RESUMO
El proyecto Lahystotrain es una nueva posibilidad de aprendizaje de la endoscopia mediante realidad virtual, entorno multimedia y técnicas de tutoría inteligente (AU)
Assuntos
Endoscopia do Sistema Digestório/métodos , Doenças do Sistema Digestório/diagnóstico , Inteligência Artificial , Cibernética/métodos , Cibernética/tendências , Robótica/métodos , Robótica/tendências , Análise Custo-Benefício/métodos , Tecnologia/tendências , Informática Médica/métodos , Simulação por Computador/tendênciasRESUMO
Data were collected prospectively on 100 women suffering from postmenopausal bleeding who were investigated by hysteroscopy in a 5-month period. Women using hormone replacement therapy were excluded. The most common hysteroscopic finding was atrophy (44%). Other findings were: endometrial cysts (13%), endometrial polyp (12%) and adenocarcinoma (6%). The sample was not representative in 41% of cases and the most frequent histopathological diagnosis was inactive endometrium (14%). Other diagnoses were: inactive endometrium (14%), adenocarcinoma (6%), hyperplasia (7%), endometrial polyp (3%), proliferation (5%) and atrophy (4%), Endometrial sampling was not performed in 13% of the cases. General anaesthesia was not needed and complications were minimal. We support hysteroscopy as a routine alternative to dilatation and curettage in the diagnosis of postmenopausal bleeding.
RESUMO
A case of vaginal rhabdomyoma in 35-year-old healthy woman is presented. The lesion, a pedunculated polyp measuring 1.2 cm in diameter, was located in the anterior wall of the vagina. This is an extremely rare entity that pursues a benign course. Light and immunohistochemical features are commented and selected literature briefly reviewed.