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Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(3):153-157
DOI 10.1590/S0100-72032007000300007
Dermatofibrosarcoma protuberans (DFSP) is a rare malignant neoplasia in gynecology, with probability of recurrence and low possibilities of metastasis. A 34-year-old patient after endometriosis treatment presented pain in the left inguinal region. She reported sensation of gradual increase in a solid nodule, painless at palpation, with difficult mobilization. Exeresis was proceeded with diagnostic hypothesis of endometriosis. Microscopy revealed a mesenchymal neoplasia characterized by proliferation of monomorphic fusiform cells and storiform aspect characterizing the DFSP.DFSP must be remembered in the differential diagnosis of the affections of the inguinal region in gynecology because it represents a malignant neoplasia, although it's rare.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(3):153-157
DOI 10.1590/S0100-72032007000300007
Dermatofibrosarcoma protuberans (DFSP) is a rare malignant neoplasia in gynecology, with probability of recurrence and low possibilities of metastasis. A 34-year-old patient after endometriosis treatment presented pain in the left inguinal region. She reported sensation of gradual increase in a solid nodule, painless at palpation, with difficult mobilization. Exeresis was proceeded with diagnostic hypothesis of endometriosis. Microscopy revealed a mesenchymal neoplasia characterized by proliferation of monomorphic fusiform cells and storiform aspect characterizing the DFSP.DFSP must be remembered in the differential diagnosis of the affections of the inguinal region in gynecology because it represents a malignant neoplasia, although it's rare.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2006;28(6):352-357
DOI 10.1590/S0100-72032006000600006
PURPOSE: to analyze the impact of urinary incontinence on women's quality of life, submitted or not to surgical treatment. METHODS: sixty women with urinary incontinence during stress were interviewed and divided into two groups classified as: S-CIR group, including 30 women not yet submitted to specific surgical treatment for urinary incontinence, and C-CIR group, including 30 women who had already undergone surgery. The scores obtained after the addition of values attributed to each question of the questionnaires were compared between the two groups. The number of patients who showed any impairment on quality of life due to specific symptoms of incontinence was also compared between groups. Data were analyzed by the variance test and the chi-square test, when applicable. RESULTS: symptoms, limitations and concerns related to urinary incontinence exhibited a strong negative impact on quality of life in patients from the S-CIR group. Impairment during physical exercises, domestic activities and daily working activities was the most important affected aspect in patients of the S-CIR group. Furtherimore, patients of the S-CIR group reported more fatigue, embarrassment, and excessive nervousness. Urine loss during stress followed by urgency were also significantly relevant aspects when groups were compared. CONCLUSIONS: the study allowed the identification and quantification of the derangements of quality of life due to urinary incontinence and demonstrated that these derangements either become less important or even disappear in women submitted to surgery.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2006;28(6):352-357
DOI 10.1590/S0100-72032006000600006
PURPOSE: to analyze the impact of urinary incontinence on women's quality of life, submitted or not to surgical treatment. METHODS: sixty women with urinary incontinence during stress were interviewed and divided into two groups classified as: S-CIR group, including 30 women not yet submitted to specific surgical treatment for urinary incontinence, and C-CIR group, including 30 women who had already undergone surgery. The scores obtained after the addition of values attributed to each question of the questionnaires were compared between the two groups. The number of patients who showed any impairment on quality of life due to specific symptoms of incontinence was also compared between groups. Data were analyzed by the variance test and the chi-square test, when applicable. RESULTS: symptoms, limitations and concerns related to urinary incontinence exhibited a strong negative impact on quality of life in patients from the S-CIR group. Impairment during physical exercises, domestic activities and daily working activities was the most important affected aspect in patients of the S-CIR group. Furtherimore, patients of the S-CIR group reported more fatigue, embarrassment, and excessive nervousness. Urine loss during stress followed by urgency were also significantly relevant aspects when groups were compared. CONCLUSIONS: the study allowed the identification and quantification of the derangements of quality of life due to urinary incontinence and demonstrated that these derangements either become less important or even disappear in women submitted to surgery.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(10):599-606
DOI 10.1590/S0100-72032005001000006
PURPOSE: comparative analysis of the outcome of women with advanced pelvic endometriosis and women with tubal sterilization submitted to intracytoplasmic sperm injection (ICSI). METHODS: ninety-three infertile women, with normal menstrual cycle, without hormonal or surgical treatment during 12 months, body mass index of 20-25, ovaries with no tumors or cysts were included in the present study and divided into two groups: tubal sterilization (TUB), 39 women, and endometriosis (EDT), 54 women with III-EDT and IV-EDT, undergoing ovulatory induction using r-FSH and ICSI. Clinical and laboratorial data were compared. chi2, Fisher, Student's t, and Mann-Whitney tests were employed. RESULTS: lower estradiol levels (2,243.1 vs 1,666.3; p=0.001) and lower number of follicles per patient (16.9 vs 13.9, p=0.001) were noted in EDT group, in spite of more units of r-FSH (1,775.6 vs 1,998.6; p=0.007, for TUB and EDT, respectively). There were no differences in the rates of retrieved oocyte (69 vs 73.5%; p=0.071) as well as in normal fertilization rates (83.7 vs 81.7%; p=0.563, for TUB and EDT, respectively. However, lower number of top quality preembryos were obtained in patients from EDT group (36.5 vs 24.8%, TUB and EDT, respectively; p=0.005). Total pregnancy (41.0 vs 42.6%; p=0.950) and implantation rates (13.9 vs 14.5%; p=0.905) were not different when groups TUB and EDT were compared. CONCLUSIONS: ovaries of women from EDT group seem to be less responsive to ovulatory induction with r-FSH. EDT seems to impair the mean number of follicles and top quality preembryos with no impairment of retrieved oocyte and fertilization rates. However, once obtained, preembryos from EDT patients are able to exhibit similar implantation potential and pregnancy when compared with patients from TUB group.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(10):599-606
DOI 10.1590/S0100-72032005001000006
PURPOSE: comparative analysis of the outcome of women with advanced pelvic endometriosis and women with tubal sterilization submitted to intracytoplasmic sperm injection (ICSI). METHODS: ninety-three infertile women, with normal menstrual cycle, without hormonal or surgical treatment during 12 months, body mass index of 20-25, ovaries with no tumors or cysts were included in the present study and divided into two groups: tubal sterilization (TUB), 39 women, and endometriosis (EDT), 54 women with III-EDT and IV-EDT, undergoing ovulatory induction using r-FSH and ICSI. Clinical and laboratorial data were compared. chi2, Fisher, Student's t, and Mann-Whitney tests were employed. RESULTS: lower estradiol levels (2,243.1 vs 1,666.3; p=0.001) and lower number of follicles per patient (16.9 vs 13.9, p=0.001) were noted in EDT group, in spite of more units of r-FSH (1,775.6 vs 1,998.6; p=0.007, for TUB and EDT, respectively). There were no differences in the rates of retrieved oocyte (69 vs 73.5%; p=0.071) as well as in normal fertilization rates (83.7 vs 81.7%; p=0.563, for TUB and EDT, respectively. However, lower number of top quality preembryos were obtained in patients from EDT group (36.5 vs 24.8%, TUB and EDT, respectively; p=0.005). Total pregnancy (41.0 vs 42.6%; p=0.950) and implantation rates (13.9 vs 14.5%; p=0.905) were not different when groups TUB and EDT were compared. CONCLUSIONS: ovaries of women from EDT group seem to be less responsive to ovulatory induction with r-FSH. EDT seems to impair the mean number of follicles and top quality preembryos with no impairment of retrieved oocyte and fertilization rates. However, once obtained, preembryos from EDT patients are able to exhibit similar implantation potential and pregnancy when compared with patients from TUB group.