Minerva ginecologica

BACKGROUND: Endometriosis is undoubtedly an extremely complex disease from both a diagnostic and therapeutic point of view. The finding that the continuous administration of GnRH analogs suppresses gonadotropin release by the hupophysis, th…

The aim of the present study is to determine the epidemiological characteristics and etiological factors of ectopic pregnancy. The pool of women at risk is determined by different factors such as contraceptive practices, fertility rate, ste…

One-hundred-seventy-five patients with a probably benign ovarian cyst were submitted to transvaginal ultrasound-guided needle aspiration (TVUSGA) for diagnostic and therapeutic purpose. Recovery was obtained in 68% of serous cysts (130 pati…

AIM: To evaluate the use of UGP (urinary gonadotropin protein) as a tumor marker in gynaecologic and obstetric malignant diseases. MATERIALS AND METHODS: The study was carried out in the division of Gynaecology and Obstetrics of the Ospeda…

Uterine fibromyomatosis is a widely recognised and well studied pathology that is found in around 30% of over 35-year-old women. It has been extensively demonstrated that the etiology of fibromyomas is hormone dependent and to date the main…

Umbilical endometriosis is a rare pathology whose etiopathogenesis is still uncertain and the theories put forward are all controversial. Diagnosis is therefore frequently difficult. The authors report a case of umbilical endometriosis whic…

Abnormal uterine bleeding is one of the main indications for hysteroscopy in peri-menopausal age. Transvaginal ultrasound allows for an accurate study of the endometrium through the evaluation of thickness, homogeneity. The aim of this retr…

The objective of this study was to evaluate the effect on vertebral and femural bone density of the gonadotropin-releasing hormone (GnRH) analog administration. The changes in mineral bone density after 6 months discontinuation of the GnRH …

The Authors have studied the effects of different surgical interventions on some factors of humoral and cell-mediated immuno-competence: 112 premenopausal women, operated on mainly for benign conditions, have been considered in order to eva…

Endometriosis of the sigmoid colon is a pathology which is not frequently reported but may be manifested with symptoms in the form of intestinal occlusions and/or subocclusions and rectorrhagia. Diagnosis is difficult because there are no t…

Gn-RH analogues have been recently employed for the treatment of oestrogen-dependent benign gynaecological disorders, such as uterine myomata, endometriosis or metrorrhagia. They induce a "pharmacological castration", inducing a marked redu…

In this paper, the authors report a case of subcutaneous endometriosis and analyze the main etiopathogenetic theories to give a reason for this anomalous localization.

The authors report on up to date knowledge of the risk of endometrial carcinoma women operated on mastectomy for breast carcinoma and treated with TAM. Starting from their own clinical and scientific experience, the authors follow a group o…

Forty-one postmenopausal patients with abnormal uterine bleeding were scheduled for endometrial sampling in a week from the measurement of endometrial thickness by transvaginal ultrasonography. If the cut-off limit was 5 mm, the endometrial…

Hyperestrogenism is a powerful factor inducing the development of endometrial hyperplasia that in its turn may represent the first step in the natural history of endometrial carcinoma. During menopause it is possible to have a condition to …

The aim of our study was to verify the efficacy of transvaginal ultrasound scanning as an indicator of the endometrial status in healthy menopausal women. One hundred eighty five healthy women in natural menopause were examined by vaginal s…

Hypo-oestrogenaemia following surgical oophorectomy leads to a regression of the ectopic endometrial tissue. A medical and transitory oophorectomy can be obtained using leuprolide ac., an analogue of LH-RH. In this study we compare the resu…

This study evaluated the reliability of ultrasonography in the post-menopausal period for the screening of endometrium pathology in women who are non-symptomatic or undergoing hormone replacement therapy. A total of 152 women were examined,…

Endometriotic peritoneal implants of small dimensions were discovered in five patients undergoing laparoscopic examination for diseases unrelated to endometriosis. All patients were asymptomatic for endometriosis and each had undergone at l…

A variety of new data on the biology, pathophysiology and metabolic changes occurring in leiomyomas and in the ectopic endometrium have opened new avenues for research in a neglected area, that of benign proliferations of the female reprodu…

The finding of endometriosis of the abdominal wall is a rare event; we describe three cases observed after cesarean section. The first case is an endometriosis of the rectus abdominis, first occurrence in literature. The second case describ…

Intestinal involvement of endometriosis requiring treatment is 5%, but only 0.7% needs intestinal resection. The authors report two cases of colic endometriosis and illustrate problems in diagnosis and management of this disease. Usually in…

After a brief consideration of the recent therapeutic approaches to endometriosis, the Authors suggest their laparoscopic method which includes drainage by aspiration of the endometrioma using a wide biopsy, followed by careful lavage of th…

The authors examine the role of ultrasonography in the diagnosis of gynecological post-menopausal pathologies and report the activities of the ultrasound out-patient clinic over the past 5 years. Due to the prolonged life expectation of wom…

The Authors carried out a retrospective examination of data relating to 241 patients undergoing radical hysterectomy with pelvic lymphadenectomy between 1970 and 1991. The basic aim of the study was to identify and quantify complications co…