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G Bellicini

Publications and source records attributed to G Bellicini.

8 recordsLinked to original sources

[The role of the Vabra aspirator in the screening of endometrial carcinoma. Our experience].

The aim of study was to estimate the utility of Vabra aspirator in the screening of endometrial carcinoma. For this and 656 patients aged over 40 were subjected to cytologic examination and we compared the date obtained with the histologic examination, when the woman was subjected to surgical operation. The research which we carried out was of the retrospective type and it lasted two years. The patients were recruited at the division out-clinic and locally. All the examinations were carried out at the division, using the method of Vabra aspirator with the Kit of Sterilab. The patients admitted to examination showed some menstrual anomalies, (spotting, abnormal uterine bleeding, metrorrhagias and after postmenopausal uterine bleeding), and stayed at our USSL or at neighbouring ones. The cytologic examination have been read beside a single centre and the cytologic diagnosis has been compared with the histology one on the operating organ. The result obtained agrees with the literature. In fact, out of 888 screened women, 656 were aged over 40 and 232 aged less than 40. In the group of 656 patients 3 adenocarcinoma have been diagnosed and 4 atypical hyperplasia, equivalent to 0.33% and to 0.45% respectively. In conclusion, we can say that the method has shown a good diagnostic reliability into the diagnosis of malignant neoplasia. According to other authors, its limit is, instead, the high number of inadequate, besides the impossibility to diagnose other uterine pathologies, such as the endometrial polyps and the uterine myoma.(ABSTRACT TRUNCATED AT 250 WORDS)

Adenocarcinoma↗

[Postmenopausal gynecologic pathology: 5-years activity at an ambulatory ultrasonography clinic].

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 women and consequently the growing request for gynecological examinations, increased importance has been given to the pathologies typical of this age bracket Gynecological exploration if often difficult in elderly patients leading to an increased request for ultrasonography in addition to clinical examination. Transvaginal ultrasonography allows the pelvic structures and endometrial echo-pattern to be examined with greater accuracy. During the period from 1986 to 1991 a total of 405 postmenopausal women were examined using ultrasonography out of a total of 3505 gynecological scans. Scans were performed using a 3.5 MHz suprapubic or endovaginal probe. The most frequent pathology was malignant endometrial carcinoma and the most frequent clinical symptoms was metrorrhagia. In line with findings reported in the literature, the authors underline the vital importance of carefully controlling all perimenopausal women attending an ultrasound out-patient clinic who present risk factors or metrorrhagia using integrated transabdominal and endovaginal diagnosis. The use of the endovaginal probe allows images to be obtained which are otherwise not visible using the transabdominal approach, thus permitting suspect echographic patterns to be identified. Moreover, endometrial evaluation represents an important stage of the examination. It is obvious that the endovaginal approach represents a useful diagnostic technique for screening purposes, especially in high-risk groups for endometrial pathology and ovarian cancer.

Adult↗

[The value of ultrasonography in benign breast diseases].

In recent years breast scans have been widely used for the precise diagnosis of breast cancer. However, the value of this diagnostic tool is debatable in comparison to mammography in women of a childbearing age who often present a dense youthful breast. The role of clinical examination as a screening process is also examined. In the light of these findings the Authors evaluated the role played by ultrasonography in breast cancer, and in particular benign breast tumours, in a group of outpatients attending the clinic. The technique used was relatively simple: the scan in the department used for gynecological and obstetrical ultrasonography was fitted with a 5 MHz probe and was used to perform all the scans. In addition, a Kiteco space maintainer was used for ultrasonography of soft tissue. Scans were performed at a distance of 0.5 cm. The Authors examined 107 patients with benign breast tumours using ultrasonography. They evaluated the morphology, dimensions, edges and internal echo-structure of pathological formations and adjacent areas. The value of breast ultrasonography emerges from an analysis of the results both in the study of the glandular structure and in the differentiation between cystic and solid type lesions which are not always diagnosed during clinical examination. A total of 59 fibroadenoma, 44 cysts, 2 lipoma and 2 phylloids were diagnosed. Fibroadenomas had smooth edges in 98.4% of cases and were lobulate in 1.6%. In 100% of cases the fibroadenomas diagnosed presented fine internal homogeneous echoes with a lower echogenicity than that of surrounding glandular tissue.(ABSTRACT TRUNCATED AT 250 WORDS)

Adenofibroma↗

[Research on the understanding of the relation between patient, gynecologist and breast disease].

The aim of our work was to identify the most important aspects of the relationship between gynecologist and patient who presents himself during our observation because of breast pathology. In order to evaluate all that said above we asked patients to compile a questionnaire characterized by different questions. The results obtained were very satisfactory and at the same time they lead us to a greater engagement towards the prevention of breast neoplasia, especially for those women predisposed to such disease.

Breast Diseases↗