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Metastatic Carcinoma of the Uterine Cervix from Rectal Carcinoma: A Case Report and Review of the Literature

Open Journal of Obstetrics and Gynecology 2014年第10期4卷 617-620页

作者： Motoki Matsuura Masato Tamate Masahiro Suzuki Tasuku Mariya Sakura Takada Yuta Tabuchi Mizue Teramoto seiro satohisa Ryoichi Tanaka Masahiro Iwasaki Kaori Fukunaka Noriyoshi Fukunaka Satoshi Tanaka Tsuyoshi Saito Department of Obstetrics and Gynecology Hakodate Goryoukaku Hospital Hakodate Japan Department of Obstetrics and Gynecology Sapporo Medical University Sapporo Japan

Primary adenocarcinomas of the uterine cervix account for 5% - 15% of all cervical malignancies, but secondary adenocarcinomas from extragenital cancers are rare. Only 35 cases have been reported in the literature since 1941. We report a 52-year-old Japanese woman who had been treated for rectal adenocarcinoma (Dukes C, stage IIIb) and who was diagnosed with primary uterine cervical carcinoma (FIGO stage Ib2) two years later. A radical hysterectomy was performed and the surgical specimen showed metastatic adenocarcinoma of the uterine cervix from rectal cancer without direct extension. Immunohistochemical staining was positive for cytokeratin 20 and CDX2, and negative for cytokeratin 7. Immunohistochemical staining is important for distinguishing between primary and secondary adenocarcinomas of the cervix, but histologic findings alone are not always adequate to establish the site of the primary lesion. The distinction between primary and secondary adenocarcinomas of the cervix is important for patient management and prognosis. Therefore, the possibility of metastatic adenocarcinoma should be considered whenever a diagnosis of adenocarcinoma of the cervix is received.

关键词： Metastatic Adenocarcinoma Cervical Cancer Colorectal Carcinoma

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Assessing quality of life using the brief cancer-related worry inventory for gynecological surgery

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World Journal of Obstetrics and Gynecology 2019年第1期8卷 1-7页

作者： Ami Kikuchi Ryo Koide Masahiro Iwasaki Mizue Teramoto seiro satohisa Masato Tamate Masami Horiguchi Nozomi Niwa Tsuyoshi Saito Toru Mizuguchi Department of Nursing and Surgical Science Sapporo Medical University Postgraduate School of Health ScienceSapporo 0608556Japan Department of Obstetrics and Gynecology Sapporo Medical University Postgraduate School of MedicineSapporo 0608556Japan

BACKGROUND The mental status of gynecologic patients has an important influence on their quality of life(QOL).Although high-quality QOL studies into breast cancer patients have been performed internationally,few QOL studies have examined patients with gynecological *** To investigate the brief cancer-related worry inventory(BCWI)could evaluate the mental status of gynecological *** Between July 2018 and December 2018,19 consecutive gynecological cancer patients were prospectively recruited for this *** BCWI is a 15-item selfreported questionnaire that assesses cancer-related worries on a numeric scale(0–100).RESULTS The high BCWI group was significantly younger than the low BCWI *** social status,the absence of a spouse and children was significantly more common in the high BCWI group than in the low BCWI *** operation time was longer in the worsening BCWI group than in the stable BCWI group(305.3±140.5 min vs 171.1±97.2 min;P=0.026).CONCLUSION Being young,having no family,and a long operation time were found to be risk factors for increased ***,gynecological cancer patients should be assessed using the BCWI,and specific perioperative mental care should be considered for highly anxious patients.

关键词： Gynecology Brief cancer-related worry inventory Quality of life Surgery

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Analysis of the risk of ovarian torsion in 49 consecutive pediatric patients treated at a single institution

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World Journal of Pediatric Surgery 2019年第2期2卷 1-5页

作者： Koshiro Sugita Takafumi Kawano Mukai Motoi Toshihiro Muraji Shun Onishi Tomoe Moriguchi Koji Yamada Waka Yamada Ryuta Masuya seiro Machigashira Kazuhiko Nakame Tatsuru Kaji Satoshi Ieiri Department of Pediatric Surgery Kagoshima University Graduate School of Medicine and Dental SciencesKagoshimaJapan Department of Pediatric Surgery Kirishima Medical CenterKirishimaJapan

Purpose An early diagnosis of ovarian torsion is sometimes difficult due to variable clinical symptoms and non-specific imaging *** retrospectively reviewed patients with pediatric ovarian masses manifesting *** Fifty-eight ovarian masses(55 episodes)in 49 non-neonatal patients treated from April 1984 to March 2017 were retrospectively *** Mann-Whitney U test and Fisher’s exact test were used for the statistical *** The median age of these 55 episodes was 10.5 years old(range 1.0-23.0).Thirty-three patients presented with abdominal ***-five tumors and 13 cystic masses were resected and diagnosed pathologically(50 benign and 8 malignant).Torsion was identified in 15 cases(25.9%)at *** torsion masses were all benign,and 8 ovaries(53.3%)were successfully *** the torsion cases with the non-torsion cases,only the white cell count was significantly higher in the torsion cases(p=0.0133)and in the patients presented with abdominal pain(p=0.0068).The duration of abdominal pain was significantly shorter in ovary preserved cases than in oophorectomy *** The white blood cell may be a helpful indicator of the presence of torsion as well as the need for surgery.

关键词： torsion analysis. white

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