 European
Journal of Gynaecological Oncology - Vol. XXV, n. 2, 2004 |
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| CONTENTS |
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| DISTINGUISHED EXPERT SERIES |
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| The benefits of haematopoietic growth factors
in the management of gynaecological oncology |
133 |
D.C. Dale - Washington, USA
Neutropenia and anemia are important complications of cancer chemotherapy
and can be prevented and treated with granulo-cyte
colony-stimulating factor and erythropoietin. |
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| BRIDGING THE GAP |
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| The meaning of the methylation of genomic DNA
in the regulation of gene expression levels |
145 |
A. Popiela, G. Keith, A. Borzecki, G. Popiela, M. Manowiec, M. Gabrys
- Wroclaw, POLAND
Recent knowledge concerning the methylation of DNA, which is one of
the major epigenetic mechanisms that deactivates
genes is presented. |
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| EDITORIAL ARTICLES |
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| Anti human papillomavirus vaccine: The checkmate
to human papillomavirus? |
151 |
M. Moscarini, A. Lukic, C. Franco - Rome, ITALY
The use of prophylactic vaccines could reduce the incidence of HPV
infection and, consequently, reduce the incidence of malig-nant
and benign HPV-correlated disease. |
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| Androgens and ovarian cancers |
157 |
P.H. Wang, C. Chang - Taipei, TAIWAN
Much evidence supports the importance of androgens in the initiation
or progression of epithelial ovarian cancers. |
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| ORIGINAL ARTICLES |
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| HSP27 in patients with ovarian carcinoma: still
an independent prognostic indicator at 60 months follow-up |
165 |
J.P. Geisler, J.E. Tammela, K.J. Manahan, H.E. Geisler, G.A. Miller,
Z. Zhou, M.C. Wiemann -Indianapolis,
IN (USA)
HSP27 is an independent prognostic indicator in patients with ovarian
cancer. |
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| Are nodal metastases in ovarian cancer chemoresistant
lesions? Analysis of nodal involvement in 105 patients treated with
preoperative chemotherapy |
169 |
P. Morice, F. Joulie, A. Rey, D. Atallah, S. Camatte, P. Pautier,
A. Thoury, C. Lhommé, P. Duvillard,
D. Castaigne - Villejuif, FRANCE
The rates of nodal involvement seem to be similar in patients treated
before or after chemotherapy. Such results suggest that nodal metastases
are chemoresistant lesions. |
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| Influence of stroma-derived growth factors
on the estradiol-stimulated proliferation of human breast cancer cells |
175 |
H. Seeger, D. Wallwiener, A.O. Mueck - Tuebingen, GERMANY
Stroma-derived growth factors can enhance the estradiol-induced proliferation
of human breast cancer cells. |
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| Detection of the sentinel lymph node under
local anaesthesia in early-stage breast cancer: Feasibility study
in a series of 78 unselected patients |
178 |
Y. Aubard, J. Mollard, T. Ducloux, J. Monteil, V. Fermeaux, M. Desfougères,
J. Gana, E. Serdouma - Limoges, FRANCE
It is feasible to detect the sentinel lymph node under local anaesthesia
in an unselected population. Using this procedure, patients can undergo
surgery with the knowledge of their axillary lymph node status while
at the same time avoiding the uncer-tainties of an intraoperative
examination of the sentinel lymph node - a source of many false negatives,
particularly in the event of micrometastases. |
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| An analysis of different approaches to ovarian
cysts in Italy |
183 |
C. Romagnolo, T. Maggino, P. Zola, E. Sartori, A. Gadducci, F. Landoni
- Milan, ITALY
Answers to a questionnaire on the diagnostic triage and therapeutic
options of pelvic masses in Italy were analyzed; members of the Italian
Society of Gynecological Oncology and the Italian Society of Gynecologic
Endoscopy were interviewed. |
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| Clinical implications of insulin-like growth
factors through the presence of their binding proteins and recep-tors
expressed in gynecological cancers |
187 |
S. Hirano, N. Ito, S. Takahashi, T. Tamaya - Gifu, JAPAN
The abnormally balanced co-expression of IGFBPs and IGF-R might be
involved in the growth of gynaecological cancers. |
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| The role of leptin in breast cancer |
192 |
A. Markowska, K. Malendowicz, K. Drews - Poznan, POLAND
A number of studies indicate a relation between leptin levels and
breast cancer. Leptin may become a prognostic factor in this cancer. |
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| Paclitaxel/carboplatin versus cyclophosphamide/carboplatin
in peritoneal carcinomatosis of the ovary |
195 |
O. Balat - Gaziantep, TURKEY
Paclitaxel/carboplatin increases the rate of optimal debulking in
peritoneal carcinomatosis of the ovary compared to carbopla-tine/
cyclophosphamide. |
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| Transvaginal laparoscopy proposed as an investigation
procedure for patients at high-risk for ovarian cancer |
197 |
V. Tanos - Nicosia, CYPRUS
Transvaginal laparoscopy, a minimally invasive technique, is proposed
to investigate high-risk ovarian cancer patients to rule out ovarian
cancer. |
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| Ovarian masses in young adolescents: imaging
findings with surgical confirmation |
201 |
V.T. Skiadas, V. Koutoulidis, M. Eleytheriades, A. Gouliamos, L.A.
Moulopoulos, E. Deligeoroglou,
L. Vlachos, G. Kreatsas - Athens, GREECE
The clinical features, radiologic and pathologic findings of 37 female
adolescents who were operated on in our hospital for an ovarian mass
are presented. |
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| The role of transvaginal ultrasonography and
serum CA 125 assay combined with age and hormonal state in the differential
diagnosis of pelvic masses |
207 |
A. Mancuso, A. De Vivo, O. Triolo, S. Irato - Messina, ITALY
CA 125 and transvaginal echography have a higher efficacy in diagnosing
ovarian malignancy if they are associated with age and hormonal state. |
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| The efficacy of intravenous versus epidural
tramadol with patient-controlled analgesia (PCA) in gyneco-logic cancer
pain |
211 |
G. Kir, M. Kir, H. Cetiner, A. Karateke, A. Gurbuz - Istanbul, TURKEY
Diagnostic problems on frozen section examination of myometrial invasion
in patients with endometrial carcinoma; with special emphasis on the
pitfalls of deep adenomyosis with carcinomatous involvement. |
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| The efficacy of intravenous versus epidural
tramadol with patient-controlled analgesia (PCA) in gynecologic cancer
pain |
215 |
L. Yavuz, F. Eroglu, M. Ozsoy - Isparta, TURKEY
Epidural administration of tramadol through a patient-controlled analgesia
method following gynecologic cancer surgery was found to be a more
effective analgesia in lower doses when compared to intravenous administration. |
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| Angiogenic properties of carcinoma in situ
and microinvasive carcinoma of the uterine cervix |
219 |
M. Sotiropoulou, E. Diakomanolis, A. Elsheikh, D. Loutradis, S.
Markaki, S. Michalas - Athens, GREECE
The process of neoangiogenesis in normal squamous cell epithelium,
and dysplastic and micro-invasive carcinoma of the uterine cervix
was studied. |
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| The incidence of female genital tumors in the
province of Sassari in the period 1992-2000 |
222 |
E. Kairi-Vassilatou, K. Kontogianni, M. Salamalekis, K. Sykiotis,
A. Kondi-Pafitis - Athens, GREECE
The aim of this study was to investigate the relationship, if any,
among adenomyosis, endometrial adenocarcinoma, hyperplasia and leiomyomas.
The frequent coexistence of adenomyosis and other hormone-dependent
uterine lesions is strongly suggestive of the presence of a common
hormonal factor in the pathogenesis. |
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| The prognostic significance of the immunohistochemical
expression of p53, bcl-2, c-erb B-2 and cathep-sin D in ovarian cancer
patients receiving platinum with cyclophosphamide or paclitaxel chemotherapy |
225 |
A. Protopapas, E. Diakomanolis, A. Bamias, S. Milingos, S. Markaki,
C. Papadimitriou, A.-M. Dimopoulos,
S. Michalas - Athens, GREECE
Paclitaxel-based combinations improve survival in ovarian cancer patients
possibly due to their plethoric apoptotic action which eliminates
chemoresistant populations of p53 and cathepsin-D overexpressing cells. |
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| Missed cancers on mammograms: Causes and measures
of prevention |
230 |
E. Kouskos, C. Markopoulos, D. Mantas, K. Revenas, Z. Antonopoulou,
K. Kontzoglou, J. Gogas - Athens,
GREECE
Mammographically missed cancers are not uncommon, are related to delayed
diagnosis and treatment, and present an increasing legal aspect associated
to malpractice ligitation. |
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| CASE REPORTS |
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| Solitary splenic metastasis of endometrial
carcinoma ten years after hysterectomy. Case report and review of
the literature |
233 |
C. Hadjileontis, I. Amplianitis, C. Valsamides, G. Harisis, H. Nepka,
A. Kafanas - Serres, GREECE
Carcinomatous metastases at the spleen are rare and usually appear
with generalized carcinomatosis. A case with solitary splenic involvement
ten years after hysterectomy is presented. |
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| Hyperplastic mesothelial cells in pelvic and
abdominal lymph node sinuses mimicking metastatic ovarian microinvasive
serous borderline tumor |
236 |
G. Kir, S. Eren, M. Kir - Istanbul, TURKEY
Hyperplastic mesothelial cells in pelvic and abdominal lymph node
were encountered in the staging procedure of a 32-year-old woman with
a left ovarian microinvasive serous borderline tumor. |
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| Primary ovarian small cell carcinoma of the
pulmonary type: A case report and review of the literature |
239 |
J. Mebis, H. De Raeve, M. Baekelandt, W.A.A. Tjalma, J.B. Vermorken
- Edegem, BELGIUM
A case of a 54-year-old woman with both a Stage IIIC small cell carcinoma,
pulmonary type, and a well-differentiated endometrioid adenocarcinoma
of the left ovary in combination with a Brenner tumor in the right
ovary is reported. |
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| Cellular angiofibroma of the vulva: Report
of a case |
242 |
Y. Dikmen, M.S. Yucebilgin, M. Kazandi, O. Zekioglu, T. Akalin,
N. Ozdemir - Izmir, TURKEY
Cellular angiofibroma of the vulva is a benign mesenchymal tumor,
a lesion that should be considered in the differential diagnosis of
vulvar soft tissue tumors. |
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| Vaginal bleeding as a first symptom of malignant
lymphoma: Case reports, diagnosis and successful treatment |
245 |
J. Sobotkowski, M. Blasin´ska-Morawiec, I. Dowgier-Witczak
- Lodz, POLAND
Three cases of malignant lymphoma at an uncommon, gynaecological site
are described. Chemotherapy, radiotherapy (tele-and brachytherapy)
were performed with good, long-term results. |
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| Long-lasting complete remission of a patient
with cervical cancer FIGO IVB treated by concomitant chemobrachyradiotherapy
with ifosfamide and cisplatin and consolidation chemotherapy - a case
report |
247 |
E. Vrdoljak, W. Hamm, T. Omrc?en, T. Prskalo - Split, CROATIA
A case report of a patient with locally advanced cervical cancer with
an isolated metastasis to the left ovary treated by chemoradiation
is presented. |
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| Subcutaneous metastasis of endometrial adenocarcinoma:
Case report of an incidental diagnosis during abdominal sonography |
250 |
Y. Dikmen, M.C. Terek, L. Mgoyi, O. Zekioglu, F. Akercan, M.S. Yucebilgin
- Izmir, TURKEY
A rare case of subcutaneous metastasis from endometrial adenocarcinoma
detected incidentally on the anterior abdominal wall during routine
abdominal sonography is reported. |
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| Angiomyofibroblastoma of the vulva: report
of a case |
253 |
F. Montella, M. Giana, A. Vigone, D. Surico, N. Surico - Novara,
ITALY
Angiomyofibroblastoma of the vulva is a rare entity and only a few
cases have been reported in the literature. The rarity of cases can
lead to a misdiagnosis by pathologists and gynaecologists.
A case of solitary angiomyofibroblastoma of the vulva in a 16-year-old
woman was examined by histology and immunohisto-chemistry. |
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| Endometrioid adenocarcinoma arising in endometriosis
foci six years after estrogen replacement therapy: a case report |
255 |
A. Areia, V. Sousa, C. Frutuoso, I. Dias, M.I. Martins, C.F. de
Oliveira - Coimbra, PORTUGAL
A case of an endometrial adenocarcinoma arising in endometriosis foci
in a patient on estrogen hormone replacement treatment is presented. |
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| Subcutaneous metastasis of endometrial adenocarcinoma:
Case report of an incidental diagnosis during abdominal sonography |
257 |
E. Kostopoulou, A. Moulla, D. Giakoustidis, M. Leontsini - Thessaloniki,
GREECE
Cases of sclerosing stromal tumors were examined by immunohistochemistry
and fluorescence in situ hybridization. |
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| Pregnancy associated breast cancer: A case
report |
261 |
P.V. Ginopoulos, G.D. Michail, G.S. Kourounis - Patras, GREECE
A pregnant woman with invasive ductal breast carcinoma treated with
combined surgery, chemotherapy and radiotherapy responded well without
fetal problems. |
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