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Assessment of gynaecological and general history parameters inpregnant women in long term refugee camps in Greece: results from a pilot program

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Vasilios Pergialiotis, Chryssoula Botsi, Ioanna Papari, Stavroula Gkritziou, Kassiani Mellou, S. Pappas, Agis Terzidis, Theofilos Rosenberg

 

 

Objective:The purpose of the present article is to present preliminary data related to the gynecological history and current health status of pregnant refugees that reside in long-term refugee camps in Greece. Materials and Methods: The study was funded by the European program “PHILOS – Emergency health response to refugee crisis” of the Greek Ministry of Health, implemented by the Hellenic Center for Disease Control and Prevention (HCDCP), funded by the Asylum…

Posted in 2019 Volume 18 – Issue 3 Tagged , , , ,

“Extensive” T4 breast tumors: Considerations regarding local management.

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Ioannidis Charilaos

 

 

“Extensive” T4 malignant breast tumors are not uncommon and can be either primary or recurrent. Theycan present without or be accompanied by distant metastases at the time of initial presentation. They share one or more of the following symptoms: mass effect, pain, malodor, esthetic distress, exudation, pruritus, bleeding, and crusting. The aim of their treatment is therapeutic, when possible, or palliative, which is quite often the case. A small case series of three female patients with “extensive” T4 breast cancer is presented…

Posted in 2019 Volume 18 – Issue 3 Tagged , , , , , , , , , , , ,

Pemphigus vulgaris in pregnancy. A rare case report

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Ioannis Kokolakis, Fanis Makrigiannakis, Sabine Kruger, Konstantinos Krasagakis, Antonios Makrigiannakis

 

 

Pemphigus vulgaris (PV) is an autoimmune, bullous, mucocutaneous and potentially life-threatening disease. During pregnancy the occurrence of PV is exceedingly rare and its condition will become more complicated due to different mother’s hormone level and the effect of treatment on both mother and her fetus. PV may be associated with an adverse outcome, such as fetal growth restriction and preterm births. We report a case of a 33-year-old woman who was firstly diagnosed with PV during pregnancy…

Posted in 2019 Volume 18 – Issue 3 Tagged , , ,

Glycogen storage disease type iv: a case with histologic findings in placental tissue from first trimester miscarriage

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Anastasia Papakonstantinou, Konstantinos Zacharis, Stavros Kravvaritis, Theodoros Charitos, Eleni Chrysafopoulou, Anastasia Fouka

 

 

Glycogen storage disease Type IV is a rare hereditary autosomal recessive disorder caused by deficient enzymatic activity of glycogen branching enzyme (GBE) which is encoded by GBE1 gene. We hereby report the case of a 32-year-old woman presented with a first-trimester miscarriage. The histologic findings of the placental tissue included intracytoplasmic inclusion vacuoles suggested GSD‐IV. The diagnosis was confirmed by the genetic analysis of the parents, in which mother was found to be carrier of a GBE1 mutation…

Posted in 2019 Volume 18 – Issue 3 Tagged , , , ,

Liquid biopsy and ovarian cancer; Where do we stand?

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Charalampos Theofanakis, Nikolaos Thomakos, Dimitrios Haidopoulos, Alexandros Rodolakis

 

 

Characterized as “silent killer” due to lack of symptoms in the early stages, ovarian cancer represents the most lethal gynecological malignancy. Over the years, there has been an effort to establish effective screening methods in order to assure early detection of the disease. Methods such as serum cancer antigen 125 (CA-125) and transvaginal ultrasound (T/V-US) have been proposed and tested, but with unsatisfactory results, regarding the sensitivity and specificity of the different protocols that are used…

Posted in 2019 Volume 18 – Issue 3

Training in ObGyn in Europe neighborhood

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Loutradis Dimitris

 
There are still variations in ObGyn training across Europe due to political, social and cultural reasons, influencing the quality of training. Initiatives to promote an equivalent high level of training across Europe to secure women’s healthcare and facilitate the mobility of ObGyn trainees and specialists across Europe are promoted. Under this aspect the regulation of training posts may should internationally than locally regulated. However, national economy strongly affects the quality of training in some countries raising a barrier to the uniformity of education…

Posted in 2019 Volume 18 – Issue 2

Complications and Management of Asymptomatic Patients with Measles Infection During Pregnancy

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Zacharias N Fasoulakis, Georgios Galazios, Vasileios Liberis, Emmanuel N Kontomanolis

 

Measles virus is a member of the family Paramyxoviridae that causes an epidemic disease with worldwide distribution, with the main symptom of this systematic disease being a prodrome of fever and a pathognomonic enanthema (Koplik spots), followed by a maculopapular rash. The rash usually appears about 14 days after the patient’s exposure and even though vaccination has led the virus to be limited to preschool children and young adults, measles infection can cause severe and even fatal complications in adults, pregnant women and immunocomprised patients…

Posted in 2019 Volume 18 – Issue 2 Tagged , , , ,

What the Gynecologist expect from Ultrasounds

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Antonios Koutras, Nikolaos Thomakos, Panagiotis Antsaklis, Aris Antsaklis, Dimitrios Loutradis

 

Diagnostic medical ultrasound was first developed in the 1960s but it did not become part of routine clinical practice until the late 1970s. TVUS was introduced in the 1980s and it has expanded rapidly because of the improved quality of pelvic imaging provided bu high frequency transducers (5-7 Hz). It is generally accepted that ultrasound is the most important and primary tool in Gynecology. It represents essential part of the diagnostic process in examining the female pelvis and the first investigation for the majority of relative symptoms. Emphasis must be given in how to maximize image quality and how to recognize normal and pathologic features…

Posted in 2019 Volume 18 – Issue 2 Tagged , , ,

Adnexal torsion during pregnancy: A rare cause of acute abdomen

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Konstantinos Zacharis, Stavros Kravvaritis, Theodoros Charitos, Eleni Chrysafopoulou, Anastasia Fouka

 

 
Ovarian torsion is caused by rotation of the ovary or adnexa with the vascular pedicle on its axis resulting in arterial and venous obstruction. Here we report a case of a pregnant woman presented to the emergency department in early second trimester with acute abdomen. History revealed the presence of an ovarian mass detected by ultrasonography 6 months before pregnancy. Sonographic examination showed right adnexal mass with abnormal Doppler velocimetry and thus immediate laparotomy was decided. Right salpingo-oophorectomy was performed and post-operative course of the patient was uneventful…

Posted in 2019 Volume 18 – Issue 2 Tagged , , ,

Report on the activities of the Hellenic Committee of Trainees in Obstetrics and Gynecology representatives for the year 2018 and planning of future activities

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Anastasios Potiris, Athanasios Douskos

 

 
First of all, via this letter, we would like to inform you about the actions in which we participated in 2018. After the establishment of the Hellenic Committee of Trainees in Obstetrics and Gynecology, we took part in the annual Scientific Meeting and Council of the European Network of Trainees in Obstetrics and Gynaecology (ENTOG) as well as in the 26th European Congress of the European Board and College of Obstetrics and Gynecology (EBCOG), both of which were successfully held in Paris and you have received our preceding reports…

Posted in 2019 Volume 18 – Issue 2