Galanopoulos GN, Galazios G, Rogganaki BA, Kontomanolis E
Pregnancy in patients with rheumatoid arthritis
Fertility-sparing surgical options in patients with early cervical cancer: Radical vaginal or abdominal trachelectomy?
Pigis D, Thomakos N, Lourantou D, Rodolakis A, Antsaklis A
Radical trachelectomy has emerged over the last years as a reasonable fertility-sparing operation for selected patients with stage I cervical cancer. The aim of this review was to summarize the latest literature and outline patient selection criteria, operative and oncologic outcomes. The majority of studies on fertility-sparing procedures in early stage cervical cancer examined …
Epithelial ovarian cancer of low malignant potential in a 15 year old patient: A case report
Ravanos Κ, Kologiannidis I, Tsertanidou A, Flaris N, Agorastos T
Epithelial ovarian cancer is extremely rare in adolescence but must be included in the differential diagnosis of an ovarian mass. Most patients present with early stage tumors of low malignant potential and achieve favorable overall survival. Preservation of fertility is essential, therefore conservative treatment is recommended according to oncological guidelines …
Pregnancy and breast cancer
Evangelinakis N, Polyzou E, Grammatikakis I, Kassanos D
Breast cancer is the second leading cause of death from cancer in women during pregnancy. Pregnancy-associated breast cancer presents a challenging clinical situation because of the special and unique circumstances surrounding the growth and differentiation of the developing fetus. The trend towards later age at first childbirth has resulted in an increase in the number of breast cancer …
Female urinary incontinence: A modern approach
Farfaras A, Zografos G, Litos M, Antoniou S
Female urinary incontinence is a common problem with important consequences. Its prevalence and severity have been underestimated, and its management has been inconsistent. The scientific and technical advances of the recent years have provided effective treatment options and have established urogynecology as a subspecialty. Urge incontinence results from bladder overactivity …
Breast abscesses
Ioannides C
Breast abscesses are classified into lactational-related and those which are not associated with lactation. They are infrequent, however, they can cause considerable morbidity. The diagnosis is mainly clinical. They are treated with ultrasound assisted aspiration or, occassionally, with incision and drainage. If there is suspicion of malignancy, an incisional biopsy of the abscess …
Surgical management of breast tuberculosis: Diagnostic and therapeutic approach
Marinopoulos S1, Gatzionis T1, Papaspyrou I2, Dimitrakakis C1, Antsaklis A1
Mammary (breast) tuberculosis is a rare manifestation of extra-pulmonary disease, which accounts for less than 0.1% of breast diseases in developed countries, but reaches 3-4% in endemic areas (India, Africa). It mostly appears in women of reproductive age, multiparous or lactating. It has been scarcely reported to infect male patients, mainly before puberty, as well as women …
Current knowledge on common molecular mechanisms involved in endometriosis and tumor metastasis
Timologou A, Ζafrakas Μ, Grimbizis G, MiliarasD, Kotronis K, Tarlatzis Β
Although several theories exist, the etiology and pathogenesis of endometriosis is poorly understood. Data from clinical and laboratory studies indicate that this disease has common characteristics with malignant neoplasms. The present review focuses on the common molecular mechanisms involved in both implantation of tissue at ectopic sites in endometriosis and tumor metastasis …
Gastrointestinal and vascular damage during total laparoscopic hysterectomy: A review of the literature
Katsakos I, Karpeta M, Paraskevaidis C, Papadis P, Paparistidis N
The following review examines the current role and complication rates of total laparoscopic hysterectomy (TLH), which is a hysterectomy completed entirely laparoscopically. Recent advances in equipment, surgical techniques and training have established total laparoscopic hysterectomy as a well tolerated and efficient technique. It is increasingly being adopted around the world …
Current management of gestational trophoblastic disease
Zacharakis D, Thomakos N, Rodolakis A, Antsaklis A
Gestational trophoblastic disease comprises a spectrum of interrelated conditions originating from the placenta. These conditions are classified as gestational trophoblastic disease (GTD), when they present a benign behaviour and as gestational trophoblastic neoplasia (GTN), when a malignant potential is present. Vaginal bleeding and hyperemesis gravidarum are the most common presenting …