Találati lista | Tudóstér

001-es BibID:	BIBFORM086962
Első szerző:	Molnár Szabolcs (szülész-nőgyógyász szakorvos)
Cím:	Effectiveness of different methods for polypectomy in the menopause : a retrospective study / Szabolcs Molnár, Zsolt Farkas, Attila Jakab, Rudolf Lampé, Péter Török
Dátum:	2020
ISSN:	1369-7137
Megjegyzések:	Introduction: Most endometrial polyps represent focal hyperplasia of the endometrium. Endometrial polyps can be diagnosed by ultrasound, hysterocontrast sonography, hysterosalpingography, endometrial biopsy, and uterine curettage, but diagnostic hysteroscopy is considered the gold-standard method, with the greatest sensitivity and specificity and also with the opportunity for treatment at the same time. Study design: A retrospective study was conducted on 424 patients between 2006 and 2018. The polyps were verified during diagnostic hysteroscopy and were removed by resectoscopy or curettage. All samples underwent histological examination. The effectivity of the type of resection and the recurrence rate were evaluated. Results: The average age of the patients was 60.2???9.3?years. Polyps were excised in 62.97% by resectoscopic polypectomy and in 37.03% by curettage. Malignancy was confirmed in 4.24% of cases. Histological verification of polyps was 79.4% in the resectoscopy group and 69.04% in the curettage group; the difference was significant (p?<?0.01). The recurrence rate was 20.47% after resectoscopy and 27.12% following curettage. Conclusion: Hysteroscopy remains the best option and the gold-standard method among diagnostic procedures of endometrial pathology. In this study, there was a significant difference in matching hysteroscopic and histological findings in the two methods of polypectomy. The recurrence rate is also lower following resectoscopy.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk endometrial polyp hysteroscopy resectoscope curettage recurrence abnormal uterine bleeding
Megjelenés:	Climacteric. - 23 : 4 (2020), p. 325-329. -
További szerzők:	Farkas Zsolt (1987-) (szülész-nőgyógyász) Jakab Attila (1964-) (szülész-nőgyógyász, endokrinológus) Lampé Rudolf (1983-) (szülész-nőgyógyász) Török Péter (1975-) (szülész-nőgyógyász)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
Borító:
Saját polcon:

001-es BibID:	BIBFORM086961
Első szerző:	Török Péter (szülész-nőgyógyász)
Cím:	The use of hysteroscopy in endometrial cancer : old questions and novel challenges / Péter Török, Szabolcs Molnár, Rudolf Lampé, Attila Jakab
Dátum:	2020
ISSN:	1369-7137
Megjegyzések:	Endometrial cancer is the most common gynecological malignancy with a relatively good overall prognosis. It traditionally has two subtypes: type 1 (endometrioid carcinoma) and type 2 (non-endometrioid carcinoma). The prognosis is excellent for stage I endometrioid cancer, with a 5-year survival rate of 96%. However, the prognosis is much worse for women with high-risk endometrial cancer. Effective preoperative staging is important in order to tailor treatment and achieve optimal long-term survival. The majority of asymptomatic polyps detected by ultrasound are treated surgically. Conventionally, dilatation and curettage was performed to obtain a histological diagnosis, but nowadays hysteroscopy with biopsy is starting to be considered as the gold standard. Hysteroscopic resection seems to reduce the risk of underdiagnosed (atypical endometrial hyperplasia) endometrial cancer. To avoid the spread of malignant cells, hysteroscopy should be performed with concern to keep intrauterine pressure low. In comparison with cervical injection, the hysteroscopic method has a better detection rate in the para-aortic area during sentinel lymph node mapping. In the assessment of cervical involvement, the accuracy of magnetic resonance imaging is significantly higher than the accuracy of hysteroscopy. In fertility-sparing cases, hysteroscopic endometrium resection with progesterone therapy is an acceptable option.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk endometrial cancer hysteroscopy MRI curettage ultrasound staging
Megjelenés:	Climacteric. - 23 : 4 (2020), p. 330-335. -
További szerzők:	Molnár Szabolcs (1987-) (szülész-nőgyógyász szakorvos) Lampé Rudolf (1983-) (szülész-nőgyógyász) Jakab Attila (1964-) (szülész-nőgyógyász, endokrinológus)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
Borító:
Saját polcon: