Uterine fibroids (also called leiomyoma or myoma) are the most common benign tumor among women of childbearing age. These are often discovered during bimanual examinations and/or ultrasound examinations. Laparoscopic ...Uterine fibroids (also called leiomyoma or myoma) are the most common benign tumor among women of childbearing age. These are often discovered during bimanual examinations and/or ultrasound examinations. Laparoscopic myomectomy offers several benefits to patients such as less blood loss during operation, quick postoperative recovery and shorter hospital stay in comparison to open myomectomy. It has been widely used over the past decades as possible alternative to the traditional laparotomy. In spite of several benefits laparoscopic myomectomy has certain drawbacks such as prolonged time of anesthesia, time consuming procedure, comparatively expensive and weak strength of the uterine scar. Furthermore laparoscopic myomectomy is technically challenging procedure so it requires high degree of training and skill to perform it. Due to its several advantages, it should be taken into consideration for the removal of uterine fibroids.展开更多
Endometrial cancer (EC) is one of the three major malignant tumors of the female reproductive system in developed countries. In recent years, the incidence of EC ranks first in gynecological malignancy and the mainsta...Endometrial cancer (EC) is one of the three major malignant tumors of the female reproductive system in developed countries. In recent years, the incidence of EC ranks first in gynecological malignancy and the mainstay of treatment is Surgery. Although EC has a high prevalence, its several features associated with management are still unclear. Endometrial cancer lymph node status is the most important predictor of survival and also guides postoperative treatment planning but?in gynecologic oncology, lymphadenectomy, as a part of initial surgical management remains controversial. The current introduction of sentinel lymph node mapping in EC patients represents a midway between the execution and omission of node dissection. Sentinel lymph node (SLN) mapping has emerged as an alternative staging strategy hence, the role of SLN mapping is currently being evaluated prospectively in several centers. The objective of this review is to provide an update of the emerging role of sentinel node mapping in EC. In this review, we discussed how several different techniques, type of tracers utilized and injection sites has been described and used for lymphatic mapping in EC impacting on sentinel lymph node detection rates. In addition, we also discussed another evolving field in EC staging i.e.?interpretation of pathologic ultra staging of SLN, which can identify low volume metastasis for which the clinical significance and ideal management remain uncertain. Future perspective regarding EC management is also discussed in this review.展开更多
文摘Uterine fibroids (also called leiomyoma or myoma) are the most common benign tumor among women of childbearing age. These are often discovered during bimanual examinations and/or ultrasound examinations. Laparoscopic myomectomy offers several benefits to patients such as less blood loss during operation, quick postoperative recovery and shorter hospital stay in comparison to open myomectomy. It has been widely used over the past decades as possible alternative to the traditional laparotomy. In spite of several benefits laparoscopic myomectomy has certain drawbacks such as prolonged time of anesthesia, time consuming procedure, comparatively expensive and weak strength of the uterine scar. Furthermore laparoscopic myomectomy is technically challenging procedure so it requires high degree of training and skill to perform it. Due to its several advantages, it should be taken into consideration for the removal of uterine fibroids.
文摘Endometrial cancer (EC) is one of the three major malignant tumors of the female reproductive system in developed countries. In recent years, the incidence of EC ranks first in gynecological malignancy and the mainstay of treatment is Surgery. Although EC has a high prevalence, its several features associated with management are still unclear. Endometrial cancer lymph node status is the most important predictor of survival and also guides postoperative treatment planning but?in gynecologic oncology, lymphadenectomy, as a part of initial surgical management remains controversial. The current introduction of sentinel lymph node mapping in EC patients represents a midway between the execution and omission of node dissection. Sentinel lymph node (SLN) mapping has emerged as an alternative staging strategy hence, the role of SLN mapping is currently being evaluated prospectively in several centers. The objective of this review is to provide an update of the emerging role of sentinel node mapping in EC. In this review, we discussed how several different techniques, type of tracers utilized and injection sites has been described and used for lymphatic mapping in EC impacting on sentinel lymph node detection rates. In addition, we also discussed another evolving field in EC staging i.e.?interpretation of pathologic ultra staging of SLN, which can identify low volume metastasis for which the clinical significance and ideal management remain uncertain. Future perspective regarding EC management is also discussed in this review.
