scholarly journals Practical Recommendations for the Management of Benign Adnexal Masses

2020 ◽  
Vol 42 (09) ◽  
pp. 569-576
Author(s):  
Rodrigo Manieri Rocha ◽  
Ionara Diniz Evangelista Santos Barcelos
Keyword(s):  
Ovarian Reserve ◽  
Treatment Options ◽  
Diagnosis And Treatment ◽  
Review Of The Literature ◽  
Comprehensive Review ◽  
Adnexal Masses ◽  
Future Fertility ◽  
Long Term Impact ◽  
Practical Recommendations

Abstract Objective To perform a comprehensive review to provide practical recommendations regarding the diagnosis and treatment of benign adnexal masses, as well as information for appropriate consent, regarding possible loss of the ovarian reserve. Methods A comprehensive review of the literature was performed to identify the most relevant data about this subject. Results In total, 48 studies addressed the necessary aspects of the review, and we described their epidemiology, diagnoses, treatment options with detailed techniques, and perspectives regarding future fertility. Conclusions Adnexal masses are extremely common. The application of diagnosis algorithms is mandatory to exclude malignancy. A great number of cases can be managed with surveillance. Surgery, when necessary, should be performed with adequate techniques. However, even in the hands of experienced surgeons, there is a significant decrease in ovarian reserves, especially in cases of endometriomas. There is an evident necessity of studies that focus on the long-term impact on fertility.

Treatment options and long-term outcomes in pediatric spinal cord vascular malformations: a case report and review of the literature

2020 ◽  
Vol 36 (12) ◽  
pp. 3147-3152
Author(s):  
Helen J. Zhang ◽  
Nicole Silva ◽  
Elena Solli ◽  
Amanda C. Ayala ◽  
Luke Tomycz ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Vascular Malformations ◽  
Treatment Options ◽  
Review Of The Literature ◽  
Long Term Outcomes

scholarly journals A Warning Call for Fertility Preservation Methods for Women Undergoing Gonadotoxic Cancer Treatment

Medicina ◽  
2021 ◽  
Vol 57 (12) ◽  
pp. 1340
Author(s):  
Claudia Mehedintu ◽  
Francesca Frincu ◽  
Andreea Carp-Veliscu ◽  
Ramona Barac ◽  
Dumitru-Cristinel Badiu ◽  
...  
Keyword(s):  
Cancer Treatment ◽  
Fertility Preservation ◽  
Ovarian Reserve ◽  
Negative Impact ◽  
Future Fertility ◽  
Negative Effect ◽  
The One

Malignant hematological conditions have recognized an increased incidence and require aggressive treatments. Targeted chemotherapy, accompanied or not by radiotherapy, raises the chance of defeating the disease, yet cancer protocols often associate long-term gonadal consequences, for instance, diminished or damaged ovarian reserve. The negative effect is directly proportional to the types, doses, time of administration of chemotherapy, and irradiation. Additionally, follicle damage depends on characteristics of the disease and patient, such as age, concomitant diseases, previous gynecological conditions, and ovarian reserve. Patients should be adequately informed when proceeding to gonadotoxic therapies; hence, fertility preservation should be eventually regarded as a first-intention procedure. This procedure is most beneficial when performed before the onset of cancer treatment, with the recommendation for embryos or oocytes’ cryopreservation. If not feasible or acceptable, several options can be available during or after the cancer treatment. Although not approved by medical practice, promising results after in vitro studies increase the chances of future patients to protect their fertility. This review aims to emphasize the mechanism of action and impact of chemotherapy, especially the one proven to be gonadotoxic, upon ovarian reserve and future fertility. Reduced fertility or infertility, as long-term consequences of chemotherapy and, particularly, following bone marrow transplantation, is often associated with a negative impact of recovery, social and personal life, as well as highly decreased quality of life.

scholarly journals Multiple bilateral supernumerary teeth in a non-syndromic female patient - A case report with a comprehensive review

2020 ◽  
Vol 11 (4) ◽  
pp. 7822-7826
Author(s):  
Rakhi Issrani ◽  
Amal Alrayes ◽  
Arunpriya Srinivasan ◽  
Namdeo Prabhu ◽  
Zafar Ali Khan ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Developmental Disorders ◽  
Treatment Options ◽  
Review Of The Literature ◽  
Radiographic Assessment ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth ◽  
Comprehensive Review ◽  
Asymptomatic Patients

Supernumerary tooth (ST) are the developmental disorders that could be found in either of the dental arches. Whereas the single ST is quite a common entity, multiple ST are rare, especially when they are not related to any syndromes or disorders. The experience of observing one such case is reported in light of a review of the literature on this condition. This report describes  a case of a non-syndromic 22-year-old female who presented with multiple erupted and impacted ST in the mandibular premolar region. The patient was educated about the complications and consequences associated with ST and was advised for extraction of erupted supernumerary premolars and observation of the impacted ones but the patient denied any treating as ST were not causing any immediate problem. Radiographic assessment plays a pivotal part in early diagnosis and intervention as it aids in avoiding complications associated with ST, especially in non-syndromic cases or when they are asymptomatic. Patients should be counselled regarding the same with proper explanations of all the treatment options.

Development of nursing care that supports the trajectory of breast cancer patients and their families to live with cancer and grow as a family

Impact ◽  
2021 ◽  
Vol 2021 (6) ◽  
pp. 15-17
Author(s):  
Miwa Yamate
Keyword(s):  
Breast Cancer ◽  
Nursing Care ◽  
Treatment Options ◽  
Diagnosis And Treatment ◽  
Breast Cancer Patients ◽  
Post Traumatic Stress ◽  
Family Ties ◽  
Post Traumatic ◽  
Living With Cancer

Sustained research efforts have led to advances in the treatment of cancer. Treatment options include chemotherapy, surgery and pharmaceutical interventions but they can cause serious pain and long-term side effects. Support for patients throughout their diagnosis and treatment is crucial, as well as support for their network of friends and family. Professor Miwa Yamate, Kinjo Gakuin University, believes that a good family structure, strong family ties and resilience are key to approaching cancer diagnosis and treatment with a more positive mindset and greater acceptance. Currently, Yamate is working on a project that is clarifying a method of nursing care that supports growing as a family throughout the experience of living with cancer. She is conducting interviews with patients and their families in order to obtain their input in the development of a programme that encourages families to grow and supports patients and their families. This includes asking patients about their feelings when they were diagnosed with breast cancer, which will help inform the researchers about the emotions and challenges faced by patients and their families. The next step will involve the use of questionnaires based on the use of the post-traumatic stress scale and the sense of coherence scale to assess the impacts of these factors.

Leiomyosarcoma of the Larynx

2003 ◽  
Vol 89 (3) ◽  
pp. 321-323 ◽  
Author(s):  
Giuliana Preti ◽  
Francesca Palonta ◽  
Nicola Vione ◽  
Paola Rosso ◽  
Andrea Luigi Cavalot
Keyword(s):  
Local Recurrence ◽  
Diagnosis And Treatment ◽  
Optimal Management ◽  
Review Of The Literature ◽  
Long Term Follow Up ◽  
Postoperative Irradiation

Leiomyosarcoma involving the larynx is extremely rare and may be difficult to diagnose. Because of the rarity of this tumor, little information exists on its long-term follow-up and optimal management. We present a review of the literature and report on a patient with leiomyosarcoma of the larynx treated with surgery and postoperative irradiation. In addition, the diagnosis and treatment of leiomyosarcoma are discussed. At six months’ follow-up the patient showed no signs of local recurrence but had developed metastases to both lungs.

scholarly journals Clinician-Patient Dialogue About Preventive Chronic Migraine Treatment

2020 ◽  
Vol 11 ◽  
pp. 215013272095993
Author(s):  
Andrew M. Blumenfeld
Keyword(s):  
Chronic Migraine ◽  
Treatment Approach ◽  
Treatment Options ◽  
Correct Diagnosis ◽  
Severe Form ◽  
Migraine Treatment ◽  
Appropriate Treatment ◽  
The Individual ◽  
Practical Recommendations

Many new medications for the treatment of migraine are now available on the market. In the current evolving migraine treatment landscape, an individualized treatment approach is needed. This review provides practical recommendations on how to obtain a correct diagnosis and then engage in a long-term partnership with patients with the most severe form of migraine: chronic migraine (CM). Given the need to effectively treat this complex neurological disease, clinicians in primary care, general neurologists, and headache specialists are at the forefront to ease the burden of this disease for their patients. This manuscript will review how to discuss the currently available treatment options to help control migraine attacks, manage expectations, and, together with the patient, determine the most effective and appropriate treatment. The goal is to create an environment where the clinician partners with the patient in shared decision-making to choose the most effective appropriate treatment for the individual patient.

scholarly journals Acromioclavicular Dislocation Associated with Coracoid Process Fracture: Report of Two Cases and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Ozkan Kose ◽  
Kerem Canbora ◽  
Ferhat Guler ◽  
Omer Faruk Kilicaslan ◽  
Hasan May
Keyword(s):  
Current Literature ◽  
Treatment Options ◽  
Coracoid Process ◽  
Demographic Characteristics ◽  
Diagnosis And Treatment ◽  
Mechanism Of Injury ◽  
Acromioclavicular Dislocation ◽  
Review Of The Literature ◽  
Rare Injury

Acromioclavicular dislocation associated with coracoid process fracture is a rare injury. Herein we reported two further cases with such combination of injuries and reviewed all previously published cases in current literature. In this review, we discussed the demographic characteristics, mechanism of injury, diagnosis, and treatment options extensively.

Spindle epithelial tumor with thymus-like differentiation: A case report and comprehensive review of the literature and treatment options

Head & Neck ◽  
2014 ◽  
Vol 37 (5) ◽  
pp. 746-754 ◽  
Author(s):  
Gonzalo Recondo ◽  
Naifa Busaidy ◽  
Jeremy Erasmus ◽  
Michelle D. Williams ◽  
Faye M. Johnson
Keyword(s):  
Case Report ◽  
Treatment Options ◽  
Review Of The Literature ◽  
Epithelial Tumor ◽  
Comprehensive Review

scholarly journals What We Know about the Long-Term Risks of Hysterectomy for Benign Indication—A Systematic Review

2021 ◽  
Vol 10 (22) ◽  
pp. 5335
Author(s):  
Obianuju Sandra Madueke-Laveaux ◽  
Amro Elsharoud ◽  
Ayman Al-Hendy
Keyword(s):  
Patient Outcomes ◽  
Treatment Options ◽  
Uterine Fibroids ◽  
Decision Making Process ◽  
Shared Decision ◽  
Short Term ◽  
Surgical Interventions ◽  
Long Term Impact ◽  
Made In

Hysterectomy is the most common treatment option in women with uterine fibroids, providing definitive relief from the associated burdensome symptoms. As with all surgical interventions, hysterectomy is associated with risk of complications, short-term morbidities, and mortality, all of which have been described previously. However, information on the potential long-term risks of hysterectomy is only recently becoming available. A systematic literature review was performed to identify studies published between 2005 and December 2020 evaluating the long-term impact of hysterectomy on patient outcomes. A total of 29 relevant studies were identified. A review of the articles showed that hysterectomy may increase the risk of cardiovascular events, certain cancers, the need for further surgery, early ovarian failure and menopause, depression, and other outcomes. It is important to acknowledge that the available studies examine possible associations and hypotheses rather than causality, and there is a need to establish higher quality studies to truly evaluate the long-term consequences of hysterectomy. However, it is of value to consider these findings when discussing the benefits and risks of all treatment options with patients with uterine fibroids to allow for preference-based choices to be made in a shared decision-making process. This is key to ensuring that patients receive the treatment that best meets their individual needs.

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