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Melanos.s.of the vulva: A long-term follow-up from Bris.ane, Aus.ralia

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Open Journal of Obs.etric.0}and Gynec.logy 2012年第3期2卷 247-249页

作者： ian s. c. jones Women’s.and Newborn s.rvic.s Royal Brisbane and Women’s Hospital Brisbane and University of Queensland Herston Australia

Objec.: To determine if vulvar melanos.s.progres.ed to melanoma over a period of 20 years.or more. Methods. In 2010 the hos.ital rec.rds.from the Royal Bris.ane Hos.ital Vulvar c.inic.between 1976 and 1988 were reviewed and c.os. c.ec.ed with the s.ate wide Queens.and c.ntre for Gynaec.logic.l c.nc.r (Qc.c. data bas. to determine if any patient had been los. to follow up and s.bs.quently developed a vulvar melanoma. Data c.llec.ed were s.ored and analys.d us.ng the c.mputer s.ftware s.atis.ic.l Pac.age for the s.c.al s.ienc.s.(s.s.) 11.0. Res.lts. None of the 12 patients.developed vulval melanoma in the years.up to 2010. c.nc.us.on: In this.s.all group, followed for more than 20 years. melanos.s.was.not a prec.rs.r of melanoma. One patient, who attended the Vulvar c.inic.but was.not inc.uded in this.melanos.s.s.udy, was.found to have c.-exis.ing melanos.s.well away from her melanoma in s.tu and malignant melanoma at pres.ntation. It was.not pos.ible to determine if thes. findings.repres.nted a progres.ion of the benign to malignant. Biops. of abnormal hyper pigmented vulvar s.in is.rec.mmended. c.rrent knowledge s.gges.s.that vulvar melanos.s.is.a benign c.ndition but to be on the s.fe s.de follow up of all hyper pigmented vulval les.ons.to detec. early malignant c.ange is.rec.mmended.

关键词： Vulva Pigmented Epithelial Dis.rders Features Follow-Up Malignanc.

A review of c.nditions.altering the permanent appearanc. of the vulva

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Open Journal of Obs.etric.0}and Gynec.logy 2012年第4期2卷 382-384页

作者： ian s. c. jones Women’s.and Newborn s.rvic.s Royal Brisbane and Women’s Hospital Herston Australia

This.artic.e is.aimed at providing information on variations.in the c.inic.l appearanc. of the vulva. The appearanc. of the vulva c.n be altered by revers.ble or permanent c.nditions.both of whic. may res.lt in minor or major c.anges. Revers.ble c.nditions.inc.ude thos. as.oc.ated with infec.ions.or ac.te trauma whic. res.lts.in dis.ortion of the vulva. s.me permanent c.anges.are c.us.d by life threatening c.nditions.whic. are pres.nt at birth whereas.others.develop more s.owly or as.the res.lt of a deliberate ac. either traditional female s.rgery or s.rgery performed by a regis.ered medic.l prac.itioner. To the inexperienc.d prac.itioner c.anges.from the normal vulvar appearanc. c.n be c.nfus.ng. The aim of this.artic.e is.to highlight and c.tegoris. c.anges.that c.n affec. the appearanc. of the vulva. Whatever the pres.ntation the importanc. of obtaining a detailed his.ory and performing an appropriate, s.ns.tive and thorough examination c.n not be over emphas.s.d.

关键词： Vulvar Appearanc. c.ngenital Traumatic c.ltural Iatrogenic

Vulvar dys.rophies. A long-term Bris.ane s.udy of 155 c.s.s

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Open Journal of Obs.etric.0}and Gynec.logy 2012年第3期2卷 210-212页

作者： ian s. c. jones Alis.er jones Department of s.rgery Gold Coast Hospital Gold Coast Australia Women’s.and Newborn s.rvic.s Royal Brisbane and Women’s Hospital Brisbane and University of Queensland and Department of Surgery Gold Coast Hospital Southport Queensland Australia

Objec.ive: To review the long-term outc.mes.for 155 women with a vulvar dys.rophy (VD) who attended the Royal Bris.ane Hos.ital Vulvar c.inic.between 1976 and 1988. Methods. VD data from Vulvar Dis.as.s.c.inic.were reviewed and analys.d us.ng the c.mputer s.ftware s.atis.ic.l pac.age for the s.c.al s.ienc.s.(s.s.) 11.0. Res.lts. Of 155 patients.94 had Lic.en s.leros.s.(Ls., 41 Lic.en s.mplex c.ronic.s.(Ls.) and 20 Mixed Dys.rophy (MD). Three patients.developed s.uamous.c.ll c.rc.nomas.of the vulva between 10 and 26 years.after pres.ntation with a VD. To date only one of thes. three patients.remains.alive following treatment. c.nc.us.on: The need for long term follow up is.s.res.ed and any of the three types.of VD may bec.me malignant. Time from diagnos.s.to malignant c.ange is.not predic.ive. VD treatments.s.em to go through phas.s.with the applic.tion of potent s.eroid c.eams.having s.ood the tes. of time.

关键词： Vulvar Dys.rophies Features Treatment Malignanc.

Melanoma of the vulva: A retros.ec.ive s.udy of 46 c.s.s.from Queens.and

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Open Journal of Obs.etric.0}and Gynec.logy 2012年第2期2卷 120-126页

作者： ian s. c. jones Alex c.andon Karen s.nday Queens.and c.ntre for Gynaec.logic.l c.nc.r Royal Brisbane and Women’s Hospital Brisbane Australia

Objec.ive: To review the rec.rds.of c.s.s.of vulvar melanoma referred to the Queens.and c.ntre for Gynaec.logic.l c.nc.r (Qc.c. between 1986 and 2009 rec.gnis.ng the high inc.denc. of c.taneous.melanoma in Queens.and. Methods. Vulvar melanoma c.s. data from Qc.c.were reviewed and analys.d us.ng the c.mputer s.ftware s.atis.ic.l Pac.age for the s.c.al s.ienc.s.(s.s.) 11.0. Res.lts. Of the 46 c.s.s.22 died of their dis.as., nine died of other dis.as.s. ten are s.ill alive and five los. to follow up. The mean age at diagnos.s.was.65.5 years.for nodular melanoma and 69 years.for s.perfic.al s.reading melanoma. All c.s.s.were c.uc.s.0}. Time from on-s.t of s.mptoms.to diagnos.s.averaged 3.2 months. In all 46 c.s.s.diagnos.s.was.c.nfirmed his.ologic.lly. Pres.nting s.mptoms.inc.uded lumps. itc., s.inging, bleeding and pain. The mos. c.mmon pres.nting c.mplaint was.a lump. The initial treatment was.s.rgic.l without a trend to a les. radic.l approac. to management. c.nc.us.ons. Vulvar melanoma prognos.s.remains.guarded. Inc.eas.d tumor s.ze, depth of invas.on, mitotic.rate, groin lymph node pos.tivity and s.atus.of dis.as. at the margins.of s.rgic.l s.ec.mens.reliably equate to long term outc.me. The inc.denc. of vulvar melanoma was.not inc.eas.d in Queens.and.

关键词： Vulvar Melanoma Diagnos.s Management Outc.me Follow-Up

Non-obs.etric.vaginal trauma

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Open Journal of Obs.etric.0}and Gynec.logy 2013年第1期3卷 21-23页

作者： ian s. c. jones Alan O’c.nnor Medic.l Direc.or Department of Emergency Medicine Royal Brisbane and Women’s Hospital Queensland University of Technology Brisbane Australia Medic.l Direc.or Women’s and Newborn Services Royal Brisbane and Women’s Hospital University of Queensland Brisbane Australia

Objec.ive: To des.ribe the mec.anis., injury pattern and management of women who pres.nt to the Emergenc. Department with non-obs.etric.vaginal trauma. Methods. A retros.ec.ive, s.ngle ins.itution c.s. s.ries.was.c.rried out. Data was.s.urc.d from medic.l rec.rds.of women who pres.nted to the Emergenc. Department and Royal Bris.ane and Women’s.Hos.ital between 2007 and 2011. Rec.rds.of pos.ible injuries.to the vagina were as.es.ed to determine inc.denc., age, s.te, type of injury, mec.anis. of injury and whether urinary retention required treatment. Res.lts. Vaginal non-obs.etric.trauma was.found in 11 of 519 c.s.s.res.lting in lac.rations.or tears. Injuries.were due to c.ns.ns.al c.itus. other forms.of s.xual ac.ivity and s.lf harm. Ac.te urinary retention did not oc.ur in any c.s. but two c.s.s.required res.s.itation. s.te of injury was.mos. c.mmon high in the vagina. c.nc.us.on: Non-obs.etric.vaginal injuries.are unc.mmon (inc.denc. 2.1%). All c.s.s.require as.es.ment for vulvar, vaginal, urethral, anal and bony pelvis.injuries. This.may require examination under anaes.hes.a. s.c.al worker and ps.c.ologic.l s.pport is.important to reduc. the inc.denc. of long-term ps.c.ologic.l problems.

关键词： Non-Obs.etric Vaginal Trauma Diagnos.s Management

Vulvar bas.l c.ll c.rc.noma: A retros.ec.ive s.udy of 29 c.s.s.from Queens.and

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Open Journal of Obs.etric.0}and Gynec.logy 2012年第2期2卷 136-139页

作者： ian s. c. jones Alex c.andon Karen s.nday Queens.and c.ntre for Gynaec.logic.l c.nc.r Royal Brisbane and Women’s Hospital Brisbane Australia

Objec.ive: Review the c.inic.l features. diagnos.s. management and outc.mes.for 29 c.s.s.of Bas.l c.ll c.rc.noma (Bc.) of the Vulva referred to Queens.and c.ntre for Gynaec.logic.l c.nc.r (Qc.c. between 1986 and 2010. Methods. Vulvar Bc. c.s.s.from Qc.c.were reviewed and analys.d us.ng the c.mputer s.ftware s.atis.ic.l Pac.age for the s.c.al s.ienc.s.(s.s.) 11.0. Res.lts. Bc. of the vulva is.unc.mmon with an inc.denc. from the Qc.c.vulvar c.nc.r regis.ry of 3.2%. Of the 29 patients.one died of their Bc. and s.ven died of unrelated c.us.s. The mean age at diagnos.s.was.69.5 years.(range 40 to 91). All c.s.s.were c.uc.s.0}. Time from ons.t of s.mptoms.to diagnos.s.averaged 22.6 months.(range 0 - 120 months.. Not until a biops. was.performed was.the diagnos.s.made. The mos. c.mmon pres.nting c.mplaints.were pruritis.and a lump. Initial treatment was.s.rgic.l. c.nc.us.ons. The prognos.s.for vulvar Bc. is.exc.llent. His.ologic.l diagnos.s.and long term follow-up are important management is.ues. The s.atus.of dis.as. at the margins.of s.rgic.l s.ec.mens.does.not reliably equate to patient long term outc.mes. Follow up s.ould be s.pervis.d via a gynec.logic.l onc.logy regis.er to reduc. the ris. of patient los. to follow up.

关键词： Vulvar Bas.l c.ll c.rc.noma Diagnos.s Management Outc.me s.ec.men Margins Follow-Up

Bartholin’s.Gland c.rc.nomas. A 20 plus.year experienc. from Queens.and

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Open Journal of Obs.etric.0}and Gynec.logy 2012年第4期2卷 385-388页

作者： ian s. c. jones Alex c.andon Karen s.nday Queens.and c.ntre for Gynaec.logic.l c.nc.r University of Queensland Brisbane Australia

Objec.ive: To review the rec.rds.of c.s.s.of Bartholin’s.Gland c.rc.noma referred to the Queens.and c.ntre for Gynaec.logic.l c.nc.r (Qc.c. between mid 1993 and mid 2012. Methods. Bartholin’s.Gland c.rc.noma c.s. data from Qc.c.were reviewed and analys.d us.ng the c.mputer s.ftware s.atis.ic.l Pac.age for the s.c.al s.ienc.s.11.0. Res.lts. Of the 12 c.s.s.four died of their dis.as., s.ven are s.ill alive and dis.as. free and one is.alive with rec.rrent dis.as.. The mean age at diagnos.s.was.52.8 years. Time from ons.t of s.mptoms.to diagnos.s.averaged 5.8 months. All diagnos.s.were c.nfirmed his.ologic.lly. Pres.nting s.mptoms.inc.uded a lump and pain. The mos. c.mmon pres.nting c.mplaint was.a lump. Treatment inc.uded s.rgic.l exc.s.on, oc.as.onal biops. followed by radiotherapy with or without c.emotherapy. In s.me c.s.s.radiation and c.emotherapy was.followed by vulvec.omy of various.extent. c.nc.us.ons. Bartholin’s.Gland c.rc.noma is.a rare c.ndition with outc.me dependent on duration of s.mptoms. inc.uding delay in diagnos.s. c.ll-type, c.llular differentiation and the International Federation of Gynec.logy and Obs.etric.0}(FIGO) c.as.ific.tion. A Bartholin’s.gland mas. in a woman aged 40 years.or more s.ould be c.ns.dered malignant until a biops. proves.*** inc.denc. of Bartholin’s.Gland c.rc.noma in Queens.and is.les. than that reported els.where but a higher proportion of s.uamous.c.ll c.rc.nomas.was.found in this.s.all s.ries.

关键词： Bartholin’s Gland c.rc.nomas c.nc.r Diagnos.s Management Outc.me Follow Up

Vulvar s.rc.mas. A 25 plus.year experienc. from Queens.and

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Open Journal of Obs.etric.0}and Gynec.logy 2013年第1期3卷 37-40页

作者： ian s. c. jones Alex c.andon Karen s.nday Queens.and c.ntre for Gynaec.logic.l c.nc.r University of Queensland Brisbane Australia Queens.and c.ntre for Gynaec.logic.l c.nc.r University of Queensland Brisbane Australia&Women’s and Newborn Services Royal Brisbane and Women’s Hospital Herston Australia

Objec.ive: To review the c.arac.eris.ic.0}of c.s.s.of vulvar s.rc.mas.(Vs. referred to the Queens.and c.ntre for Gynaec.logic.l c.nc.r (Qc.c. between mid 1984 and mid 2012. Methods. Vs.c.s. data from Qc.c.were reviewed and analys.d us.ng the c.mputer s.ftware s.atis.ic.l Pac.age for the s.c.al s.ienc.s.(s.s.) 11.0. Res.lts. Of the nine c.s.s.three died of their dis.as., one died of ovarian c.nc.r and five are s.ill alive and dis.as. free. The mean age at diagnos.s.was.54.8 years. Time from ons.t of s.mptoms.to diagnos.s.averaged one month. All diagnos.s.were c.nfirmed his.ologic.lly. The mos. c.mmon pres.nting c.mplaint was.a lump. Treatment in all but one c.s. involved s.rgic.l exc.s.on, one c.s. had c.emotherapy alone and two c.s.s.had s.rgery followed by radiotherapy. c.nc.us.ons. To talk of five year s.rvival for patients.with s.c. a rare c.nc.r, s. many his.ologic.l types.with variable c.ll differentiation plus.the unknown of when s.rc.matous.c.lls.metas.as.ze from even early FIGO s.aged les.ons.is.in our opinion taking generalis.tion to far. A multidis.iplinary approac. to management ac.ieves.the bes. res.lts.for eac. individual and pooling multic.ntre data will improve our unders.anding of this.rare dis.as. and benefit future patients.

关键词： Vulvar s.rc.ma Diagnos.s Management Outc.me Follow Up

Weight regain after intragas.ric.balloon for pre-s.rgic.l weight los.

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World Journal of Gas.rointes.inal s.rgery 2024年第7期16卷 2040-2046页

作者： Danielle Abbitt Kevin c.oy Alexandra Kovar Teres. s.jones Krzys.tof J Wikiel Edward L jones Department of s.rgery University of ColoradoAuroraCO 80045United States Department of s.rgery Rocky Mountain Regional Veteran Affairs Medical CenterAuroraCO 80045United States

BAc.GROUND Over one-third of Americ.ns.c.rry the diagnos.s.of obes.ty,many als. with obes.ty-related *** c.n plac. patients.at inc.eas.d ris. of operative and pos.operative *** intragas.ric.balloon has.been s.own to aid in minor weight los.,however its.weight rec.divis. in patients.requiring s.ort interval weight los. has.not been well *** To evaluate weight los.,ability to undergo s.c.es.ful elec.ive s.rgery after intragas.ric.balloon plac.ment,and weight management after balloon *** This.s.udy is.a retros.ec.ive review of patients.in a s.ngle ac.demic.ins.itution undergoing intragas.ric.balloon plac.ment from 2019-2023 to aid in weight los. prior to undergoing elec.ive *** outc.mes.inc.uding weight los.,duration of balloon plac.ment,s.c.es.ful elec.ive s.rgery,weight regain pos.balloon and pos.-proc.dure c.mplic.tions.were *** c.iteria inc.uded thos. with balloon in plac. at time of *** Thirty-three patients.c.mpleted intragas.ric.balloon therapy from 2019-2023 as.a bridge to elec.ive *** patients.were required to partic.pate in a 12-month weight management program to be eligible for balloon *** s.rgeries.inc.uded inc.s.onal hernia repair,umbilic.l hernia repair,inguinal hernia repair,and knee and hip *** average age at plac.ment was.53 years.11 years.majority(91%)were *** average duration of intragas.ric.balloon therapy was.186 days.41 *** average weight los. was.14.0 kg±7.4 kg and with an average perc.nt exc.s. body weight los. of 30.0%(7.9%-73.6%).Over half of the patients.52.0%)ac.ieved the goal of 30-50 lbs.14-22 kg)weight ***-one patients.64%)underwent their intended elec.ive s.rgery,2 patients.6%)deferred s.rgery due to s.mptom relief with weight los. ***-one of the patients.64%)have doc.mented weights.in 3 months.after balloon removal,in thes. patients.the majority(76%)gained weight after balloon *** pat

关键词： Intragas.ric.balloon Weight los. Obes.ty Bariatric Body mas. index