Outcomes and costs of open, robotic, and laparoscopic radical hysterectomy for stage IB1 cervical cancer. MIS is associated with decreased morbidity and costs. However, among women with ≥ 2 cm stage IB1 cervical cancer, MIS was associated with significantly decreased survival.
:: Noorchashm:: what is not looked for cannot be found??? Is every symptomatic woman over age 55, considered a candidate for complete or partial uterine resection (a.k.a. Hyster-ectomy), should undergo a hysteroscopic endometrial biopsy to directly identify and biopsy any abnormal endometrial tissue present. If an abnormality is found, the woman should undergo an oncological resection—preferably…
In women with high-grade cervical intraepithelial neoplasia (CIN 2,3), positive margins on the cone biopsy specimen are predictive of recurrent high-grade or invasive disease (CIN 2+). However, a recent meta-analysis found that a positive test for high-risk human papillomaviruses (HPV) after excision was a more accurate indicator of treatment failure (sensitivity 91 percent for HPV…
Studies reporting on outcomes of histologically confirmed CIN2 in non-pregnant women, managed conservatively for three or more months. Management of high-grade cervical intraepithelial neoplasia (CIN 2 or 3) has evolved over time, and current guidelines encourage expectant management rather than conization for young women, based on high regression rates. In a meta-analysis including over 3000…
Maxine Smith, 29, would bleed after sex, experienced pain during intercourse, suffered abdominal discomfort and had irregular periods in the year before her diagnosis. The mum-of-two claims she made repeated visits to her local doctors over a 12 month period to seek help but was told there was nothing to worry about. But Maxine luckily…
A leading expert in cancer immunology predicts that cervical cancer can be eliminated over a 20-year period if a comprehensive vaccination programme is implemented.
The test was officially introduced in December 2017, and revolutionises testing for cervical cancer in Australia. Many women might be pleased to hear that the dreaded discomfort of the two-yearly Pap smear has been replaced by a new and improved five-yearly cervical screening test.
Oral antihyperglycemic drugs are increasingly being prescribed instead of insulin for women with gestational diabetes. In the largest trial to date comparing glyburide and insulin in this population, the overall frequency of the composite outcome of macrosomia, neonatal hypoglycemia, or hyperbilirubinemia was similar in both treatment groups, but maternal and neonatal hypoglycemia rates were higher…
Whether it is possible to delay initiation of blood pressure management until later in pregnancy to offset the effect of antihypertensive treatment- CHIPS TRIAL