A desmoid tumor at the site of endometriosis surgery, coincident with the use of oral contraceptives

Publication date: Available online 7 June 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Masashi Takamura, Kaori Koga, Shigenobu Emoto, Kazushige Kawai, Yutaka Osuga, Soichiro IshiharaAbstractDesmoid tumors, which are often estrogen-dependent, frequently develop in surgical wounds.Here we report a Case of 33 year-old woman with a 4-cm solid mass detected in her left adnexal area. She had previously undergone a laparoscopic surgery for endometriosis at age 29, and had been using combined oral contraceptives (COC) to prevent recurrence. The mass was diagnosed as a uterine fibroid on the basis of ultrasonography and MRI scans. GnRH agonist therapy for 3M resulted in shrinkage of the tumor. Using a second laparoscopy, we identified a tumor originating from the sigmoid colon. The pathological diagnosis was desmoid tumor. Gynecologists should consider the occurrence of desmoid tumor in patients who have been using COC and undergone previous surgeries.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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ConclusionsThe few differences observed did not seem to be clinically relevant, making the 2 procedures comparable in terms of the ability to visually detect endometriotic lesions. Further prospective trials are needed to confirm our results.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
Conclusions: In this preliminary study, our S1R PET/MRI method showed previously undetected abnormalities in chronic pelvic pain patients, yielding stronger evidence to support treatment decisions. S1R PET images revealed abnormalities in conditions difficult to identify by MR imaging alone, including adhesive disease or late stage endometriosis. In a subset of patients, our results suggest the presence of abnormally increased expression of S1R in tissues without any noticeable abnormalities on MRI. Therefore, S1R PET combined with high-resolution structural MRI can be a promising method to uncover a wide variety of painfu...
Source: Journal of Nuclear Medicine - Category: Nuclear Medicine Authors: Tags: Musculoskeletal Source Type: research
ABSTRACTTurco et al commented on our recently published article "Visualization of endometriosis with laparoscopy and near ‐infrared optics with indocyanine green". We thank for their interest in our study and will take the opportunity to respond to their comments. To our opinion some of these seem to be lacking essential information. Based on our experience, we are convinced that the future of ICG in endometriosis is in fluorescence‐guided surgery for deep infiltrating nodules and not in its diagnostic potential.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: LETTER TO EDITOR Source Type: research
ConclusionsThe few differences observed did not seem to be clinically relevant, thus making the two procedures comparable in terms of the ability to visually detect endometriotic lesions. Further prospective trials are needed to confirm our results.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
AbstractSieghenthaler et al1 published on the role of indocyanine green and near ‐infrared‐vision (NIR‐ICG) in the management of endometriosis, investigating not only the diagnostic value of NIR‐ICG, but also the parameters that alter its detection‐rate. The knowledge about the factors that negatively influence the detection‐rate of NIR‐ICG will certainly help futu re research.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: LETTER TO EDITOR Source Type: research
ConclusionsThe few differences observed did not seem to be clinically relevant, thus making the two procedures comparable in terms of the ability to visually detect endometriotic lesions. Further prospective trials are needed to confirm our results.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
AbstractSieghenthaler et al1 published on the role of indocyanine green and near ‐infrared‐vision (NIR‐ICG) in the management of endometriosis, investigating not only the diagnostic value of NIR‐ICG, but also the parameters that alter its detection‐rate. The knowledge about the factors that negatively influence the detection‐rate of NIR‐ICG will certainly help futu re research.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: LETTER TO EDITOR Source Type: research
ConclusionsIn women affected by recto ‐vaginal endometriosis with vaginal mucosal infiltration, perioperative outcomes seem not to be influenced by the surgical route adopted.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
ConclusionsThe diagnostic value of NIR ‐ICG imaging in identifying endometriosis appears to be minimal. ICG exposure time over 20 minutes, no previous abdominal surgery, and low rASRM stages have a significant positive effect on the ICG detection rate. NIR fluorescence imaging with ICG was helpful in the resection of deep infiltrating nodules by providing a better visualization of endometriosis.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
ConclusionAppendicular endometriosis can present as a submucosal tumor in the cecum without any abdominal symptoms. Appendicular endometriosis should be considered in the differential diagnosis of ileocecal submucosal tumor. Single-incision laparoscopic ileocolectomy was useful procedure for cecum tumor resection.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
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