Benign tumors and tumor-like lesions of the ovaries: structure, diagnostic methods, tactics of medical care

2021 ◽  
Vol 22 (1) ◽  
pp. 100-104
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Corpus Luteum ◽  
Diagnostic Methods ◽  
Ca 125 ◽  
Benign Tumors ◽  
Follicular Cyst ◽  
Treatment Research ◽  
Tumor Like Lesions ◽  
Corpus Luteum Cyst

Relevance of the study. Benign ovarian tumors (hereinafter referred to as BOT) and tumor-like lesions of the ovaries are an acute problem in gynecology, since they develop mainly in women of childbearing age (75-87%) and cause a decrease in reproductive potential. The aim of the study was to study the structure of the BOT and tumor-like lesions of the ovaries, to identify defects in the treatment. Research materials: in compliance with the legislation on the protection of personal data, with the preservation of medical secrecy, the medical records of 350 women who underwent inpatient treatment in 2017-2020 in the gynecological department of Maternity Hospital No. 3 in Tyumen were studied. Results of the study. Only 151 (43%) patients were admitted with complaints, the main complaint was nagging pain in the lower abdomen. The structure of the pathology: corpus luteum cyst – 95 (27%), follicular cyst – 63 (18%), benign endometrioma – 77 (22%). More rare cases: benign cystadenoma – 36 (10%), paraovarian cyst – 30 (9%), benign teratoma – 28 (8%), paratubar (inflammatory) cyst – 21 (6%). There were no statistically significant differences in the frequency of localization (right, left ovaries). The accuracy of ultrasound diagnostics was 99%. Conservative treatment was used in 89 (56%) patients with tumor-like ovarian formations (follicular cyst, corpus luteum cyst). The gynecological history of patients is characterized by a high frequency of inflammatory diseases of the pelvic organs, including chronic salpingo-oophoritis (22%), chronic metroendometritis (10%), inflammatory disease of the cervix (27%). The infertility rate was 7%. Normal CA-125 values were in 83%, increased in 17%. In the tactics of surgical treatment of various forms of BOT and tumor-like lesions of the ovaries, laparoscopy (73%) and Pfannenstiel laparotomy (25%) prevailed. Conclusion. The corpus luteum cyst and follicular cyst are the most frequent nosological form of pathological processes of the ovaries, they require careful diagnosis and, if necessary, the timely appointment of conservative treatment. Surgical treatment in the absence of indications for that or due to inappropriate therapy at the prehospital stage is considered as a defect in the provision of gynecological care.

scholarly journals Effect of some Nigerian traditional alcoholic beverages on the estrous cycle and histological assessment of the ovaries and uterus of albino rats

2021 ◽  
Vol 14 (1) ◽  
pp. 027-036
Author(s):  
Olusayo Moritiwon ◽  
Timothy Olugbenga Ogundeko ◽  
James Bitrus ◽  
David Oyebode ◽  
Olufunmilayo Ibiyemi Abobarin
Keyword(s):  
Corpus Luteum ◽  
Estrous Cycle ◽  
Ovarian Follicle ◽  
Alcoholic Beverages ◽  
Albino Rats ◽  
Histological Image ◽  
Follicular Cyst ◽  
Regular Consumption ◽  
Alcoholic Drinks ◽  
Corpus Luteum Cyst

Alcohol related health challenges have lingered over the years. Such associated with locally brewed alcoholic beverages have received little attention. The urgency to explore this becomes imperative. This study aimed at evaluating the effect of regular consumption of local alcoholic beverages on the estrous cycle and histological image of the ovaries and uterus thus fertility of female albino rats. Thirty screened female albino rats weighing 180-220g were divided into five groups and daily administered each with 10ml/kg of pito, burukutu, ogogoro, goskolo and 0.5ml/kg normal saline respectively for 21 days. Effect of the beverages on the estrous cycle as well as histopathological evaluation was carried out on the isolated ovaries and uterus. Results showed significant increase proestrous phase of the estrous cycle with ingestion of pito, burukutu, ogogorogo and goskolo. Also the histology of the ovary was basically without obvious pathological changes with pito, while there was alteration of histological parameters by burukutu, marked with formation of fibrosis, corpus luteum cyst resulting immature ovarian follicle, ogogoro marked with formation of fibrosis, corpus luteum cyst resulting immature ovarian follicle and goskolo marked with formation of multiple follicular cyst resulting in complete collapse of the ovarian section. The effect of traditional alcoholic beverages revealed the classical effects of alcoholic drinks by way of significant alteration in the estrous cycle of albino rats with marked alteration of the histological architecture of ovarian tissues. Pito, burukutu, ogogoro, and goskolo have a reprotoxic effect on the ovaries and uterus thus a deleterious effect on fertility of female albino rats.

BENIGN TUMORS BREAST GLASS

2021 ◽  
Vol 7 (2) ◽  
pp. 2-11
Author(s):  
Arif Guseynov ◽  
T. Guseynov ◽  
V. Odincov
Keyword(s):  
Surgical Treatment ◽  
General Practitioners ◽  
Clinical Picture ◽  
Relevant Information ◽  
Diagnostic Methods ◽  
Diagnosis And Treatment ◽  
Differential Diagnostics ◽  
Benign Tumors

The lecture provides relevant information for doctors of various specialties: oncologists, surgeons, mammologists, general practitioners on the problems of diagnosis and treatment of benign breast formations. The issues of etiology and pathogenesis, classification and clinical picture of various formations are highlighted, diagnostic methods, differential diagnostics, treatment tactics and methods of surgical treatment are described in detail.

scholarly journals Clinicopathological profile of ovarian tumors in the age group 10-20 years

2017 ◽  
Vol 6 (3) ◽  
pp. 877
Author(s):  
Priya V.
Keyword(s):  
Malignant Tumors ◽  
Polycystic Ovary ◽  
Abdominal Mass ◽  
Ovarian Tumors ◽  
Diagnostic Methods ◽  
Benign Tumors ◽  
Age Group ◽  
Follicular Cyst ◽  
Clinicopathological Profile ◽  
Group 10

Background: Adolescence is the period of transition from childhood to adulthood. 1% neoplasm occurs in this age group below 17 years, of this, 3% are ovarian neoplasms. Aim was to study retrospectively the clinicopathological profile and outcome of ovarian tumors in the age group 10-20 years in Government Medical College, Kottayam, Kerala, India from January 2008 for six years.Methods: Fifty Patients who have undergone laparotomy in this institution during the period were taken for study. Data regarding age, mode of presentation, diagnostic methods, treatment and histopathology were recorded. Follow-up was also taken into consideration. Patients with polycystic ovary, corpus luteal cyst, follicular cyst and endometriotic cyst are excluded.Results: Majority of the patients fall between the age group 15-20 years. Major clinical presentation was pain (40%), followed by abdominal mass. Laparotomy was done for all cases except three where laparoscopy was done. Imprint cytology taken for 3 cases. Histopathology showed malignant tumors in 6 cases and benign tumors in 44 cases. Epithelial tumors outnumbered germ cell tumors.Conclusions: This study shows the predominance of epithelial neoplasms in the age group 10-20 years. Proportion of malignancy is 12%.

scholarly journals Clinico-pathological correlation of ovarian tumors and tumor like lesions with role of CA125 and HE4 as biomarkers for discrimination of benign and malignant ovarian tumors

2018 ◽  
Vol 6 (7) ◽  
pp. 2238
Author(s):  
Nidhi Verma ◽  
Vandana Tiwari ◽  
S. P. Sharma ◽  
Preeti Singh ◽  
Monika Rathi ◽  
...  
Keyword(s):  
Ovarian Tumors ◽  
Benign Tumors ◽  
Epithelial Tumor ◽  
Epithelial Ovarian Tumor ◽  
Histopathological Correlation ◽  
Follicular Cyst ◽  
Significant Difference ◽  
Before And After ◽  
Tumor Like Lesions

Background: Ovarian tumors and tumor like lesions of ovary frequently form pelvic masses and are associated with hormonal manifestations. Clinically or surgically they can mimic malignancy but pathologically they could be benign tumors or tumor like lesions.Methods: The aim of present study is to do clinico-histopathological correlation of ovarian tumors and tumor like lesions of ovary and also evaluate the role of serum CA125, HE4 and calculate risk of ovarian malignancy algorithm (ROMA), for differentiation of benign and malignant ovarian tumors.233 cases of ovarian tumors and tumor like lesions were studied. Tumors were classified according to WHO classification. Clinical and histological findings were compiled on proforma and subjected to analysis.Results: In present study, out of total 233 cases, 41.2% were ovarian tumors and 58.8% tumor like lesions of ovary. Among tumor like lesions, follicular cyst was commonest lesion while among ovarian tumors, benign serous surface epithelial tumor was commonest. In patients with ovarian tumors, blood samples were collected, before and after the treatment for analysis of CA125, HE4 and ROMA.Conclusions: Serum values of CA125and HE4 as well as ROMA were highly elevated in women with malignant epithelial tumors as compared to women with benign lesions. Also, all the parameters i.e. HE4, CA125 and ROMA showed significant difference before and after surgery. Hence measuring serum HE4 and CA125 along with ROMA calculation may provide higher accuracy for detecting malignant epithelial ovarian tumor.

scholarly journals Vaikų priekinio tarpuplaučio navikų ir displazijų chirurginis

2007 ◽  
Vol 5 (3) ◽  
pp. 0-0
Author(s):  
Stanislovas Jonas Maknavičius ◽  
Benjaminas Siaurusaitis ◽  
Arūnas Valiulis
Keyword(s):  
Surgical Treatment ◽  
Respiratory Distress ◽  
Myasthenia Gravis ◽  
Clinical Symptoms ◽  
Malignant Tumors ◽  
Diagnostic Methods ◽  
Benign Tumors ◽  
Histological Structure ◽  
Malignant Tumours ◽  
Mediastinal Tumours

Stanislovas Jonas Maknavičius, Benjaminas Siaurusaitis, Arūnas ValiulisVilniaus universiteto Vaikų ligoninės Vaikų chirurgijos centras,Santariškių g. 7, LT-08406 VilniusEl paštas: [email protected] Įvadas / tikslas Vaikų priekinio tarpuplaučio navikai ir displazijos yra dažnesni nei plaučių/bronchų navikai. Jie yra embrioninės kilmės, labai įvairios histologinės struktūros. Iki operacijos jų diferencinė diagnostika yra sunki, ji patikslinama atlikus naviko biopsiją ir histologinį tyrimą. Literatūroje diskutuojama dėl operacinio pjūvio, operacijų apimties. Ypač daug neaiškumų yra analizuojant užkrūčio liaukos patologiją. Mūsų tyrimo tikslas – panagrinėti vaikų priekinio tarpuplaučio navikų ir displazijų įvairovę, aptarti diagnostikos ir chirurginio gydymo taktiką. Ligoniai ir metodai Retrospektyviai analizavome 73 vaikų, gydytų 1985–2006 metais Vilniaus universiteto Vaikų ligoninės 1-ajame chirurgijos skyriuje dėl priekinio tarpuplaučio navikų ir displazijų, ligos istorijas, operacijų protokolus, tyrimų duomenis. Ligoniai buvo tirti klinikiniais metodais, atlikti navikinių žymenų tyrimai, acetilcholino antikūnų kiekio tyrimas, rentgenogramos (ir su kontrastuota stemple), kompiuterinės tomogramos, echoskopija, angiogramos, aortogramos. Rezultatai Iš mūsų gydytų ligonių 45-iems nustatyti nepiktybiniai navikai ir displazijos, o 28-iems – piktybiniai navikai. Navikai dažniausiai lokalizavosi užkrūčio liaukoje (48 ligoniams), ne užkrūčio liaukoje (25 ligoniams). Kvėpavimo takų distreso ir kompresijos simptomai buvo 58 ligoniams (79,5%) ir visiems vaikams iki 3 metų. Myasthenia gravis simptomai buvo 11 vaikų, iš jų 7 sirgo sunkia forma. Tiksliai diagnozei nustatyti buvo atliekama naviko biopsija ir histologinis tyrimas. Visos displazijos, nepiktybiniai, solidiniai piktybiniai navikai ir ribotos limfomos pašalinti operaciniu būdu. Šešiems ligoniams, sirgusiems Hodžkino ir ne Hodžkino limfoma, atlikta tik židinio biopsija. Išvados Svarbiausias priekinio tarpuplaučio navikų klinikinis simptomas yra kvėpavimo distresas, rečiau būna karščiavimas ir myasthenia gravis sindromas. Šis sindromas būdingas tikrajai užkrūčio liaukos hiperplazijai, limfoidinei hiperplazijai bei timomoms. Priekinio tarpuplaučio navikai ir displazijos yra labai įvairūs. Diagnozei patikslinti atliekama biopsija ir histologinis tyrimas. Visus nepiktybinius navikus, displazijas, solidinius piktybinius navikus bei ribotas limfomas reikia šalinti tik nustačius diagnozę. Pagrindiniai žodžiai: vaikų priekinio tarpuplaučio navikai, užkrūčio liaukos navikai, chirurginis gydymas Surgical treatment of anterior mediastinal tumours and dysplasias in children Stanislovas Jonas Maknavičius, Benjaminas Siaurusaitis, Arūnas ValiulisVilnius University Children’s Hospital, Centre of the Pediatric Surgery,Santariškių str. 7, LT-08406 Vilnius, LithuaniaE-mail: [email protected] Background / objective Anterior mediastinal tumours and dysplasias are more common than pulmonary – bronchial tumours in children. They differ in histological structure. In children, the differential diagnosis and surgical treatment of mediastinal tumours and dysplasias are very difficult. The aim of this study was to analyse the diagnostic methods of various tumours and dysplasias and the tactics of surgical treatment. Patients and methods We analysed retrospectively 73 children‘s cases histories with anterior mediastinal tumours and dysplasias from the period 1985–2006. Clinical symptoms, histological diagnosis and methods of surgical treatment were analysed. Results Forty-five patients had benign tumors and dysplasias and 28 patients had malignant tumours. Thymic gland pathology was found in 48 patients. Respiratory distress syndrome was have diagnosed in 58 cases (79.5%). All children under 3 years had severe respiratory symptoms. Myasthenia gravis was present in 11 cases. Our data are based on histological analysis after biopsy or operation. All dysplasias, benign tumours, solid malignant tumours and local lymphomas were operated on and removed. Conclusions Anterior mediastinal tumours and dysplasias differed in histological structure. The most frequent symptom was respiratory distress, rare symptoms were fever or myasthenia gravis. All dysplasias, benign and solid malignant tumors and localised lymphomas were operated on and removed when the diagnosis had been confirmed. Keywords: anterior mediastinal tumours in children, thymic gland tumours, surgical treatment

scholarly journals Post-traumatic coccygodynia: current issues. Review of foreign literature

2021 ◽  
Vol 24 (2) ◽  
pp. 12-20
Author(s):  
Ildar I. Khidiyatov ◽  
Nazhip M. Galimov ◽  
Aitbai A. Gumerov ◽  
Maxim V. Gerasimov
Keyword(s):  
Surgical Treatment ◽  
Radiofrequency Ablation ◽  
Conservative Treatment ◽  
Diagnostic Methods ◽  
Diagnosis And Treatment ◽  
Scientific Publications ◽  
Optimal Method ◽  
Current State ◽  
Post Traumatic ◽  
Conservative And Surgical Treatment

There are no clear clinical recommendations for the diagnosis and treatment of patients with coccygodynia, and there are still debates about the choice of the best method of diagnosis, the effectiveness of blockades, the indications for surgical treatment and the most appropriate method of surgical treatment, and the need for antibiotics. The aim of the study is to evaluate the current state of the problem of diagnosis, conservative and surgical treatment of patients with post-traumatic coccygodynia based on the analysis of scientific publications. Materials and methods. A review of the literature data published on the problem of diagnosis and treatment of patients with post-traumatic coccigodenia is presented. The features of the anatomical structure of the coccyx are considered. Radiation methods for the diagnosis of coccygodynia, publication materials on the evaluation of the effectiveness of conservative and surgical treatment, and methods of surgical treatment of patients with coccygodynia are presented. The indications for surgical treatment and the results of surgical treatment of patients with coccygodenia are considered. Results. In coccygodynia, surgical treatment is indicated only in patients in whom comprehensive conservative treatment, the combined repeated blockades or radiofrequency ablation of the unpaired sympathetic ganglion are ineffective. Surgical treatment should only be carried out after the diagnosis has been precisely established, including the use of modern radiological diagnostic methods such as CT, MRI. The best method of coccyx resection is subperiosteal total proximal coccygectomy according to Key, with antibiotic therapy. The effectiveness of surgical treatment in patients with idiopathic coccygodynia is lower than in post-traumatic coccygodynia. Conclusion. Complex conservative treatment of patients with coccygodynia in most cases leads to recovery. Steroid blockades or radiofrequency ablation of the impair ganglion prove to be effective. Surgical treatment of post-traumatic coccygodynia is indicated only in cases of resistance to complex conservative treatment and ineffectiveness of blockades. The most optimal method of surgical treatment is subperiosteal proximal complete resection of the coccyx against the background of antibiotics.

scholarly journals BENIGN URETHRAL NEOPLASMS IN WOMEN

2020 ◽  
pp. 461-470
Author(s):  
S.KH. AL-SHUKRI ◽  
◽  
M.N. SLESAREVSKAYA ◽  
I.V. KUZMIN ◽  
◽  
...  
Keyword(s):  
Urinary Tract ◽  
Surgical Treatment ◽  
Laser Ablation ◽  
Clinical Symptoms ◽  
Clinical Course ◽  
Malignant Tumors ◽  
Diagnostic Methods ◽  
Benign Tumors ◽  
Urogenital Atrophy ◽  
Tract Infections

The review article presents current data on the diagnosis and treatment of benign urethral neoplasms (BUN) in women. BUNs are common diseases, manifest with express clinical symptoms and significantly impair the quality of life of patients. The main manifestations of BUN are urination disorders, pathological discharge from the urethra, pain, dyspareunia, as well as the presence of a palpable formation in the urethra. Risk factors for the occurrence of BUN include recurrent lower urinary tract infections, impaired blood flow in the urethra, trauma to the external opening of the urethra, hypoestrogenemia, which contributes to urogenital atrophy and hyperplastic processes in the urinary tract. Macroscopic signs, symptoms and clinical course of fibroepithelial polyps of the urethra, urethral caruncles, urethral condylomas, non-epithelial benign tumors of the urethra (leiomyomas, hemangiomas and others) are described. The detailed diagnostic methods of BUN are presented, and special attention is paid to differential diagnosis with malignant tumors of the urethra. It is noted that the final diagnosis is made on the basis of histological examination. The main treatment for BUN is surgical. The choice of surgical treatment method is determined by the type of benign neoplasm and the nature of the clinical course. The modern methods of surgical treatment of BUN are described in detail, including laser ablation. Keywords: Benign urethral tumor, urethral polyp , caruncle, leiomyoma, laser ablation.

Chemical Ablation in Adenoid Surgery

2018 ◽  
Vol 69 (10) ◽  
pp. 2722-2724
Author(s):  
Teodora Ioana Ghindea ◽  
Alexandru Dumitras Meius ◽  
Dragos Cristian Stefanescu ◽  
Catalina Pietrosanu ◽  
Irina Ionita ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Chronic Inflammation ◽  
Lymphatic Tissue ◽  
Tissue Mass ◽  
Surgical Method ◽  
Endoscopic Control ◽  
Chemical Ablation ◽  
Pharyngeal Tonsil

The pharyngeal tonsil is a lymphatic tissue mass located in the roof of the nasopharynx. The function of the pharyngeal tonsil is to prevent infections with the help of antibodies. Chronic inflammation and allergies lead to hyperplasia of the adenoids that is found almost exclusively in children. The treatment of choice is surgical treatment; conservative treatment is only indicated preoperatively or if surgery is contraindicated. In this paper, we will present a new surgical method for adenoidectomy performed trans-orally with coblation, under endoscopic control.

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