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Adenocarcinoma villoghiandolare del collo uterino. descrizione di un caso e analisi della letteratura.
MINERVA GINECOLOGICA (TORINO
Distribuzione e prevalenza dei ceppi HPV ad alto rischio oncogeno nella pratica citologica
Tubercular endometritis visualized as endometrial micropolyps during hysteroscopic procedure
Arch Gynecol Obstet. 2009 Dec 1
Study of the partners of women with human papillomavirus infection
Background. Genital human papillomavirus (HPV) infection is one of the most common sexually transmitted diseases, and it has been identified as a significant risk factor for the development of dysplasia and cancer of the uterine cervix. The possible influence of male HPV lesions on female cervix oncogenesis has not been elucidated so far. In the present study we evaluate the male partners of women with clinical or subclinical HPV infection with particular interest in the clinical features of this infection in both partners. Methods. We examined 81 male partners of women affected with human papillomavirus infections. Condylomata acuminata were searched for by visual inspection. Subclinical lesions were searched by 5 power optical magnification lens after application of 5% acetic acid. Results. In men we observed the following percentage of infection: 67% of the partners of women affected with condylomata acuminata, 46% of the partners of women affected with subclinical lesions (acetic acid positive), and 40% of the partners of women with association of HPV and cervical intraepithelial neoplasia. Conclusions. Our data stress that very often the partners of women with HPV subclinical infection, especially when associated with CIN, do not present lesions, and consequently primary prevention may be very difficult
Re: Management of women with low-grade cytology: How reassuring is a normal colposcopy examination?
The debate over best management of low-grade smear results is still open. The Italian Society of Colposcopy and Cervico-Vaginal Pathology, in the Guidelines on the Management of Women with Abnormal Cervical Cytology stated that women with low-grade cytological abnormalities should be immediately referred for colposcopic examination in an outpatient clinic.This option was criticised because it may lead to overtreatment, complications and later adverse effects in young women, without clear psychological benefit. One suggestion that we could make is to restrict the use of a see-and-treat approach since the two-step approach, requiring a colposcopically obtained direct biopsy, as recently recommended by the Society of Obstetricians and Gynecologists of Canada, is, in our opinion, preferable and favours a better training for colposcopist
Sexually trasmitted diseases and assisted reproduction techniques: general consideration and our experience.
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