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Biomedical subjects

M Guida

Publications and source records attributed to M Guida.

80 records · Page 5Linked to original sources
PubMedDate not supplied

[Hysteroscopy in the diagnosis of endometrial carcinoma].

OBJECTIVE: To determine the diagnostic value of hysteroscopy in endometrial cancer. METHODS: 216 patients underwent hysteroscopy and endometrial biopsy. A comparison was made between hysteroscopic impression and histological examination. RESULTS: Sensitivity of hysteroscopy for diagnosing of endometrial cancer was 83.33%, specificity was 99.04%, positive predictive value was 71.42% and negative predictive value was 99.52%. CONCLUSION: Hysteroscopy was found to have a very important role in the diagnosis of endometrial cancer.

Biopsy↗
PubMedDate not supplied

[Hysteroscopy in suspected endometrial carcinoma: a comparison among cavity-distention media].

OBJECTIVE: To evaluate satisfaction rate, efficacy and complication rate of carbon dioxide (CO2) vs normal saline as uterine distension medium for outpatient diagnostic hysteroscopy in patients with suspicious endometrial cancer. METHODS: Thirty-eight undergoing outpatient hysteroscopy performed with carbon dioxide (group A) or normal saline (group B). Quality of vision of uterine cavity, procedure time, complications, patient discomfort, satisfaction rate have been evaluated. RESULTS: In group B a significant reduction in abdominal pain, shoulder tip pain and a lower incidence of vasovagal reactions were observed in comparison to group A. In normal saline group we found a higher satisfaction rate and a lower operative time in comparison to the CO2 group. CONCLUSIONS: Uterine distension with normal saline seems to have less adverse effects and is better accepted by patients.

Abdominal Pain↗
PubMedDate not supplied

[Evaluation of endometrial carcinoma using hysteroscopy and transvaginal echography].

OBJECTIVE: To compare transvaginal ultrasound and hysteroscopy in the diagnosis of endometrial cancer in women with postmenopausal bleeding. METHODS: Sixty postmenopausal women with abnormal uterin bleeding underwent to transvaginal ultrasound, hysteroscopy and endometrial biopsy. RESULTS: USG and hysteroscopy demonstrate respectively a sensitivity of 96% and 90%, specificity of 88% and 94%, positive predictive value of 86% and 92% and negative predictive value of 92% and 96% and accuracy of 89% and 94%. CONCLUSIONS: The accuracy of hysteroscopy is significantly higher than transvaginal sonography for the detection of endometrial cancer.

Aged↗
PubMedDate not supplied

[Hysteroscopic diagnosis of cervical involvement in the staging of endometrial carcinoma].

Hysteroscopy could be an interesting approach to evaluate the cervical invasion by endometrial cancer. From 2003 to 2004 we performed 30 hysteroscopy with endometrial biopsy with conclusive diagnosis of endometrial carcinoma and we calculated the sensitivity and specificity of hysteroscopy in assessing tumor invasion of the uterine cervix. Our data showed an high sensitivity and specificity of hysteroscopy that reported almost the same value of the histological examination. Our conclusions are that hysteroscopy is a suitable examination in endometrial cancer staging.

Endometrial Neoplasms↗
PubMedDate not supplied

[Epidemiological study of the incidence of dental caries].

The aim of this work is the evaluation of the results of an epidemiological survey on dental caries in schoolchildren in Arezzo and the province of Arezzo. The examined patients were 492, between the ages of 8 and 12, all of whom were at Primary School, in their third, fourth or fifth year. The evaluation of the data, which has been collected in other statistics in recent years, focussed on the measurement of caries in primary molars and upper incisors. The total occurrence of cases in which either the caries were present, or had already been cured, amounted to 62.4% of the total sample. It also seems as if there is a progressive increase in the instance of caries between the third year (45%) and the fifth year (68%) of Primary School. In addition it is worth noting that there is a higher incidence of caries among subjects in urban areas.

Child↗
PubMedDate not supplied

[AIDS and pregnancy: clinical and medicolegal reflections].

The authors discuss the various medicolegal aspects concerning the management of pregnancy in women with AIDS. They report the most recent data on the epidemiology and perinatal transmission of the disease. The effects of pregnancy on the evolution of disease as well as the effects of the disease on the evolution of pregnancy are discussed. A distinction is drawn between the progress of pregnancy in seropositive women and the progress of pregnancy in seronegative women. Lastly, the authors raise a number of questions of a medicolegal nature in the light of the legislation currently in force in Italy.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

[Underestimation of ovarian pathology. Clinical aspects and medico-legal considerations].

In this review are reported the data regarding medical and gynecological responsibility in case of underestimation of ovarian pathology compared to epidemiological data. It is important to recognize the characteristics of the symptomatology, in general very mild, and the diagnostic tests suitable to detect ovarian masses. Four steps in the management of ovarian masses which may generate errors in the diagnostic and therapeutical process are stressed: the clinical diagnosis phase, the surgical phase, the management of borderline tumors, and the follow-up. It is also highlighted the importance of the concept of the "delay" in the medical action, both diagnostic and therapeutical, and an involvement of the Public Health Service, both in the prevention and the treatment of ovarian lesions, is ipothesized.

Adult↗