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  • Original Article

    The relationship between borderline and invasive epithelial ovarian tumors: epidemiology, histology and prognosis

    Rev Bras Ginecol Obstet. 1999;21(5):273-277

    Summary

    Original Article

    The relationship between borderline and invasive epithelial ovarian tumors: epidemiology, histology and prognosis

    Rev Bras Ginecol Obstet. 1999;21(5):273-277

    DOI 10.1590/S0100-72031999000500005

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    Purpose: to determine some epidemiological, diagnostic and prognostic aspects in women with borderline and invasive epithelial ovarian tumors. Methods: the charts of 198 women treated at CAISM/UNICAMP from 1986 to 1996 were revised. For statistical assessment, chi², Fisher's exact and t Student's tests were used when appropriate, followed by survival curves by the Kaplan-Meyer method, compared by the log-rank test. The mean follow-up was 50 months (11 to 168). Results: the overall rate of borderline tumors was 12% (24 cases), and for invasive carcinoma, 88% (174 cases). The mean age of the patients with borderline tumors was significantly lower than that of those with invasive carcinoma (43 ± 14.8 years vs. 52 ± 12.6 years, p<0.002). The most frequent histologic types were the serous (81 cases: 41%) and the mucinous (46 cases: 23%) tumor. The women with borderline tumors had their diseases diagnosed in earlier stages when compared with the invasive carcinoma patients (p<0.0001). The frozen biopsy, performed on 77 patients, showed a high agreement with the paraffin fixed tissue in the invasive carcinoma cases. However, in borderline tumors, the rate of failure was higher (13%) and the major rate of failure was in mucinous tumors. Regarding prognosis, the survival rate was significantly higher in borderline tumors (p<0.001). Conclusions: women with epithelial ovarian tumors were younger, presented the disease at earlier stages, and had a better prognosis when compared with those with invasive carcinoma.

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    The relationship between borderline and invasive epithelial ovarian tumors: epidemiology, histology and prognosis
  • Original Article

    Male Sexual Partner Evaluation and Relapse Risk in Women Treated for Genital Human Papillomavirus (HPV) Lesions

    Rev Bras Ginecol Obstet. 2002;24(5):315-320

    Summary

    Original Article

    Male Sexual Partner Evaluation and Relapse Risk in Women Treated for Genital Human Papillomavirus (HPV) Lesions

    Rev Bras Ginecol Obstet. 2002;24(5):315-320

    DOI 10.1590/S0100-72032002000500005

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    Purpose: to study the association between the evaluation or not of the male partner and relapses in women treated for HPV lesions. Methods: a reconstituted cohort study with 144 women with HPV lesions and whose partners had been evaluated, compared with 288 women whose partners had not been examined, controlled regarding date of attendance, age, lesion degree and treatment, attended between July 1993 and March 2000. We evaluated similarity between the groups, the association between the evaluation or not of the partners or the diagnosis of lesions with the occurrence and relapse lesion degree in the women and the disease-free interval (DFI). Results: the groups were similar regarding the control variables. Relapses occurred in 9.0 % of the women whose partners had been evaluated and in 5.9% of those whose partners had not been evaluated (p=0.23). When lesions were diagnosed in the men, 12.5% of their partners had relapses, against 7.3% of the women whose partners had no lesions (p=0.23), but there was no correlation with the relapse lesion degree and DFI. When the men reported a time of monogamous conjugal relationship <12 months, we observed 14.9% relapses in women, against 6.2% for the women whose partners reported a longer time (p=0.08). Conclusions: evaluation of the man did not decrease the relapse risk of HPV lesions in his partner. The presence of lesions in the male partners did not correlate with the occurrence and relapse degree in women and DFI. This study does not support the hypothesis that nonevaluated men would be an important cause of relapses in their partners.

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    Male Sexual Partner Evaluation and Relapse Risk in Women Treated for Genital Human Papillomavirus (HPV) Lesions

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