Obstetrics and Gynecology
Behnaz Nouri; Maliheh Arab; Mohammad Nasiri
Volume 8, Issue 5 , September and October 2023, , Pages 484-490
Abstract
Background & Objective: Endometriosis is one of the most common diseases in the female population. The range of diagnostic delays in this disease is long and leads to adverse health-related consequences. The aim of this study was to evaluate diagnostic experiences in patients with endometriosis ...
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Background & Objective: Endometriosis is one of the most common diseases in the female population. The range of diagnostic delays in this disease is long and leads to adverse health-related consequences. The aim of this study was to evaluate diagnostic experiences in patients with endometriosis who are candidates for laparoscopic surgery.Materials & Methods: This cross-sectional study was performed on 433 patients with endometriosis who were candidates for laparoscopic surgery referred to Shohada-Tajrish Hospital in Tehran, Iran, between January 2016 and December 2021. A questionnaire including demographic and clinical information, MRI, and pathology reports were collected from participants. The MRI lesions were segmented and the results were compared with pathology and clinical examination. For statistical analysis SPSS software, version 22 was used.Results: A total of 433 participated in this study with a mean age of 34.18±7.99. The average estimated duration of disease symptoms (months) was 40.58±42.33. The predictive value of clinical symptoms is weak compared to MRI. However, the probability that the disease is not present when the clinical signs are negative is acceptable in most of the endometriosis sites. MRI considerably shows the true negative rate, but its sensitivity is only relatively acceptable for the diagnosis of ascites (67.66%). Calculating the accuracy of MRI reports probably shows the overall classification of the patients via MRI test.Conclusion: despite extensive research, there are no suitable and accurate non-invasive methods for diagnosing endometriosis. MRI and clinical examination alone are not useful for definitive diagnosis and it is better to examine biomarkers and artificial intelligence for non-invasive and accurate diagnosis of this disease.
Gynecology Oncology
Arvin Arian; Masume Giti; Azamosadat Moosavi; Setare Akhavan; Arash Azhideh; Mehran Arab-Ahmadi
Volume 5, Issue 1 , August 2020, , Pages 19-23
Abstract
Background & Objective: Endometrial cancer is the most frequent genitourinary tract malignancy in women. Women with endometrial cancer mostly refer at early stages of the disease which leads to good prognosis. Magnetic resonance imaging (MRI) has a crucial role in staging of the cancer. As there ...
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Background & Objective: Endometrial cancer is the most frequent genitourinary tract malignancy in women. Women with endometrial cancer mostly refer at early stages of the disease which leads to good prognosis. Magnetic resonance imaging (MRI) has a crucial role in staging of the cancer. As there are little studies regarding the correlation between histopathology and International Federation of Gynecology and Obstetrics (FIGO) staging in Iranian women with endometrial cancer, we designed this study to assess the relationship between histopathology and FIGO staging with MRI in Iranian women with endometrial cancer.Materials & Methods: This retrospective study was conducted in Imam Khomeini hospital complex between January 2015 and January 2018. All MRIs were performed on a 3T system. All imaging was done in Imam Hospital under observation of attending Radiologists with 10 and 20 years of work experience in women’s imaging who conducted this research. Obtained surgical specimens were assessed by an expert pathologist in the field of cancer and type of cancers were determined.Results: Thirty two women with proved endometrial cancer (D&C or endometrial biopsy) were enrolled. Mean age was 55.2±10.7 years and all women referred to our clinic with vaginal bleeding. The most common FIGO staging was IA (14, 43.75%) and the most frequent pathology was endometrioid type adenocarcinoma (30, 93.7%) (60% well differentiated, 13.3% moderately differentiated, and 26.6% poorly differentiated). Most cases with endometrioid type poorly differentiated referred with IIIC1 stage of cancer, most patients with endometrioid type well differentiated referred with stage IA, a patient with clear cell cancer referred with stage IIIB, and patients with sarcoma referred with stages IB, and IV.Conclusion: Patients with poor differentiated endometrial cancer referred with higher stages of the cancer.
Behnaz Moradi; Shohreh Sadrarhami; Masoumeh Banihashemian; Masoumeh Gity; Ahmad-Reza Tahmasebpour; Mohamad Ali Kazemi
Volume 3, Issue 4 , November and December 2018, , Pages 165-168
Abstract
Background & Objective: Sacrococcygeal teratomas (SCTs) are uncommon germ cell tumors with significant perinatal and postnatal mortality and morbidity rate.
Case Report: We present a case of large fast growing (86x63mm) mostly cystic SCT in a 27-year-old woman with 23 weeks of gestational age ...
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Background & Objective: Sacrococcygeal teratomas (SCTs) are uncommon germ cell tumors with significant perinatal and postnatal mortality and morbidity rate.
Case Report: We present a case of large fast growing (86x63mm) mostly cystic SCT in a 27-year-old woman with 23 weeks of gestational age and normal first trimester ultrasound exam. The fetus was evaluated by both magnetic resonance imaging (MRI) and ultrasonography.
Conclusion: Findings regarding tumor location, size, and content were similar for both sonography and MRI methods, though vascular pattern was detected with higher accuracy and more details by sonography. Meanwhile, MRI provided more appropriate information about tumor effects on surrounding tissue and conus location.
