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  • Original Article

    Nodular image in the appendix observed on ultrasound: endometriosis or neuroendocrine neoplasia?

    Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo1

    Summary

    Original Article

    Nodular image in the appendix observed on ultrasound: endometriosis or neuroendocrine neoplasia?

    Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo1

    DOI 10.61622/rbgo/2024AO01

    Views152

    Abstract

    Objective:

    To evaluate the association between clinical and imaging with surgical and pathological findings in patients with suspected neuroendocrine tumor of appendix and/or appendix endometriosis.

    Methods:

    Retrospective descriptive study conducted at the Teaching and Research Institute of Hospital Israelita Albert Einstein, in which medical records and databases of patients with suspected neuroendocrine tumor of appendix and/or endometriosis of appendix were analyzed by imaging.

    Results:

    Twenty-eight patients were included, all of which had some type of appendix alteration on the ultrasound examination. The pathological outcome of the appendix found 25 (89.3%) lesions compatible with endometriosis and three (10.7%) neuroendocrine tumors. The clinical findings of imaging and surgery were compared with the result of pathological anatomy by means of relative frequency.

    Conclusion:

    It was possible to observe a higher prevalence of appendix endometriosis when the patient presented more intense pain symptoms. The image observed on ultrasound obtained a high positive predictive value for appendicular endometriosis.

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  • Original Articles

    Association between col1a2 Polymorphism and the Occurrence of Pelvic Organ Prolapse in Brazilian Women

    Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(1):31-36

    Summary

    Original Articles

    Association between col1a2 Polymorphism and the Occurrence of Pelvic Organ Prolapse in Brazilian Women

    Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(1):31-36

    DOI 10.1055/s-0038-1676599

    Views4

    Abstract

    Objective

    To evaluate the rs42524 polymorphism of the procollagen type I alpha (α) 2 (COL1A2) gene as a factor related to the development of pelvic organ prolapse (POP) in Brazilian women.

    Methods

    The present study involved 112 women with POP stages III and IV (case group) and 180 women with POP stages zero and I (control group). Other clinical data were obtained by interviewing the patients about their medical history, and blood was also collected from the volunteers for the extraction of genomic DNA. The promoter region of the COL1A2 gene containing the rs42524 polymorphism was amplified, and the discrimination between the G and C variants was performed by digestion of the polymerase chain reaction (PCR) products with the MspA1I enzyme followed by agarose gel electrophoresis analysis.

    Results

    A total of 292 women were analyzed. In the case group, 71 had the G/G genotype, 33 had the G/C genotype, and 7 had the C/C genotype. In turn, the ratio in the control group was 117 G/G, 51 G/C, and 11 C/C. There were no significant differences between the groups.

    Conclusion

    Our data did not show an association between the COL1A2 polymorphism and the occurrence of POP.

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    Association between col1a2 Polymorphism and the Occurrence of Pelvic Organ Prolapse in Brazilian Women

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