Proteomics and gynecological cancer

Makedou K, Prapas N, Kourtis A, Makedos G

Proteomics is the study of the complete protein complement of the human genome, the “proteome”. Various technologies have been developed for the purposes of proteomics, such as mass spectrometry. In oncology, proteomics can provide the identification of a panel of proteins, which can be used as biomarkers for early cancer detection, for disease stage determination, for the application …

Posted in 2008 Volume 7 – Issue 4 Tagged , , , ,

Τhe role of genes in the polycystic ovary syndrome: Predisposition and mechanisms

Kouskouti C, Kousteni E, Christopoulos P, Deligeoroglou E

The polycystic ovary syndrome (PCOS), mainly characterized by clinical and/or biochemical hyperandrogenism, ovarian dysfunction and/or polycystic morphology and associated metabolic disorders, is the most common endocrine disorder in women of reproductive age. The observed aggregation of PCOS cases within the same families and the persuasion that the interaction between multiple genetic …

Posted in 2008 Volume 7 – Issue 3 Tagged , , ,

The sentinel lymph node procedure in gynecologic oncology: Review of the literature

Kalogiannidis I, Xiromeritis P, Prapas Y, Prapas N

Lymphadenectomy contributes to the optimal staging and treatment of patients with gynecologic cancer. However, the former approach is not without adverse outcomes. The aim of the sentinel lymph node (SLN) procedure, which is the first node involved by the tumor, is to detect the group of patients with positive SLN, who will benefit from the lymphadenectomy. On the other hand …

Posted in 2008 Volume 7 – Issue 3 Tagged , , , ,

Pathogenetic mechanisms of vaginal yeast infections

Αvgoulea A, Lambrinoudaki I, Creatsa M, Kaligerou I, Botsis D

Vulvovaginal fungal infection is one of the most common infections of the genital tract. Candida albicans is the most important cause of the infection. The presence of candida albicans in the vaginal liquid is not necessarily a pathologic finding and should be examined in correlation with the presence of the classical symptoms which include pruritus, dysuria and dyspareunia …

Posted in 2008 Volume 7 – Issue 3 Tagged , ,

PAI-1 activity and polymorphism 4G/5G in women with idiopathic recurrent miscarriage

Sotiriadis A, Stefos T, Pavlou M, Kolaitis N, Vartholomatos G, Dova L, Paraskevaidis E, Kalantaridou S

Plasminogen activator inhibitor (PAI) indirectly affects trophoblastic invasion, antagonising the promoting effect of urokinase-type plasminogen activator (uPA). Plasminogen activator inhibitor (PAI) levels and the distribution of PAI-1 gene 4G/5G polymorphism were examined in 46 women with ≥2 consecutive unexplained first trimester abortions and 34 matched controls …

Posted in 2008 Volume 7 – Issue 3 Tagged , , ,

Episiotomy and repair of obstetric perineal injuries: The Greek current practice

Gregoriades T, Athanasiou S, Zisou A, Sotiropoulou M, Antsaklis A

To assess current practices regarding episiotomy and the repair of obstetric perineal injuries among Greek obstetricians and gynecologists and to identify any relative training deficiencies, a questionnaire was sent to obstetricians and gynecologists practicing in the Athens area. 121 out of 130 questionnaires were completed. An episiotomy was always performed by 50% of the doctors …

Posted in 2008 Volume 7 – Issue 3 Tagged , ,

Pregnancy related osteoporosis

Diamantopoulou S, Karanikolopoulos P, Kassanos D

Pregnancy related osteoporosis is a rare disease. Both etiology and mechanism remain unknown. Pregnancy causes considerable alterations in calcium levels, in hormones regulating calcium levels and homeostasis as well as a gradual decline of bone mineral density (BMD). Osteoporosis may also appear during the puerperium or affect pregnant teenagers. The usual symptoms are low back pain …

Posted in 2008 Volume 7 – Issue 2 Tagged , ,

Pathogenesis of endometriosis: Classic theories and recent data

Papadias K, Αvgoulea A, Lambrinoudaki I, Κreatsa M, Christodoulakos G

Endometriosis is an enigmatic disease, as the etiopathogenetic mechanism remains still unclarified. The classic theories of implantation, induction and metaplasia are unable to give an explanation for all the cases of endometriosis. Based on the classic theories and mainly on the implantation theory of Sampson, many authors tried to analyze immunologic mechanisms responsible …

Posted in 2008 Volume 7 – Issue 2 Tagged , , ,

Medical management of preterm labor

Thanassas J, Koukoura Ο, Κoumantakis G, Sifakis S

Preterm birth is the leading cause of infant mortality and morbidity. The rate of preterm birth has steadily increased over the past two decades, possibly associated with the increase of the use of assisted reproductive treatments and the limited effectiveness of tocolysis. Tocolytic agents may postpone preterm labor for a short time, enough for the action of corticosteroids and the transfer …

Posted in 2008 Volume 7 – Issue 1 Tagged , , , , , , , , , ,

Liver diseases in pregnancy

Grammatikakis J, Evaggelinakis N, Kassanos D

Acute viral hepatitis is the most common cause of jaundice in pregnancy. Chronic hepatitis B or D infections may be transmitted to the neonate. However, hepatitis B virus transmission is effectively prevented with perinatal hepatitis B vaccination and prophylaxis with hepatitis B immune globulin. Cholelithiasis occurs in 6% of pregnancies. Complications can be safely treated …

Posted in 2008 Volume 7 – Issue 1 Tagged , , ,

Endometriosis: Newer data of the disease pathogenesis

Karanikolopoulos P, Εvaggelinakis E, Kassanos D

Endometriosis is a disease that affects millions of women around the world, with significant impact on their quality of life. Modern therapeutic approaches mainly aim to relieving women from their symptoms-cronic pelvic pain and infertility-while its potential role as predisposing factor for several types of cancer, especially for ovarian cancer, is still under investigation …

Posted in 2008 Volume 7 – Issue 1 Tagged , , ,

Safety and reliability of diagnostic hysteroscopy in pre- and post-menopausal women

Μakris N, Vomvolaki E, Αntsaklis A

Diagnostic hysteroscopy is an examination method of the endometrial cavity, used since the 19th century. The development of technology improved the instruments which are required. Hysteroscopy has been increasingly used as first line investigation for the diagnosis and the treatment of many diseases involving the uterine cavity. The purpose of this study was to report the hysteroscopic …

Posted in 2008 Volume 7 – Issue 1 Tagged , ,

Postoperative intrabdominal adhesions

Pados G, Almaloglou K, Bontis J

Postoperative adhesions are a significant complication of all abdominal surgical procedures. Adhesions formation is a consequence of peritoneal trauma and may lead to infertility, bowel obstruction and chronic pelvic pain. The major strategies for adhesion prevention are focused to the optimization of surgical technique and the use of antiadhesive agents which fall into two main categories …

Posted in 2007 Volume 6 – Issue 4 Tagged , ,