Management of borderline ovarian tumors: A retrospective study in Northern Greece

Kyriaki Mitta, Ioannis Tsakiridis, Akriola Fachiridou, Fotios Zachomitros, Themistoklis Dagklis, Apostolos Mamopoulos, Apostolos Athanasiadis, Ioannis Kalogiannidis

Introduction: Borderline ovarian tumors (BOTs) are tumors of low malignant potential commonly presented in women of reproductive age. Their incidence has been increasing over the years and issues regarding fertility preservation are very crucial …

Primary malignant melanoma of the vagina: A case report and a mini review

Konstantinos Zacharis, Eirini-Aikaterini Evangelopoulou, Konstantina Balafa, Ourania Koukoura, Alexandros Daponte

Primary vaginal melanoma is a rare and aggressive entity affecting the vaginal wall without any involvement of the uterine cervix or the vulva. It usually occurs in elderly women. We hereby present an 87-year-old woman who presented with recurrent vaginal bleeding. Vaginal examination revealed a 3cm hyperpigmented lesion …

Comparison between ibuprofen and paracetamol in primary dysmenorrhea

Panagiotis Christopoulos, Maria-Konstantina Liakopoulou, Victoria Perdikari, Nicolaos Vrachnis, Theodoros Kalampokas, Nikolaos Vlachos

Background: Primary dysmenorrhea refers to the symptom of painful menstruation in the absence of identifiable pelvic or uterus pathology. Initial presentation usually occurs in adolescence and early adulthood. Medications used to treat primary dysmenorrhea include anti-inflammatory drugs, principally, ibuprofen and paracetamol…

Abdominal wall endometriosis after cesarean section

Thanasas K. I, Papavasileiou S

The abdominal wall is the most common position locating endometriosis. The presentation of the event concerning the occurrence of endometriosis in scar of laparotomy after cesarean section. A patient, four years after cesarean section performed with Pfannestiel, came to our outpatient clinic with abdominal pain primary located in the left end of the surgical scar. Based on history and clinical findings was the suspected endometriosis …

Clinical characteristics and current therapeutic approach of patients with synchronous primary endometrial and ovarian cancers

Androutsopoulos Georgios, Vitsas Charalampos, Thanatsis Nikolaos, Michail Georgios, Terzakis Emmanouel, Decavalas Georgios

Synchronous primary endometrial and ovarian cancers are relatively uncommon in general population. Although their pathogenesis still remains unclear, embryologic, hormonal, genetic or other phenomena may be responsible for the development of synchronous primary endometrial and ovarian cancers. The most common symptoms and signs in those patients are: abnormal uterine bleeding …

Melanoma metastatic to the breast

Ioannidis Charilaos

Metastatic tumors to the breast are rare. A case of a 49- year old female patient with a fast growing breast lump, that proved to be metastatic melanoma from an earlier treated cutaneous melanoma of the lower extremity, is presented. Treatment suggestions are made considering the dismal prognosis of these patients …

Clinical characteristics and current treatment approach of vaginal primary malignant melanoma

Georgios Androutsopoulos, Georgios Michail, Nikolaos Thanatsis, Charalampos Vitsas, Emmanouil Terzakis, Georgios Decavalas

Vaginal primary malignant melanoma (VPMM) is a very rare clinical entity. Most patients with VPMM usually have no specific symptoms or signs (abnormal vaginal bleeding, abnormal vaginal discharge, palpable vaginal mass and pain). VPMM has a very aggressive clinical behaviour. Moreover, patients with VPMM are usually diagnosed at advanced stage disease …

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 …

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 …