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Revista Brasileira de Ginecologia e Obstetrícia. 2008;30(12):626-630
DOI 10.1590/S0100-72032008001200007
The occurrence of primary lymphomas of the female genital tract is rare. The diagnosis is usually not possible by the cytological examination; a tissue biopsy is necessary. The present paper reports two patients referred to our service with a diagnosis of cervical lymphoma. In one of them, the diagnostic difficulties are demonstrated. Both patients were submitted to chemotherapy with satisfactory post-operatory period. There is no standard treatment for uterine lymphomas. Exclusive local treatment is supported by some reports in the literature in clinical stage IE, while others prefer systemic treatment irrespective of clinical stage.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2008;30(12):626-630
DOI 10.1590/S0100-72032008001200007
The occurrence of primary lymphomas of the female genital tract is rare. The diagnosis is usually not possible by the cytological examination; a tissue biopsy is necessary. The present paper reports two patients referred to our service with a diagnosis of cervical lymphoma. In one of them, the diagnostic difficulties are demonstrated. Both patients were submitted to chemotherapy with satisfactory post-operatory period. There is no standard treatment for uterine lymphomas. Exclusive local treatment is supported by some reports in the literature in clinical stage IE, while others prefer systemic treatment irrespective of clinical stage.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(6):453-453
DOI 10.1590/S0100-72032003000600013
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(6):453-453
DOI 10.1590/S0100-72032003000600013
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2001;23(7):451-455
DOI 10.1590/S0100-72032001000700007
Purpose: to evaluate clinical findings, diagnosis and prognosis of three recent hypercalcemic small cell ovarian carcinoma (HSCC) cases treated in our institution. Methods: information concerning epidemiological data and clinical evolution was obtained from the medical record review. Diagnosis was confirmed through histologic evaluation by our Pathology Department. Results: patients were, at diagnosis, 26, 36 and 38 years old. Tumor diameter ranged from 8.8 cm to 23 cm (mean = 14 cm). All patients presented hypercalcemia with total calcium serum levels of 8.9, 10.8 and 16.7 mEq/dL (NV = 8.8 to 10.2) and ionic calcium levels of 1.26, 1.27 and 1.21 mEq/dL respectively (NV = 1.12 to 1.23). All three patients were submitted to surgical treatment and chemotherapy with platinum-based regimens. In two patients the chemotherapy was adjuvant to the primary surgical treatment. Both are alive and disease-free after 2 and 18 months of follow-up. The other patient had initially the diagnosis of granulosa cell tumor, receiving chemotherapy only after tumor recurrence. Now she is alive with tumor 32 months after diagnosis. Conclusion: the main prognostic factors, in the literature and our experience, are the tumor stage at diagnosis, patient's age, presence of hypercalcemia, large cells, tumor diameter, type of surgical treatment and delay of definitive therapy. The ideal treatment of the hypercalcemic small cell ovarian carcinoma remains unknown. Difficulties in determining a standard therapeutic strategy include rarity of the neoplasm, frequently inadequate initial staging, difficulties in histologic diagnosis and multiple therapeutic approaches.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2001;23(7):451-455
DOI 10.1590/S0100-72032001000700007
Purpose: to evaluate clinical findings, diagnosis and prognosis of three recent hypercalcemic small cell ovarian carcinoma (HSCC) cases treated in our institution. Methods: information concerning epidemiological data and clinical evolution was obtained from the medical record review. Diagnosis was confirmed through histologic evaluation by our Pathology Department. Results: patients were, at diagnosis, 26, 36 and 38 years old. Tumor diameter ranged from 8.8 cm to 23 cm (mean = 14 cm). All patients presented hypercalcemia with total calcium serum levels of 8.9, 10.8 and 16.7 mEq/dL (NV = 8.8 to 10.2) and ionic calcium levels of 1.26, 1.27 and 1.21 mEq/dL respectively (NV = 1.12 to 1.23). All three patients were submitted to surgical treatment and chemotherapy with platinum-based regimens. In two patients the chemotherapy was adjuvant to the primary surgical treatment. Both are alive and disease-free after 2 and 18 months of follow-up. The other patient had initially the diagnosis of granulosa cell tumor, receiving chemotherapy only after tumor recurrence. Now she is alive with tumor 32 months after diagnosis. Conclusion: the main prognostic factors, in the literature and our experience, are the tumor stage at diagnosis, patient's age, presence of hypercalcemia, large cells, tumor diameter, type of surgical treatment and delay of definitive therapy. The ideal treatment of the hypercalcemic small cell ovarian carcinoma remains unknown. Difficulties in determining a standard therapeutic strategy include rarity of the neoplasm, frequently inadequate initial staging, difficulties in histologic diagnosis and multiple therapeutic approaches.
