Volume 1 Issue 1
Editorial: Is Endocervical Crypt Involvement by CIN A Newly Identified Risk Factor for Disease Recurrence Following Cervical Treatment?
Dimitrios Papoutsis*
There is evidence suggesting that endocervical crypt involvement by cervical intraepithelial neoplasia (CIN) is a risk factor for disease recurrence following excisional and ablative cervical treatment. Even though the rates of crypt involvement by CIN in cervical tissue vary greatly between 15-58%, it has been demonstrated that the presence of this risk factor increases almost two-fold the risk of recurrence following treatment.
Cite this Article: Papoutsis D. Is Endocervical Crypt Involvement by CIN A Newly Identified Risk Factor for Disease Recurrence Following Cervical Treatment ?. SRL Reprod Med Gynecol. 2015;1(1): 005-008.
Published: 31 December 2015
Research Article: Neoplasms Power Morcellation - An Emerging Risk Complicating Minimally Invasive Surgery of Uterine Mesenchymal
Hsuan Chin*, Ada Ng, Bernard SM Chern
Objective: To determine the local incidence and clinical consequences of myoma following intraperitoneal dissemination via morcellation.
Materials and Method: An electronic search for laparoscopic myomectomies from the computer data base of a tertiary hospital and a separate search for sarcoma or myomata with atypical features on National Cancer Registry were carried out for the 10-year study period. The identified cases have their medical records traced, their data extracted and studied in details.
Results: The incidence of unexpected diagnosis i.e. variants, atypia and malignancy is 0.23% and the incidence of unexpected sarcoma is 0.10%. One of the four cases who underwent subsequent laparotomy was found to have peritoneal dissemination. She is also unfortunately the only mortality in this study.
Conclusion: Although laparoscopic surgeries have proven benefits over the open surgeries, dissemination of unexpected malignancy and extra-uterine seeding are major concerns currently. At the moment, maybe morcellation in the endobag or cutting the specimen using knife or scissors may be considered as alternative surgical techniques.
Cite this Article: Chin H, Ng A, Chern BSM. Self-Consciousness, key in the Understanding of Neurodegenerative Diseases' Behavioural Troubles. SRL Reprod Med Gynecol. 2015;1(1): 001-004.
Published: 31 December 2015
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