Conservative surgery for malignant ovarian tumor in women of childbearing age

Background : Malignant ovarian tumor are still the number one cause of death and the second most of incidents for gynecological malignant tumors. The principles of management of ovarian cancer are the same as the principles of handling other malignant diseases, for the treatment of primary lesions operatively and the handling of potential sites of tumor metastases with chemotherapy. Histopathological examination is still considered a gold standard for diagnosis and definitive treatment of malignant ovarian tumors. If histopathologic results are obtained, then the patient will be planned to undergo postoperative chemotherapy. The mismatch between the preoperative and intraoperative clinical features, and the results of postoperative histopathological examination is a problem in managing cases of ovarian malignant tumors.Objective : Report a case of residive ovarian carcinoma with no appearance of malignancy marker in the previous postoperative histopathological examination.Method : Case reportCase : We report the case of a 45-year-old woman with a history of two previous laparotomy. The first operation was carried out in February 2014 on the indication of an extra ovarian cyst, resulting in the impression of a "Follicular Cysts" based on histopathological examination. The second operation was performed in March 2015, performed surgical staging tumors with an indication of malignant ovarian tumors with clinical metastases, but from histopathological examination it was found that "Cystadenoma Ovarii Muscinosum Multiloculare" and "no visible signs of malignancy", so the patient was not managed with postoperative chemotherapy. In April 2019 patients came with complaints of new mass growth, from CT-Scan and USG investigations there was a suspicious impression of a residive ovarian tumor with metastases into the omentum and massive ascites. On May 16, 2019 an optimal debulking was performed with the findings of residive mass, ascites, and mass metastases in the intra operative peritoneum. From the results of histopathological examination, it was found that "Muscinous Carcinoma with metastases to the umbilicus, peritoneum, and ascitic fluidKeywords: Malignant residive ovarian tumor, mucinous ovarian carcinoma

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Prevalence of Streptococcus agalactiae carriage in women of childbearing age in Comunidad Valenciana according to geographical origin

10.26226/morressier.56d5ba32d462b80296c95449 ◽

2016 ◽

Author(s):

Patricia Falomir

Keyword(s):

Streptococcus Agalactiae ◽

Geographical Origin ◽

Women Of Childbearing Age ◽

Childbearing Age

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Appreciation of the importance of pregravid preparation and reproductive attitudes of women of childbearing age in the city of Omsk

GYNECOLOGY ◽

10.26442/20795696.2018.6.180076 ◽

2018 ◽

Vol 20 (6) ◽

pp. 48-52

Author(s):

E N Kravchenko ◽

R A Morgunov

Keyword(s):

Women Of Childbearing Age ◽

Childbearing Age ◽

Pregnancy And Childbirth ◽

Perinatal Center ◽

History Of ◽

Group A ◽

Group B ◽

Complicated Pregnancy ◽

The Relationship ◽

The City

The aim of the study. Assess the importance of pregravid preparation and outcomes of pregnancy and childbirth, depending on the reproductive attitudes of women in the city of Omsk. Materials and methods. The study included 92 women who were divided into groups: group A (n=43) - women whose pregnancy was planned; group B (n=49) - women whose pregnancy occurred accidentally. Each group was divided into subgroups depending on age: from 18 to 30 and from 31 to 49 years. For each patient included in the study, a specially designed map was filled out. These patients were interviewed at the City Clinical Perinatal Center. Results. Comparative analysis revealed the relationship between the reproductive settings of women of childbearing age and the peculiarity of the course of pregnancy and childbirth in these patients. Summary. The majority of women of fertile age are married: in subgroup AA - 25 (96.2%), AB - 13 (76.5%), BA - 25 (92.6%), BB - 20 (91.0%). The predominant number of women of fertile age have one or more abortions: in subgroup AA - 12 (46.2%), AB - 6 (35.3%), in subgroups of comparison BA - 8 (29.6%), BB - 6 (27.3%). More than half of the women of fertile age surveyed have a history of untreated cervical pathology (from 40.8% to 64.7%). The course of pregnancy in women planning pregnancy in most cases proceeded without complications: in subgroup AA - 13 (50.0%), AB - 11 (64.7%). The most common cause of complicated pregnancy in women whose pregnancy occurred accidentally is the threat of spontaneous miscarriage: in subgroup BA - 15 (55.6%), BB - 16 (72.7%). The uncomplicated course of labor more often [subgroup AA - 19 (73.0%), AB - 12 (70.6%)] was observed in women whose pregnancy was planned and they were motivated to give birth to a healthy child.

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Faculty Opinions recommendation of Bariatric surgery in women of childbearing age, timing between an operation and birth, and associated perinatal complications.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.726865341.793525256 ◽

2016 ◽

Author(s):

Laxmi Baxi ◽

Cara Dolin

Keyword(s):

Bariatric Surgery ◽

Women Of Childbearing Age ◽

Perinatal Complications ◽

Childbearing Age

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Impact of Contraception on Uterine Fibroids

Medicina ◽

10.3390/medicina57070717 ◽

2021 ◽

Vol 57 (7) ◽

pp. 717

Author(s):

Katarzyna Kwas ◽

Aleksandra Nowakowska ◽

Angelika Fornalczyk ◽

Magda Krzycka ◽

Anna Nowak ◽

...

Keyword(s):

Protective Factor ◽

Hormonal Contraception ◽

Uterine Fibroids ◽

Study Data ◽

Study Group ◽

Women Of Childbearing Age ◽

Childbearing Age ◽

Prospective Survey ◽

Hormonal Dependence ◽

Control Study

Background and Objectives: Uterine fibroids develop in 25–40% of women of childbearing age; however, there are discrepancies resulting from population and socioeconomic differences. The pathogenesis of fibroids is not clear. The aim of the study was to assess the potential connection between the use of oral contraceptives and the occurrence of uterine fibroids in women of childbearing age. Materials and Methods: In this prospective, survey, case–control study, data were collected from Caucasian female patients (mean age = 30) using a questionnaire concerning the onset, duration and form of hormonal contraception, and medical and obstetrical history. The questionnaires were handed personally to hospitalized patients as well as distributed through Google forms on social media. Results: In a study group (n = 140) of patients using hormonal contraception, 37.8% of them were diagnosed with uterine fibroids, whereas among the patients not using hormonal contraception (n = 206), uterine fibroids were diagnosed in 59.6% of the patients. The most common hormonal contraception was two-component hormonal tablets used by 93.3% of the patients. Taking contraceptives was a uterine fibroids protective factor (OR = 0.4, p = 0.007). In the study group, 5.5% of the patients were pregnant and 60.42% were diagnosed with uterine fibroids (OR = 4.4, p < 0.000001). Conclusion: Contraception was found to be a protective factor for uterine fibroids among the women surveyed. The presented data confirm the theory about the hormonal dependence of uterine fibroids.

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Sustained bloodstream release of persistent organic pollutants induced by extensive weight loss after bariatric surgery: Implications for women of childbearing age

Environment International ◽

10.1016/j.envint.2021.106400 ◽

2021 ◽

Vol 151 ◽

pp. 106400

Author(s):

Patrick Fénichel ◽

Patrick Coquillard ◽

Françoise Brucker-Davis ◽

Philippe Marchand ◽

German Cano-Sancho ◽

...

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Organic Pollutants ◽

Persistent Organic Pollutants ◽

Women Of Childbearing Age ◽

Childbearing Age

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Factors associated with the consumption of table salt with inadequate iodine concentrations: a population analysis at a Peruvian household level

Public Health Nutrition ◽

10.1017/s1368980021000380 ◽

2021 ◽

pp. 1-8

Author(s):

Akram Hernández-Vásquez ◽

Rodrigo Vargas-Fernández ◽

Diego Azañedo

Keyword(s):

Iodine Deficiency ◽

Mother Tongue ◽

Population Analysis ◽

Public Health Problem ◽

Women Of Childbearing Age ◽

Table Salt ◽

Childbearing Age ◽

Household Level ◽

Factors Associated ◽

Salt Iodine

Abstract Objective: Iodine deficiency is a public health problem, especially in Peru, where it affects women of childbearing age and school-age children. The objective of the study was to conduct a household-level analysis of the factors associated with the consumption of table salt with inadequate amounts of iodine in Peru. Design: Analytical cross-sectional study using Peruvian household-level data from the Demographic and Family Health Survey. Table salt iodine concentrations were considered as the dependent variable (‘inadequate’ with iodine levels <30 PPM and ‘adequate’ with levels ≥30 PPM). The association between iodine concentrations in salt and independent variables was evaluated using crude and adjusted log-binomial regression models. Setting: Peru. Participants: A total of 25 007 households were included. Results: In Peru, 21·8 % households had inadequate table salt iodine concentrations. Belonging to the poorer and poorest wealth index, living in the Highlands natural region, and living with women of childbearing age with native mother tongue were identified as factors associated with inadequate iodine concentrations in table salt. Conclusions: There is an urgent need to ensure that table salt with adequate iodine concentrations is available for poor populations, residents of the Highlands and households with ethnic presence. Likewise, it is necessary to promote good storage practices, greater regulation/law enforcement and better monitoring of the companies that manufacture or sell this product. Furthermore, the population needs to be informed of the disorders associated with iodine deficiency.

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