Assuntos
Disgerminoma/cirurgia , Linfocele/diagnóstico , Neoplasias Ovarianas/cirurgia , Complicações Pós-Operatórias/etiologia , Disgerminoma/tratamento farmacológico , Feminino , Preservação da Fertilidade , Humanos , Linfocele/etiologia , Linfocele/cirurgia , Tratamentos com Preservação do Órgão , Neoplasias Ovarianas/tratamento farmacológico , Complicações Pós-Operatórias/cirurgia , Adulto JovemAssuntos
Antineoplásicos/administração & dosagem , Quimioterapia Adjuvante/métodos , Neoplasias das Tubas Uterinas/diagnóstico , Tumor Mulleriano Misto/diagnóstico , Idoso , Neoplasias das Tubas Uterinas/tratamento farmacológico , Neoplasias das Tubas Uterinas/patologia , Evolução Fatal , Feminino , Humanos , Laparotomia , Tumor Mulleriano Misto/tratamento farmacológico , Tumor Mulleriano Misto/patologia , Tomografia Computadorizada por Raios XRESUMO
Dermoid cysts of the uterus are extremely rare. A case of an asymptomatic dermoid cyst in the previous caesarean section scar is reported in a 39-year-old woman who presented for pre-conception evaluation. A nodular lesion of the uterus was identified through transvaginal ultrasound examination and magnetic resonance imaging and its characteristics are described. The first treatment option was hysteroscopic resection but complete removal could not be achieved. Surgical excision is likely to be the definitive treatment and a hysterectomy will be proposed to the patient after she completes her family. Our literature review indicates that this is the first case of a dermoid cyst located in the previous caesarean section scar.
Cistos dermoides do útero são extremamente raros. Este é um relato de caso de cisto dermoide assintomático na cicatriz de cesariana preexistente em mulher com 39 anos que se apresentou para avaliação pré-concepcional. Foi identificada uma lesão nodular por exame ultrassonográfico transvaginal e ressonância magnética; descrevemos suas características. A primeira opção terapêutica foi a ressecção histeroscópica, mas não foi possível fazer uma remoção completa. É provável que a excisão cirúrgica seja o tratamento definitivo; será proposta uma histerectomia à paciente, depois de ter completado sua família. Nossa revisão da literatura indica que este é o primeiro caso de cisto dermoide localizado em uma cicatriz de cesariana preexistente.
Assuntos
Feminino , Humanos , Adulto , Cisto Dermoide/diagnóstico , Cisto Dermoide/cirurgia , Útero/patologia , Histeroscopia/métodos , Cicatriz/complicações , Cesárea/efeitos adversos , Histerectomia/métodosRESUMO
OBJECTIVES: Review and critical analysis of the Wertheim-Meigs Operations performed at our institution in the context of cervical cancer and to assess the proportion who underwent treatment with adjuvant radiotherapy (with or without chemotherapy) and the main indications. MATERIAL AND METHODS: Retrospective review of Wertheim-Meigs operations, conducted in the context of carcinoma of the cervix, between 01.01.2005 and 31.12.2010, through consultation with clinical processes. It was later performed a descriptive statistical analysis of the cases. RESULTS: During this period 119 Wertheim-Meigs Operations were performed. Four were excluded: two, for primary indication for adjuvant therapy due to histological subtype; two for the inability to exclude invasive disease preoperatively and the invasion was not confirmed after surgery. A total of 115 cases were reviewed and analyzed, and of these 50 (43.5%) underwent complementary therapy, the main indication being the presence of lymphovascular invasion in 21 cases (42% of cases submitted to complementary therapy ). CONCLUSIONS: The mean age of patients undergoing radical surgery is 49 years, with stage IB1 most often determining its performance. Complementary therapy was performed in 43.5% of cases, the main indication being lymphovascular invasion (42%) followed by lymph node invasion (16%). Internal audit to the Service is satisfactory, with 16.5% surgical complication rate and high technical performance.