Analysis of the distribution of gynecologic diseases treated at a day gynecology unit

2021 ◽  
Vol 11 (1) ◽  
pp. 40-42
Author(s):  
Anna Fomina ◽  
Fatima Dzidzariya
Keyword(s):  
Genital Tract ◽  
Female Genital Tract ◽  
International Classification Of Diseases ◽  
Cervix Uteri ◽  
Outpatient Basis ◽  
Day Hospital ◽  
Inflammatory Disorders ◽  
Gynecological Care ◽  
Alternative To Hospitalization ◽  
Female Genital

Background: A gynecological day hospital is an alternative to hospitalization enabling to improve accessibility and avoid hospitalizations. Our study investigated the most common gynecologic issues treated in a day gynecology clinic. Methods: The distribution of attendances to a gynecology day hospital was studied in the period from 2015 to 2017. Data collected from the gynecologic diagnoses (a total of 2,908 cases) were standardized according to the International Classification of Diseases in its tenth revision. Results: Over the period from 2015 to 2017, noninflammatory disorders of the female genital tract (N80–N99) were predominant in the distribution of gynecologic conditions treated on an outpatient basis, that is, 69.0% in 2015, 78.6% in 2016, and 82.3% in 2017 of the total number of admissions. Among non-inflammatory disorders of the female genital tract, the most common were as follows: polyp of female genital tract (N84); other non-inflammatory disorders of uterus (N85), which include endometrial glandular hyperplasia (N85.0) and endometrial adenomatous hyperplasia (N85.1); erosion and ectropion of cervix uteri (N86); female infertility (N97). Conclusions: Our findings correspond to data obtained in other countries. The main group of diseases is represented by non-inflammatory disorders of the female genital tract. Thus, the data can be used in planning and organizing gynecological care for women undergoing treatment in day facilities.

scholarly journals Cervical Mesonephric Adenocarcinoma: A Case Report of a Rare Gynecological Tumor from Embryological Remains of the Female Genital Tract

2021 ◽  
Author(s):  
Catarina Reis-de-Carvalho ◽  
Carolina Vaz-de-Macedo ◽  
Santiago Ortiz ◽  
Anabela Colaço ◽  
Carlos Calhaz-Jorge
Keyword(s):  
Case Report ◽  
Genital Tract ◽  
Female Genital Tract ◽  
Treatment Protocol ◽  
Gynecology And Obstetrics ◽  
Mesonephric Adenocarcinoma ◽  
Gynecological Tumor ◽  
Cervical Adenocarcinomas ◽  
Female Genital

Abstract Introduction Malignant mesonephric tumors are uncommon in the female genital tract, and they are usually located where embryonic remnants of Wolffian ducts are detected, such as the uterine cervix. The information about these tumors, their treatment protocol, and prognosis are scarce. Case report A 60-year-old woman with postmenopausal vaginal bleeding was initially diagnosed with endometrial carcinoma. After suspicion co-testing, the patient underwent a loop electrosurgical excision of the cervix and was eventually diagnosed with mesonephric adenocarcinoma. She was subjected to a radical hysterectomy, which revealed International Federation of Gynecology and Obstetrics (FIGO) IB1 stage, and adjuvant radiotherapy. The follow-up showed no evidence of recurrence after 60 months. Conclusion We present the case of a woman with cervical mesonephric adenocarcinoma. When compared with the literature, this case had the longest clinical follow-up without evidence of recurrence, which reinforces the concept that these tumors are associated with a favorable prognosis if managed according to the guidelines defined for the treatment of patients with cervical adenocarcinomas. Though a rare entity, it should be kept in mind as a differential diagnosis for other cervical cancers.

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