المؤلفون: Shalini Gainder, Rashmi Bagga, Pradip Kumar Saha, Tanuja Muthyala, Anuj Prabhakar, Kanchan Kumar Mukherjee, Subhas Chandra Saha, Lakhbir Kaur Dhaliwal, Ommega Internationals

المصدر: Journal of Gynecology and Neonatal Biology. 3:52-56

مصطلحات موضوعية: Recurrent haemorrhage, medicine.medical_specialty, business.industry, Medicine, Presentation (obstetrics), business, Venous malformation, medicine.disease, Surgery

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::e6832a522fc6a6b05a98541cafcf1d1dTest
https://doi.org/10.15436/2380-5595.17.1654Test

المؤلفون: Subhas Chandra Saha, Lakhbir Kaur Dhaliwal, Sameer Vyas, Anish Keepanasseril, Rashmi Bagga

المصدر: Gynecological Surgery. 8:161-164

مصطلحات موضوعية: congenital, hereditary, and neonatal diseases and abnormalities, medicine.medical_specialty, Hysterectomy, medicine.diagnostic_test, business.industry, media_common.quotation_subject, medicine.medical_treatment, Reproductive medicine, Obstetrics and Gynecology, Interventional radiology, Fertility, Anastomosis, medicine.disease, Cervical agenesis, Surgery, Vaginal atresia, medicine.anatomical_structure, otorhinolaryngologic diseases, medicine, business, Cervix, media_common

الوصف: Congenital atresia of the cervix is a rare mullerian anomaly. Hysterectomy has been advocated as the management of choice in the early days as the reproductive performance is thought to be low despite successful neo-canal creation. In recent years, conservative surgery is being recommended more frequently in patients with congenital cervical atresia and with total or partial vaginal aplasia and is shown to have a better reproductive performance. The treatment strategy should be tailored to relieve retrograde menstrual symptoms and restore fertility. Here, we report a young girl with congenital cervical atresia with upper vaginal atresia managed with uterovaginal anastomosis and review the management options and reproductive performance in such cases.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::2dcd653d3bc4d121ff745c363983828eTest
https://doi.org/10.1007/s10397-010-0640-xTest

المؤلفون: Chidambaram Natrajan Balasubramanian Harisankar, Bhagwant Rai Mittal, Anish Bhattacharya, Lakhbir Kaur Dhaliwal

المصدر: Molecular Imaging and Radionuclide Therapy
Molecular Imaging and Radionuclide Therapy, Vol 22, Iss 3, Pp 106-108 (2013)

مصطلحات موضوعية: lcsh:Medical physics. Medical radiology. Nuclear medicine, medicine.medical_specialty, lcsh:R895-920, Sentinel lymph node, lcsh:Medicine, Case Report, Computeized Tomography, lymphoscintigraphy, Sentinel lymph node biopsy, Biopsy, medicine, Radiology, Nuclear Medicine and imaging, In patient, lcsh:R5-920, medicine.diagnostic_test, Vulvar cancer, business.industry, lcsh:R, Sentinel node, medicine.disease, Surgery, Patient management, X ray, Single –Photon Emission Computerized Tomography, Vulvar Carcinoma, Radiology, Lymph, lcsh:Medicine (General), business

الوصف: Minimally invasive sentinel node biopsy is associated with significantly less morbidity and has been evaluated in several studies in patients with gynecologic malignancies. Accurate identification of the sentinel lymph nodes is possible in most of the patients. Hybrid SPECT/CT is a newer modality which has been shown to improve the localization of the suspicious lesions and also provide anatomical information of the involved lymph nodes. We report the utility of hybrid SPECT/CT in localization of sentinel lymph node in a case of vulvar cancer and its impact on patient management. Conflict of interest:None declared.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e7454404caab558a549a408c165b13aaTest
http://europepmc.org/articles/PMC3888012Test

المؤلفون: Subhash Chandra Saha, Lakhbir Kaur Dhaliwal, Shalini Gainder, Amit Kumar Adhya, Harpreet Kaur, Rashmi Bagga, Radhika Srinivasan

المصدر: International Journal of Clinical Oncology. 14:78-81

مصطلحات موضوعية: Pathology, medicine.medical_specialty, Pleural effusion, Biopsy, Ovariectomy, Retroperitoneal Lymph Node, Thecoma, Surgical oncology, medicine, Humans, Meigs Syndrome, Meigs' syndrome, Child, Granulosa Cell Tumor, Ovarian Neoplasms, medicine.diagnostic_test, business.industry, Ascites, Hematology, General Medicine, medicine.disease, Pleural Effusion, Malignant, Treatment Outcome, Oncology, Female, Surgery, Germ cell tumors, Fibroma, business

الوصف: Juvenile granulosa cell tumor (GCT) is a rare tumor, and the majority (90%) are reported in the prepubertal or under-30-year age group, in contrast to the adult type, which is more common in the fifth decade. On histopathological examination, juvenile GCTs are distinct from the adult type of GCT, and have a lower risk for late recurrences than the latter. Being solid tumors, they may be associated with ascites and pleural effusion (Meigs' syndrome), which resolve after surgical removal of the tumor. Tumor markers for GCT are still investigational (inhibin) and of not much use in making a preoperative diagnosis, unlike in the case of germ cell tumors. In most of the reports about the initial surgical management of GCT, retroperitoneal lymph node sampling was not performed, and it was not done in the patient we report here. However, lymph node sampling is advocated for complete staging of these tumors, as a significant number of recurrences are reported in the retroperitoneum, as well as in incompletely staged patients. In the present patient, because of the association of Meigs' syndrome, a preoperative diagnosis of benign tumors such as fibroma/thecoma was also considered. We report this rare tumor with an aim of reviewing the diagnosis and management from the reported literature.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::75d1d31bbcb11d14d7a85d73d6075fefTest
https://doi.org/10.1007/s10147-008-0805-zTest

المؤلفون: Nalini Gupta, Lakhbir Kaur Dhaliwal, Arvind Rajwanshi, Saniya Sharma

المصدر: Indian journal of surgical oncology. 6(3)

مصطلحات موضوعية: Oncology, Pathology, medicine.medical_specialty, Abdominal pain, Cystic teratoma, business.industry, Serous cystadenocarcinoma, medicine.disease, Internal medicine, Medicine, Surgery, Germ cell tumors, Ovarian Teratoma, Differential diagnosis, Mucinous cystadenocarcinoma, medicine.symptom, business, Cystadenocarcinoma, Letter to the Editor

الوصف: Sir, Germ cell tumors (GCT) comprise 20–30 % of the ovarian tumors [1]. Mature cystic teratoma (MCT) is the most common benign GCT comprising 10–20 % of all tumors in women of reproductive age group. The cancers in the ovary are most commonly of epithelial origin with serous cystadenocarcinoma and mucinous cystadenocarcinoma comprising the majority of these lesions. Malignant germ cell tumors are less common and malignant transformation of MCT is rare. Most common malignancy to occur in the setting of MCT is SCC, though other malignancies including sarcomas, melanomas and carcinoid have been highlighted in case reports [2]. The other differentials of SCC in the ovary to the considered are of de novo origin, metastases and transformation in endometriotic foci. De novo origin of SCC in an ovary is extremely rare [3]. We recently reviewed two cases of SCC in the background ofMCT. Both these middle aged females presented with a few months history of vague lower abdominal pain and distension. Evaluation revealed unilateral ovarian masses. CA-125 levels were normal. Pre-operative diagnosis of malignant epithelial ovarian neoplasm was considered in both cases and staging laparotomy was performed. Histopathology, however, revealed a diagnosis of MCT with malignant transformation based on the findings of solid cystic tumor showing areas of calcification, fat and hair [Fig. 1]. The clinical features, imaging findings and per-operative findings are no different from other ovarian malignancies and the diagnosis is established by histopathology. The importance of diagnosing this entity preoperatively lies in the prognosis that has been found to be uniformly poor even after several forms of adjuvant treatment. These tumors usually present in the post-menopausal women with the age range of 45–65 years, though cases of these tumors in young women have been documented in literature [4]. Patients present with non-specific complaints of vague abdominal pain, nausea, vomiting, constipation, vaginal bleeding, abdominal enlargement and weight loss. Examination findings including the abdominal and per-vaginal examination are non-specific and reveal a pelvic or abdomino-pelvic mass. Imaging in these cases is not specific and confirms the presence of a complex pelvic mass and provides an insight into the disease extent and the presence of metastases that is critical before the surgical exploration is undertaken. However, certain clinical, imaging and biochemical markers for suspecting these cases have been suggested by various researchers. These include older age at presentation, large size (>10 cm at presentation) and proportion of solid component [5]. The most important differential diagnosis to be considered is the metastasis, particularly from cervical carcinoma, by both clinical examination and at histopathology [6]. S. Sharma (*) :N. Gupta :A. Rajwanshi Department of Cytology and Gynaecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India e-mail: drsaniya.sharma@gmail.com

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b869efd62c99f391aa889461d5396de7Test
https://pubmed.ncbi.nlm.nih.gov/27217690Test

المؤلفون: Anish Keepanasseril, Rashmi Bagga, Subhash Chandra Saha, Shalini Gainder, Divya Khosla, Lakhbir Kaur Dhaliwal, Firoza Patel, Radhika Srinivasan

المصدر: Journal of Gynecologic Surgery. 28:20-22

مصطلحات موضوعية: medicine.medical_specialty, Chemotherapy, business.industry, Wide local excision, medicine.medical_treatment, Obstetrics and Gynecology, medicine.disease, Surgery, Metastasis, Lesion, Radiation therapy, medicine, Adenocarcinoma, Histopathology, medicine.symptom, Stage (cooking), business

الوصف: Background: Metastatic skin incisional cancers have been reported with cancers of the colon, kidney, and bladder. Incisional metastasis occurs rarely in gynecologic cancer, especially in cervical carcinoma. It is more commonly reported with adenocarcinoma and poorly differentiated histopathology than squamous cell carcinoma. Case: A case of squamous cell carcinoma cervix FIGO stage IB1 with skin metastasis is reported. Results: The patient underwent wide local excision of the lesion and has been disease free for 6 months. Conclusions: Skin metastasis, considered to be a pre-terminal event, with a mean survival of ∼3 months, can be managed by surgery, chemotherapy, or radiation therapy alone and/or in combination. (J GYNECOL SURG 28:20)

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::3cdac1e13676227261b94fd86178f489Test
https://doi.org/10.1089/gyn.2010.0083Test

المؤلفون: Subhas Chandra Saha, Raje Nijhawan, Sujata Siwatch, Neelam Aggarwal, Lakhbir Kaur Dhaliwal

المصدر: Journal of Postgraduate Medicine, Education and Research. 46:102-103

مصطلحات موضوعية: medicine.medical_specialty, business.industry, Electronic journal, medicine.disease, Surgery, Ovarian tumor, medicine.anatomical_structure, Aggressive angiomyxoma, Rare case, medicine, Pelvic tumor, Angiomyxoma, business, Pelvis, Vault (organelle)

الوصف: Background Angiomyxoma is a rare tumor arising from the pelvis. Preoperative diagnosis and treatment may be difficult. Case report We report a rare case of aggressive angiomyxoma pelvis that presented as vault prolapse and was misdiagnosed as ovarian tumor. Conclusion As surgery is the main treatment, preoperative diagnosis and assessment of extent of the tumor for planning surgery cannot be overemphasized. Synopsis Angiomyxoma is a rare pelvic tumor with varied presentation. Preoperative diagnosis and assessment of extent of the tumor are important for its management. How to cite this article Siwatch S, Saha SC, Aggarwal N, Dhaliwal L, Nijhawan R. Aggressive Angiomyxoma Pelvis Presenting as an Ovarian Tumor with Vault Prolapse. J Postgrad Med Edu Res 2012;46(2):102-103.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::47844bf02b0427174dc77cbb9bd8a2bcTest
https://doi.org/10.5005/jp-journals-10028-1022Test

المؤلفون: Lakhbir Kaur Dhaliwal, B. Kaur, N.K. Ganguly, S.S. Sud, Indu Gupta

المصدر: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 66(2)

مصطلحات موضوعية: medicine.medical_specialty, Population, Blood Pressure, Statistics, Nonparametric, Preeclampsia, Andrology, Pre-Eclampsia, Pregnancy, Reference Values, Blood plasma, Medicine, Humans, Longitudinal Studies, education, education.field_of_study, biology, business.industry, Obstetrics and Gynecology, General Medicine, medicine.disease, Surgery, Fibronectins, Fibronectin, Clinical research, Blood pressure, biology.protein, Gestation, Female, business, Biomarkers

الوصف: Endothelial cell damage has been put forward as an underlying factor for development of pre-eclampsia. This study was carried out to see if fibronectin, which is a marker of endothelial damage, could be used as a marker of pre-eclampsia.A longitudinal study was conducted on 100 normotensive primigravidae registered before 20 weeks of gestation. These subjects were followed until delivery and three blood samples were collected, first at registration, i.e. before 20 weeks, second around 28 weeks and third at 36 weeks or later till delivery. Fibronectin levels were assayed by ELISA and women observed for any signs of pre-eclampsia.Fourteen subjects developed pre-eclampsia. Fibronectin levels were observed to rise as pregnancy advanced but the rise was significantly higher in subjects who developed pre-eclampsia. The fibronectin levels were also significantly higher in these 14 subjects even in the first sample, i.e. before 20 weeks of gestation when compared with normotensive subjects (P0.01).Fibronectin levels could be used as an early valuable biomarker for the development of pre-eclampsia.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::91a7e1c8e6b07fe7146636d68fba7edcTest
https://pubmed.ncbi.nlm.nih.gov/10468334Test

المؤلفون: I. Gupta, T Renuka, Lakhbir Kaur Dhaliwal

المصدر: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 60(2)

مصطلحات موضوعية: Adult, medicine.medical_specialty, medicine.medical_treatment, Pregnancy Complications, Cardiovascular, Gestational Age, Ultrasonography, Prenatal, Veins, Diagnosis, Differential, Pregnancy, Laparotomy, medicine, Humans, Hemoperitoneum, Ovarian Diseases, Abruptio Placentae, Fetal Death, Abdomen, Acute, Uterine Diseases, Rupture, Spontaneous, business.industry, Vascular disease, Obstetrics, Ovary, Uterus, Pregnancy Outcome, Obstetrics and Gynecology, Gestational age, General Medicine, medicine.disease, Surgery, medicine.anatomical_structure, In utero, Gestation, Abdomen, Female, medicine.symptom, business

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f0bf79f2ce8d84668df822eee710ea9dTest
https://pubmed.ncbi.nlm.nih.gov/9509956Test

المؤلفون: Rashmi Bagga, Lakhbir Kaur Dhaliwal, Sujata Siwatch, Radhika Srinivasan

المصدر: Case Reports. 2013:bcr2012008128-bcr2012008128

مصطلحات موضوعية: Adult, Molar, endocrine system, medicine.medical_specialty, medicine.medical_treatment, Antineoplastic Agents, Chorionic Gonadotropin, Article, Diagnosis, Differential, Molar pregnancy, Serum hcg, Obstetrics and gynaecology, Pregnancy, medicine, Humans, Chemotherapy, business.industry, Obstetrics, Contraindications, Abortion, Induced, Hydatidiform Mole, General Medicine, medicine.disease, Surgery, Gestation, Female, Neoplasm Recurrence, Local, Differential diagnosis, business, Pregnancy Complications, Neoplastic, hormones, hormone substitutes, and hormone antagonists

الوصف: A 27-year-old fouth gravida patient with previous two partial molar pregnancies and one missed abortion underwent a suction evacuation for partial molar pregnancy at 9 weeks of gestation. She was followed up with serum HCG values. Though the HCG level reduced from a pre-evacuation value of 1 40 223-31 157 mIU/ml 1 week post procedure, the levels continued to be positive in low titres 6 months after suction evacuation. The management options were discussed with the patient and a decision was taken to continue surveillance with serial HCG titres. HCG levels normalised after 11 months without the need for chemotherapy.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a773d1fd74936c7b3ea24933e6cdea37Test
https://doi.org/10.1136/bcr-2012-008128Test