This report documents the medical record abstraction form and guidelines for appropriateness of hysterectomy used in the HMO Quality of Care Consortium study of this procedure. The abstraction form was designed to follow the format of a medical record so that abstraction would be both accurate and efficient. For each item or group of items, the section of the medical record that was to serve as th.....
Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Retroperitoneal smooth muscle tumor of uncertain malignant potential after hysterectomy: a case report...
Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Brachytherapy versus radical hysterectomy after external beam chemoradiation: a non-randomized matched comparison in IB2-IIB cervical cancer patients
All this information
was important for the determination of the villous height /crypt depth ratio that may
indicate the proper development of intestinal epithelia regulated by probiotics.
Authors also deliberate on the villous surface area parameter that may contribute to
the enhancement of the intestinal absorptive area which seems to be positively
regulated by probiotics in a majority of the available evidence.
Giải phẩu: Trong trường hợp ung thư cổ tử cung (CTC), hystérectomie totale (HT) là phẩu thuật thích nghi, thường kèm theo phẩu thuật lấy các mô lân cận (paramètres) nằm giữa CTC và vách chậu, phối hợp với lấy các hạch vùng chậu
Phẩu thuật hình nón cổ tử cung(connisation cervicale, cone biopsy) được chỉ định ở các ung thư CTC phát hiện sớm (I0, Ia). Ưu điểm cuả phẩu thuật nầy là cho phép bệnh nhân bảo tồn khả năng sinh con.
About one-third of American women will
eventually have a hysterectomy, the second
most common surgery after cesarean
section. Why so common? Basically,
hysterectomy can cure a variety of uterine problems:
✿ Fibroids. Hysterectomy is most often recommended
for serious cases of fibroids (benign tumors
that grow in the uterus wall). Fibroids can grow
large and may cause great pain and heavy bleeding.
Depending on the severity, physicians and patients
may decide to try treatments other than hysterectomy.
In a surgery called myomectomy, the fibroids
are removed but the uterus stays in place.
If a patient has previously undergone a hysterectomy, the cervix is usually
no longer present and only a vaginal cuff remains. If the pathology was
benign, then the patient no longer requires Pap smears (11). However, if the
hysterectomy was performed for cervical cancer or dysplasia, cervical cancer
screening on the vaginal cuff should continue since remnants of cervical
tissue may be present. These women are also at higher risk for vaginal in-
traepithelial neoplasia (VAIN) and vaginal cancer.
Điều trị ung thư tử cung bằng phẫu thuật là việc cắt bỏ tử cung. Việc phẫu thuật gọi là hysterectomy (thủ thuật cắt bỏ tử cung). Trong hầu hết các trường hợp, bác sĩ phụ khoa sẽ cắt bỏ cả hai buồng trứng và các ống dẫn trứng. Đôi khi các hạch bạch huyết gần tử cung cũng được cắt bỏ. Biện pháp này được biết đến như là thủ thuật cắt bỏ tử cung của Wertheim.
Significant postpartum hemorrhage may occur immediately after delivery, or may be delayed weeks or months. In either case, a Cesarean or later postpartum hysterectomy may be lifesaving. The uterus will normally be sent for laboratory examination. To facilitate a useful surgical pathology report, the pathologist must be given details of the antepartum course and delivery. Considering how uncommon these specimens are, direct communication between pathologist and clinician is recommended.
Uterine myomas are the most common benign tumors in women, affecting
20%–50% of reproductive age population. Myomas cause significant morbidity
and are the single most common indication for hysterectomy in the United States,
representing a major personal and public health concern worldwide. Recent
research on the cellular and molecular biology of myomas has enabled us to
understand better the pathogenesis and pathophysiology of this tumor, but more
remains to be done.
Uterine fibroids are the most common benign pelvic tumors in women of reproductive age. They affect 20–40% of those women1 but are found in 75% of hysterectomy specimens2. This is due to the mones fact that most fibroids are asymptomatic. Estimate of prevalence would need to be based on oultrasound screening.
Calcified plaque in the coronary arteries is a marker for atheromatous-plaque burden
and is predictive of future risk of cardiovascular events. We examined the relationship
between estrogen therapy and coronary-artery calcium in the context of a randomized
In our ancillary substudy of the Women’s Health Initiative trial of conjugated equine
estrogens (0.625 mg per day) as compared with placebo in women who had undergone
hysterectomy, we performed computed tomography of the heart in 1064 women
aged 50 to 59 years at randomization.