Vagina and Vulva

Tsili, Athina C.

doi:10.1007/174_2017_44

Cited by 6 publications

(12 citation statements)

References 27 publications

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“…The vagina can be anatomically divided into thirds, which is important for classifying tumour location and relates with its lymphatic drainage. The lower third is the portion below the level of the bladder base, posteriorly to the urethra; the middle third locates at the level of the bladder base and the upper third corresponds to the level of the vaginal fornices (Gardner et al 2015;Tsili 2019).…”

Section: Introductionmentioning

confidence: 99%

“…As for other gynaecologic malignancies, the staging of vaginal carcinoma is based on the International Federation of Gynaecology and Obstetrics (FIGO) staging system (Parikh et al 2008;Gardner et al 2015;Tsili 2019). Pelvic examination is still the primary modality for evaluating the extent of disease, as for cervical cancer.…”

Section: Introductionmentioning

confidence: 99%

“…Pelvic examination is still the primary modality for evaluating the extent of disease, as for cervical cancer. However, it has several limitations, like the impossibility to detect metastatic lymph nodes and difficulty for depicting tumour infiltration (Gardner et al 2015;Tsili 2019). Because of that, FIGO 2009 recommends the use of cross-sectional imaging (CT/MRI) (Tsili 2019).…”

Section: Introductionmentioning

confidence: 99%

“…However, it has several limitations, like the impossibility to detect metastatic lymph nodes and difficulty for depicting tumour infiltration (Gardner et al 2015;Tsili 2019). Because of that, FIGO 2009 recommends the use of cross-sectional imaging (CT/MRI) (Tsili 2019). MRI provides a better evaluation of tumour volume and local extension, like parametrial and pelvic sidewall involvement, as well as spread to the bladder, urethra, rectum and lymph nodes (Parikh et al 2008;Tsili 2019).…”

Section: Introductionmentioning

confidence: 99%

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Primary vaginal malignancies: a single oncology centre experience

Lima

Rio

Horta

et al. 2019

Journal of Obstetrics and Gynaecology

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Primary vaginal malignancies constitute a rare entity. The aim of this study was to review all primary vaginal malignancies diagnosed in an oncologic referral centre over 11 years. A total of 35 cases were retrospectively analysed, including clinical and MRI features. Squamous cell carcinoma (SCC) was the most frequent histologic subtype (77.1%), followed by adenocarcinoma (14.3%). There was no statistically significant difference for the mean age at diagnosis or for the mean largest diameter of the tumour. Most SCCs (95%) were homogeneous on T2-weighted imaging, while all adenocarcinomas were heterogeneous (p ¼ .0001). Concerning location, both SCCs (59.3%) and adenocarcinomas (80%) occurred more often on the upper third. However, regarding the wall of origin, all adenocarcinomas originated on the anterior vaginal wall (p ¼ .0002), while SCCs (62.5%) had a predisposition for the posterior wall (p ¼ .017). Regarding the history of previous hysterectomy, in the SCC group, 73.3% of patients with previous hysterectomies had cervical dysplasia (p ¼ .018). IMPACT STATEMENTWhat is already known on this subject? MRI plays an important role in the initial approach of primary vaginal malignancies. In previous studies, it is said that SCCs usually appear homogeneous on T2WI, with the intermediate-high signal, while adenocarcinomas are often homogeneously hyperintense. Regarding location, it is known that SCCs usually arise from the posterior wall of the upper third, while adenocarcinomas often originate on the anterior wall of the proximal third. What do the results of this study add? In this study, we found that all of our cases of adenocarcinomas were heterogeneous on T2WI, with high-signal intensity areas, while SCCs were predominantly homogeneous, and this association was statistically significant. We could also confirm the data in the literature regarding the most common location of these tumours. This study also showed an association between vaginal SCC and a previous hysterectomy with cervical dysplasia. What are the implications of these findings for clinical practice and/or further research? The histologic type of vaginal malignancy has clinical and management impact. Although MRI is usually performed after histologic characterisation, this is not always the case. We think that this study can constitute a starting point to better understand the MRI features of these rare tumours. Although this technique will obviously never preclude histologic characterisation, it may provide some initial hint on the type of tumour and its aggressiveness.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Primary vaginal malignancies: a single oncology centre experience

Lima

Rio

Horta

et al. 2019

Journal of Obstetrics and Gynaecology

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“…У ст. 42 «Освіта» Конституції Республіки Ірландії держава підтверджує, що першим і природним вихователем дитини є Сім'я, а також гарантує повагу до невід'ємного права і обов'язку батьків відповідно до їх спроможності забезпечувати своїм дітям релігійне і моральне, інтелектуальне, фізичне і соціальне виховання [24].…”

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Забезпечення Здорового Способу Життя Та Право На Охорону Здоров’я: Теоретичні Й Конституційно-Правові Основи

Палюх¹

2019

Вісник ЛДУВС імені Е.О. Дідоренка

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45on the basis of new laws or them new releases, approving different types of the electoral systems. For the last almost thirty years more than twenty electoral campaigns took Place and, as see, from the higher brought list over of laws that regulated elections in Ukraine, then obvious substantial differences are in the existent electoral systems, public and local self-government authorities to that elections, electoral process and others like that. As Constitution of Ukrainian SSR and some laws of Ukrainian SSR operated, new laws were accepted, repeatedly made alteration and additions in existent normatively-legal acts in the field of given.To our opinion, a ponderable value for development of electoral legislation,had an acceptance of Constitution of Ukraine 1996; what entailed activation of acceptance of the special laws. The certain stages and positive dynamics are distinguished to stability of electoral legislation of Ukraine in recent year. The value of the Electoral code of Ukraine is underline for arrangement of this industry of legislation, harmonization with existent international standards in the field of given, andalso perspective dire-ctions of improvement of electoral legislation. /0000-0001-9856-9147 ЗАБЕЗПЕЧЕННЯ ЗДОРОВОГО СПОСОБУ ЖИТТЯ ТА ПРАВО НА ОХОРОНУ ЗДОРОВ'Я: ТЕОРЕТИЧНІ Й КОНСТИТУЦІЙНО-ПРАВОВІ ОСНОВИУрегулювання права людини на охорону здоров'я на конституційному рівні часто пов'язується з іншими правами людини і громадянина, різноманітними сферами життєдіяльності як в Україні, так і в багатьох зарубіжних державах. Зокрема, це стосується медичного обслуговування, фізичної культури і спорту, освіти і науки тощо. Проблеми реалізації даного права негативно відбиваються на створенні умов і забезпеченні здорового способу життя особи, громади і нації, тому на основі теоретичного вивчення, аналізу конституційно-правового регулювання досліджено поняття і природу таких категорій як здоров'я, право на охорону здоров'я, здоровий спосіб життя, а також їх співвідношення та напрями вдосконалення.Ключові слова: здоров'я, право на охорону здоров'я, здоровий спосіб життя, фізична культура, законодавство, конституція.Постановка проблеми. Рівень благополуччя населення, його фізичного і психічного здоров'я відіграє важливу соціальну, економічну та інші ролі для особи, суспільства і держави. Забезпечення права людини на здоров'я, поряд із іншими важливими основоположними правами і свободами людини й

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Analysis of the integral efficiency of medical assistance for mothers and children

Antypkin,

Marushko,

Dudina

et al. 2023

UJPP

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Effective formation and support of the health of mothers and children, which determine the fundamental basis of the formation of the health of the future society and humanity, defense capability, labor reserve and intellectual potential of the country, possible only in the presence of effective health care systems. Purpose - to conduct an analysis of the integral efficiency of medical care for mothers and children based on the definition of the list and the weighted contribution of individual indicators of structural efficiency to the integral coefficient. Materials and methods. Based on the data of general and medical statistics of Ukraine, a structured assessment of the integrated effectiveness of medical care for mothers and children was carried out by individual components. The methods of systematic approach, structural-logical, epidemiological analysis, mathematical, and modeling are used. Results. The data of the analysis of the activities of the maternal and child health service of Ukraine in 2021 indicate a sufficient, above average level of achievement of the planned results - the comprehensive assessment ratio (CAR) is 0.79, with fluctuations by component from high (0.89 for the structure results) to above average (0.76 for the process indicators and 0.78 for the performance indicators). According to the geospatial analysis, the leaders in integrated maternal and child health service performance with high level of CAR (≥0.80), indicating sufficient effectiveness of maternal and child health care, are Ternopil, Chernivtsi, Lviv, Ivano-Frankivsk, Sumy Oblasts and the city of Kyiv. Donetsk and Kherson Oblasts became outsiders in terms of integrated effectiveness of medical care for mothers and children with an average level of CAR (0.61-0.69), requiring management decisions on their more efficient operation. The most problematic indicative indicators of maternal and child health services with a low and below-average level of the coefficient of achievement of results are the level of maternal mortality CAR (ratio of achievement of the standard value - RASV) = 0.00), the frequency of cesarean section (RASV=0.37), the frequency of low birth weight newborns (RASV=0.50), neonatal transfer index (RASV=0.60). Conclusions. The developed toolkit for integral assessment of the effectiveness of medical care for mothers and children allows for objective assessment and monitoring of the overall system, by region and by individual components on a unified basis, with the development of measures to address the identified problems and their implementation in the activities of the maternal and child health service. No conflict of interests was declared by the authors.

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Vagina and Vulva

Cited by 6 publications

References 27 publications

Primary vaginal malignancies: a single oncology centre experience

Primary vaginal malignancies: a single oncology centre experience

Забезпечення Здорового Способу Життя Та Право На Охорону Здоров’я: Теоретичні Й Конституційно-Правові Основи

Analysis of the integral efficiency of medical assistance for mothers and children

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