Endometrial cancer is the most common gynecologic cancer. Transvaginal ultrasonography (TV USG) is considered to be the first-line diagnostic method for the evaluation of endometrial cancer. 213 asym...
Endometrial cancer is the most common gynecologic cancer. Transvaginal ultrasonography (TV USG) is considered to be the first-line diagnostic method for the evaluation of endometrial cancer. 213 asymptomatic postmenopausal patients (192 benign, 21 patients malignant endometrial findings after endometrial sampling) who underwent evaluation with gray-scale TV USG at maximum 48h before endometrial sampling were included. Except for hypertension (P=0.004) and endometrial thickness (P=0.003), there was no significant difference in the demographic data, endometrial fluid and endometrial cystic areas detected on TV USG between the groups. A cut-off value of 8.35mm for endometrial thickness yielded 98.05% positive predictive value with 95% CI. If the endometrial thickness is ≥8.35mm at TV USG performing endometrial curettage will be reasonable not to wait until 11mm and endometrial sampling is not required if TV USG shows fluid and cystic areas in the endometrial cavity.
- Psychometric evaluation of electronic diaries assessing side-effects of hormone therapy. [Journal Article]
- CClimacteric 2018 Oct 29; :1-7
- CONCLUSIONS: The study provides evidence of strong psychometric properties for the BPT-DD and VBS-DD to assess breast pain/tenderness and spotting/bleeding in PMW.
- Extensive trophoblastic differentiation in case of an endometrial carcinoma. [Case Reports]
- IJIndian J Pathol Microbiol 2018 Oct-Dec; 61(4):614-616
- Trophoblastic differentiation of endometrial carcinoma is extremely rare, till date 18 cases reports are there in the literature. A 68-year-old postmenopausal female presented with abnormal vaginal b...
Trophoblastic differentiation of endometrial carcinoma is extremely rare, till date 18 cases reports are there in the literature. A 68-year-old postmenopausal female presented with abnormal vaginal bleeding. Histopathologically, there were areas of serous carcinoma with trophoblastic differentiation (~90%). On immunohistochemistry, the trophoblastic component was positive for β-human chorionic gonadotropin (hCG), HPL and EMA. IHC confirmed the diagnosis of serous carcinoma with trophoblastic differentiation. The clinicopathological features of 18 previously reported cases of trophoblastic differentiation in the uterine tumor were analyzed in addition to the present case.
- Tissue-selective estrogen complex for women who experience breast discomfort or vaginal bleeding when on hormone therapy. [Journal Article]
- MMenopause 2018 Oct 08
- CONCLUSIONS: This study suggests that TSEC is a good option for women who have breast discomfort or persistent bleeding during other hormone therapy when taking into account the differences in estrogen dose.
- Evaluation of a crosswalk between the European Quality of Life Five Dimension Five Level and the Menopause-Specific Quality of Life questionnaire. [Journal Article]
- CClimacteric 2018 Oct 08; :1-8
- CONCLUSIONS: The crosswalk supports conversion of MENQOL scores to EQ-5D-5L-derived health utilities for group-level analyses in PM women.
- Role of Bleeding Recognition and Evaluation in Black-White Disparities in Endometrial Cancer. [Journal Article]
- AJAm J Obstet Gynecol 2018 Oct 03
- CONCLUSIONS: The lack of recognition and evaluation of PMB is associated with advanced stage at diagnosis in EC. Older Black women are at highest risk for the most aggressive histology types, yet they are less likely to have guideline-concordant evaluation of vaginal bleeding. Efforts aimed at improving recognition - among patients and providers - of PMB in Black women could substantially reduce disparities in endometrial cancer.
- Vaginal bleeding/spotting with conjugated estrogens/bazedoxifene, conjugated estrogens/medroxyprogesterone acetate, and placebo. [Journal Article]
- PMPostgrad Med 2018 Oct 03; :1-7
- CONCLUSIONS: Bleeding/spotting with CE/BZA treatment was similar to placebo and significantly less frequent than with CE/MPA treatment. Most cases were spotting only across all treatments.
- Office hysteroscopy for postmenopausal women: Feasibility and correlation with transvaginal ultrasound. [Journal Article]
- JGJ Gynecol Obstet Hum Reprod 2018; 47(10):505-510
- CONCLUSIONS: Office hysteroscopy is successful without anaesthesia for 76.4% of postmenopausal women. The correlation between TV-US and hysteroscopy is low, and we recommend to practice both sonography and hysteroscopy in women with postmenopausal bleeding.
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- The utility of artificial neural networks and classification and regression trees for the prediction of endometrial cancer in postmenopausal women. [Journal Article]
- PHPublic Health 2018; 164:1-6
- CONCLUSIONS: Artificial intelligence is a powerful mathematical tool that may significantly promote public health. It may be used as a non-invasive screening tool to guide clinicians involved in primary care decision making when endometrial pathology is suspected.