18 documents found, page 1 of 2
Endometriose: pequenos avanços, grandes mudanças
Reis,José; Costa,Ana Rosa; Silva,Daniel Pereira da; Faustino,Fátima; Águas,Fernanda; Ferreira,Hélder; Carvalho,Maria João; Xavier,PedroResumo A endometriose é uma doença crónica, caracterizada pela presença de endométrio fora da cavidade uterina, que afeta cerca de 10% das mulheres em idade reprodutiva. A sua expressão sintomática é muito variada, pode estar ausente ou ser grave, debilitante e altamente condicionante da qualidade de vida. A dor, com matizes e associações diversas, é o sintoma mais marcante. Associa-se com frequência a infertil...
Performance of Sentinel Lymph Node Mapping in Early-Stage Endometrial Cancer: A...
Hundarova,Kristina; Frutuoso,Cristina; Águas,Fernanda; Andrade,CláudiaAbstract Introduction: The lymph node status is of utmost importance in endometrial cancer staging. However, the therapeutic importance of systematic lymphadenectomy was not proven, thus the sentinel lymph node biopsy (SLNB) is emerging as an alternative to classic surgical staging procedure. We aimed to evaluate the feasibility of SLNB in clinical early-stage endometrial cancer, at a university-affiliated teac...
Essure® migrated into endometrial cavity: an unusual ultrasound finding
Évora,Francisco; Coutinho,Inês; Águas,FernandaAbstract The Essure® (Bayer) system was introduced in 2002, as a hysteroscopic sterilization technique, however, serious long-term adverse events raised concern about its use and lead to the discontinuation of the device in 2017. The authors present a report of intrauterine migration from one of the microinsert components in a woman with abnormal uterine bleeding. Transvaginal ultrasound was the key to the diag...
Update on medical treatment for symptomatic uterine myomas
Ferreira,Helder; Faustino,Fátima; Águas,Fernanda; Osório,Filipa; Martinho,Margarida; Silva,Daniel P.Abstract The medical treatment of uterine fibroids is a subject of growing interest, often associated to difficult decisions, especially in women who wish to preserve fertility and the uterus. The existing treatments are only used for short or limited periods, due to the evidence paucity on the benefits and risks of long-term use. New molecules are being tested showing improved efficacy in the management of ute...
Survey of Portuguese gynaecologists regarding drug-induced liver injury associa...
Carvalho,Maria João; Nogueira-Silva,Cristina; Águas,FernandaAbstract Introduction: Ulipristal acetate (UPA) was introduced in clinical practice for the treatment of uterine fibroids in February 2012. During the post-marketing exposure, there were reports of liver injury and the European Medicine Agency recommended monitoring of liver enzymes for safety reasons. Objectives: The aim of this survey was to gather information about Portuguese gynaecologists’ experience with ...
O Internato de Ginecologia/Obstetrícia e a COVID 19: antes, durante e depois
Águas,Fernanda; Bernardes,JoãoThe Portuguese College of Obstetrics and Gynecology has been following the evolution of the COVID 19 pandemic since its beginning and all the impact in terms of clinical activities in different areas of the Specialty. Likewise, there has been a concern about how changes in the functioning of the Departments of Obstetrics and Gynecology have been reflected in the Specific Training Internship. This matter was dis...
Performance of ultrasound models in diagnosis of Ovarian Cancer: Experience of ...
Rodrigues,Ângela; Negrão,Liana; Águas,Fernanda; Castro,Maria GeraldinaOverview and Aims: The purpose of this study was to find the best ultrasound model for preoperative discrimination between benign and malignant adnexal masses in a group of Portuguese women. Methods: Single-centre retrospective study of 123 adnexal masses. The ultrasound images were described by an experienced ultrasonographer and classified as benign or malignant, according to IOTA simple rules (SR), RMI scori...
Nicho uterino: implicações em ginecologia
Subtil,Simone; Carvalho,Maria João; Carvalho,Giselda; Sousa,Luís Almeida e; Águas,FernandaThe uterine niche presents as a recess located in the anterior uterine wall, at the site of previous hysterorrhaphy. Although obstetric complications associated with a history of cesarean delivery are well known, recognition of the niche as a surgical sequel and its association with gynecological symptoms such as abnormal uterine bleeding and pelvic pain is poorly described, compromising its identification in c...
Tratamento da Anemia ferropénica: Recomendações da Sociedade Portuguesa de Gine...
Águas,Fernanda; Nunes,Elsa; Capela,Eunice; Faustino,Fátima; Reis,José Lourenço; Martinho,Margarida; Castro,Maria Geraldina; Carvalho,Maria JoãoOverview and aims: This article addresses the diagnosis of anemia in the context of abnormal uterine bleeding and reviews the treatment options of iron deficiency anemia. This topic was worked out as a section of the Portuguese Consensus on Abnormal Uterine Bleeding, endorsed by the Portuguese Society of Gynaecology. The working group established recommendations that provide guidance to the medical society to b...
Surgical staging and endometrial carcinoma: preoperative magnetic resonance or ...
Santos,Fernanda; Pires,Rafaela; Henriques,Isabel; Águas,FernandaOverview: Endometrial cancer is a common gynecological malignancy, diagnosed at stage I in 80% of cases. In the absence of contra-indication, staging is surgical. Pelvic lymphadenectomy is not recommended in low risk endometrial cancers. Magnetic resonance imaging (MRI) is useful to predict the depth of myometrial invasion in the preoperative assessment, but intra-operative pathological exam could also be used....