Vasilios Lygizos, Iakovos Tomadakis, Dimitrios-Efthimios Vlachos, Kalliroi Goula, Nikolaos Thomakos, Dimitrios Haidopoulos
This case report presents the clinical course of a 56-year-old woman admitted to the Emergency Department with a complex array of symptoms, including vaginal bleeding, muscular weakness, and severe back pain. Subsequent investigations led to the diagnosis of a highly malignant neoplasm, suspected to be microcellular carcinoma …
Michail Georgios, Androutsopoulos Georgios, Georgantis Apostolos, Adonakis Georgios, Decavalas Georgios
Our aim was the illustration of the controversies that occur during pregnancy related to the mode of obtaining and interpreting a cervical smear, specific colposcopic features, as well as the approach of diagnosing, following- up and treatment, based on the findings of the Papanicolaou smear. A review of the literature as well as the updated American Society of Colposcopy …
Nikolaos Thomakos, Sofia-Paraskevi Trachana, Michalis Liontos, Aristotelis Bamias, Alexandros Rodolakis
Cervical cancer is one of the most popular and lethal gynecological cancers worldwide. The standard treatment for early stage cervical cancer is radical hysterectomy combined with bilateral pelvic lymph node assessment. The infertility and the serious complications follow the radical hysterectomy, has lead gynecologic-oncologists to revise radical surgical approaches …
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 …
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 …
Chilaris GH, Tsoumpis T, Alarkof E, Karkotis K, Daveta A
The role of laparoscopy in the management of abdominopelvic malignancies is constantly evolving. Recebt data from clinical trials demonstrate that laparoscopic surgical staging has equal efficacy (lymph node counts, disease free survival) compared to traditional open cases and can be safely performed in selected patients. We report a case of laparoscopic radical hysterectomy …
Kontou S, Chaidogiannos K, Trianti M, Salamalekis E
Persistent infection with one of the oncogenic HPV types is necessary for the development of cervical cancer. The role of HPV in cervical carcinogenesis and their immune response have created expectations for prevention. Vaccines based on the induction of neutralizing antibodies against the HPV structural proteins L1 and L2 are termed “prophylactic”. Vaccines based on the induction …