Use of Hysteroscope for Vaginoscopy or Hysteroscopy in Adolescents for the Diagnosis and Therapeutic Management of Gynecologic Disorders: A Systematic Review

Johary, Jolinda; Xue, Min; Xu, Bin; Xu, Dabao; Aili, Aixingzi

doi:10.1016/j.jpag.2014.02.014

Cited by 24 publications

(18 citation statements)

References 62 publications

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“…Modification of tools such as an endoscope or flexible hysteroscope could be beneficial for biopsy or even IUD placement in patients with altered anatomy. Flexible hysteroscopes are currently used for vaginoscopy in pediatric patients [19]. These tools could be repurposed for Pap smear, colposcopy, biopsies, or IUD placement.…”

Section: Discussionmentioning

confidence: 99%

A Novel Use of Laryngoscope for Difficult Papanicolaou Smear Collection

Boudova

Thomas

Wolfe

et al. 2021

Case Reports in Obstetrics and Gynecology

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The prevalence of cervical cancer has dropped significantly since introduction of the Papanicolaou (Pap) screen. The greatest risk factor for cervical cancer is inadequate screening. Altered pelvic anatomy can limit the ability to collect a Pap smear. In the presented case, a woman with a history of fibroids and bleeding presented for an exam under anesthesia. Traditional approaches for collecting a Pap smear failed. A GlideScope video laryngoscope was used to visualize the cervix, and a Pap smear was collected. The specimen was satisfactory, negative for intraepithelial lesion or malignancy, and HPV negative. A laryngoscope can be repurposed to visualize collection of a challenging Pap smear. Novel approaches for Pap smear collection and cervical cancer screening are needed and have the potential to save lives.

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Section: Discussionmentioning

confidence: 99%

A Novel Use of Laryngoscope for Difficult Papanicolaou Smear Collection

Boudova

Thomas

Wolfe

et al. 2021

Case Reports in Obstetrics and Gynecology

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show abstract

“…In one retrospective study it was reported that PET/CT had higher sensitivity with regard to the detection of synchronous cancers in patients with head and neck squamous cell carcinoma than conventional work-up with CT, barium swallow esophagram and panendoscopy (88.2% vs 52.9%)[23]; however, PET/CT is an expensive examination and sometimes identifies false-positive lesions. Rapid development of endoscopic techniques is facilitating enhanced-visualization of lesion morphology and more accurate localization, particularly in the context of the diagnosis of cavitary organ lesions[24,25].…”

Section: Discussionmentioning

confidence: 99%

Synchronous quadruple primary malignancies of the cervix, endometrium, ovary, and stomach in a single patient: A case report and review of literature

Wang

Yang

2019

WJCC

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BACKGROUNDThe diagnosis of multiple primary malignancies (MPMs) has increased due to the improvements and development of diagnostic techniques, in conjunction with extended life span. Notably however, reports of synchronous quadruple primary malignancies remain extremely rare.CASE SUMMARYHerein we describe the case of a 56-year-old woman who was diagnosed with synchronous quadruple multiple primary cancers, namely an endocervical adenocarcinoma admixed with neuroendocrine features, localized endometrial endometrioid adenocarcinoma, unilateral endometrioid ovarian carcinoma, and gastric adenocarcinoma. All four of these tumors were removed in one combined surgical procedure.CONCLUSIONTo our knowledge the above-described combination of multiple synchronous primary malignancies has not been previously reported. The nature of the association between them is unknown. Further research should focus on the etiology and mechanisms involved in MPMs.

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“…The usefulness on vaginoscopic approach for diagnosis and treatment had been reported in adolescent girls by a systematic review by Johary el al. [2]. Current vaginoscopic minihysteroscopy (less than 5mm) is an ideal tool for management of AUB in virginal women.…”

Section: Discussionmentioning

confidence: 99%

“…The vaginoscopic hysteroscopy had been introduced for diagnosis and treatment in women with intact hymen. A systematic review in 2015 identified 19 case reports limited to diagnosis and therapeutic usage in pediatric gynecology [2]. There are only two case series reports in adult women [3,4].…”

Section: Introductionmentioning

confidence: 99%

The Office Vaginoscopic Hysteroscopy in Management of Virginal Women with Recurrent Abnormal Uterine Bleeding

Lee

2019

WJGWH

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Introduction: Abnormal uterine bleeding (AUB) is the most common reason to visit gynecology outpatient clinic. Virginal women are a challenge for gynecologist in management of AUB. The office vaginoscopic hysteroscopy is an ideal selection. The usefulness and feasibility of no touch hysteroscopy in virginal women is rarely reported. Objectives:The feasibility of vaginoscopic hysteroscopy for management of virginal women with abnormal uterine bleeding AUB. Materials and methods:Patients: A prospective observational study of 36 virginal women with AUB seen at the Kang Ning Hospital during a 10 months period, from 1st Jan to 31st Oct 2018 was included.Methods: Rigid hysteroscopy, 4mm out diameter (OD) was used after the initial clinical evaluation and transabdominal sonography.Result: A total of 36 consecutive women, aged 16 to 52 (mean 31) with AUB was included. The hysteroscopy was successful in 31 out of 36 (86%), while incomplete view 4 (11%). One failed examination (3%) was excluded. A total of 35 women were included for study. Thirteen endometrial polyps (37%) and 2 submucosal leiomyomas (6%) were found. Total operation time: mean time 3 m 29 s± 1 m16 s (range 1 m 54 s-11 m 31 s). Patients rated pain score: 3 ±1.6 (range 1-8). There was no hymeneal injury, only one vasovagal attack occurred. Thirteen women underwent see and treat endometrial biopsy no malignancy was found. Subsequent two submucosal myomectomy with hymenoplasty were performed. Conclusion:The office vaginoscopic hysteroscopy is safe and feasible for assessment of virginal women with AUB.

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Use of Hysteroscope for Vaginoscopy or Hysteroscopy in Adolescents for the Diagnosis and Therapeutic Management of Gynecologic Disorders: A Systematic Review

Cited by 24 publications

References 62 publications

A Novel Use of Laryngoscope for Difficult Papanicolaou Smear Collection

A Novel Use of Laryngoscope for Difficult Papanicolaou Smear Collection

Synchronous quadruple primary malignancies of the cervix, endometrium, ovary, and stomach in a single patient: A case report and review of literature

The Office Vaginoscopic Hysteroscopy in Management of Virginal Women with Recurrent Abnormal Uterine Bleeding

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