Pneumatosis Cystoides-like Histopathologic Appearance in a Mature Ovarian Teratoma.

Pneumatosis cystoides-like pattern is a group of histopathological features occasionally found in ovarian teratomas. This is a case of laparoscopic ovarian cystectomy performed for incomplete adnexal torsion where histology reported mature ovarian teratoma with "pneumatosis cystoides-like appearance". This term is used to describe the presence of multiple cystic spaces within the tumor wall.

Elderly Patients with Gynecological Cancer: Is the Management Individualized?

The change in life expectancy affects the clinical presentation and the prognosis of elderly patients with gynecological cancer. The in-crease of life expectancy and increased numbers of elderly patients, the healthcare systems have to deal more frequently with patients who are not simply older adults but have also severe comorbidities and physiological, psychological, functional, and social needs that require individualised management. Discussing every individual after detailed assessment in a multidisciplinary meeting is extremely important.

Robotic Management of Fibroids: Discussion of Use, Criteria and Advantages.

Fibroids are the most common benign tumors affecting fertility and quality of life. Different methods either definitive or fertility sparing are used for their management by using open, laparoscopic and robotic techniques. This is a narrative review presenting the role and the advantages of robotic surgery in fibroids (myomectomies or hysterectomies).

Robotic Management of Endometriosis: Discussion of Use, Criteria and Advantages: a Review of the Literature.

Endometriosis is a very common benign condition affecting fertility and quality of life. Different methods, either definitive or fertility sparing are used for its management by using open, laparoscopic, and robotic techniques. This is a literature review presenting the role and the advantages of robotic surgery in endometriosis.

Clinical features and treatment of lactational mastitis: the experience from a binational study.

The characteristics of 38 patients with mastitis are listed in this study, including nationality, age, parity, history of mastitis, clinical and laboratory findings, and medical treatment. Differential diagnosis was mainly correlated to breast engorgement. Mastitis was primarily related to staphylococcus aureus and it was more common in primiparous patients.

Female genital mutilation in Greece.

The number of migrants and refugees with a female genital mutilation (FGM) living in Greece is rising. This study explores the characteristics and psychosexual issues of women with FGM who were examined in the 2nd Department of Obstetrics and Gynecology, University of Athens Medical School, Greece during the year 2009. The women were asked to fill out an anonymous questionnaire asking for demographic data, obstetric history, current complaints, and psychosexual problems.

Endometrial stromal sarcoma in a 29-year-old patient. Case report and review of the literature.

Objective: Endometrial stromal sarcomas are rare tumors accounting for about 0.2% of all genital tract malignancies. They are considered to occur more often in premenopausal women.

The impact of HPV diagnosis on women's sexual and mental health: preliminary findings.

Purpose Of Investigation: The objective of the present study was to demonstrate the impact of HPV diagnosis on sexual function and mental health of Greek women.

Methods: The study population included 51 patients who proceeded to the gynecological outpatient clinic of "Aretaieion" Hospital, Athens, during 2008-2009. The participants were asked to complete a questionnaire regarding demographic characteristics, knowledge on HPV, gynecological and sexual history, as well as questions regarding their mental and sexual health after the diagnosis.

HPV-related verrucous carcinoma of the vulva. A case report and literature review.

Verrucous carcinoma of the vulva is a rare type of squamous cell neoplasm with distinct morphology, pathogenesis and special therapeutic management. A case of a 72-year-old patient who developed verrucus carcinoma of the vulva is reported. Data regarding the diagnosis, management and treatment of this neoplasm are presented, and a review of the literature is performed.

Single umbilical artery: fetal and placental histopathological analysis of 24 cases.

Aim: 24 cases of single umbilical artery (SUA) are presented and the related histopathological findings of the fetuses and placentas examined. SUA is the most common congenital anomaly of the umbilical cord, resulting in the absence of one of the two umbilical arteries. It has an incidence of approximately 2.

Endometrial carcinoma and ovarian sex cord tumor with annular tubules in a patient with history of Peutz-Jeghers syndrome and multiple malignancies.

Peutz-Jeghers syndrome is a rare syndrome which is inherited in a dominant manner. It is characterized by hamartomatous polyps of the gastrointestinal tract, hyperpigmented macules of the oral mucosa and an increased risk of developing neoplasms in the gastrointestinal tract, pancreas, breast and genital system. Women with Peutz-Jeughers syndrome often develop an ovarian sex cord tumor and cervical adenocarcinoma of minimal deviation adenoma malignum type.

Rare case of an ovarian monodermal teratoma with functional stroma and extensive ovarian decidualization in a 74-year-old woman.

We present the clinicopathological findings of a rare case of a monodermal teratoma of the right ovary with functional ovarian stroma and extensive decidualization in a 74-year-old woman. The patient presented with vaginal bleeding. Ultrasound scan revealed a pelvic mass measuring 9.

Cervical adenocarcinoma with clear cell morphology. report of six cases and literature review.

Clear cell cervical adenocarcinoma (CCA) is a rather rare malignancy of the genital tract. We report six cases of CCA, diagnosed in our laboratory during a 15-year period: five patients with sporadic primary CCA and one young patient with CCA and a history of in utero exposure to DES. The possible DES exposure, clinicopathological findings as well as the differential diagnosis and the the prognosis of such patients are presented in a mini-review of the literature.

Advantages of radio frequency (RF) cone biopsy compared to large loop excision of the transformation zone (LLETZ) in patients with high-grade squamous intraepithelial lesions: a retrospective study.

Objective: The aim of this study was to compare radio wave cone biopsy to the LLETZ method in patients with high-grade squamous intraepithelial lesions. METHOD-RESULTS: This was a retrospective study of 186 patients diagnosed with HGSIL who underwent cone biopsy either with the LLETZ method (82/186) or with the radio wave method (104/186) in the 2nd Obstetrics and Gynecology Department, University of Athens, Aretaieion Hospital, Athens, Greece during the period January 1999 to December 2008. The mean age of the patients was 31 years (range 23 to 53 years).

Primary mixed epithelial and germ cell tumors of the ovary. Two case reports and literature review.

Two cases of mixed germ cell and epithelial primary ovarian tumors which developed in women 47 and 57 years of age are reported. In both cases, large teratomas measuring 20 and 21 cm were observed in combination with carcinoids and malignant mucinous neoplasms. A possible common oncogenic mechanism is discussed and a literature review is presented.

Metastatic neoplasms of the ovaries: a clinicopathological study of 97 cases.

Objective: To present the clinicopathological features of metastatic ovarian neoplasms with emphasis in the diagnostic challenge.

Methods: This is a retrospective study including 97 patients with pathological diagnosis of metastatic ovarian neoplasms, examined during the decade 2000-2009. The gross, microscopical and immunohistochemical characteristics as well as the clinical data (age of the patients, origin of the neoplasm, symptoms, treatment options) and 5-year survival rates were examined.

The slow levonorgestrel-releasing intrauterine system (LNG-IUS) 20 mcg/day: a literature review.

The aim of the study is to present the mechanisms of action, indications, complications, contraindications and the necessary tests before the insertion of a levonorgestrel-releasing intrauterine system (Mirena). After a literature search in Pubmed, a narrative review in the field is presented.

Vulvar cancer: prognostic significance of the clinicopathological characteristics.

Vulvar cancer is a relatively uncommon neoplasm of the female reproductive system. The aim of this retrospective study was the analysis of the pathologic and clinical characteristics of vulvar cancer and their prognostic significance. During the period January 1996 to December 2005, 82 patients were treated for a vulvar malignancy.

Granular cell tumor of the female genital system. Clinical and pathologic characteristics of five cases and literature review.

The clinical and pathological characteristics of a rare granular cell tumor that developed in the vulva (4 cases) and the breast (1 case) offive women aged 35-52 years are reported. The differential diagnosis from skin carcinomas, melanoma and various soft tissue tumors is emphasized.

Placental chorioangioma and chorioangiosis. clinicopathological study of six unusual vascular lesions of the placenta--case reports.

The clinopathological features are presented of two cases of placental chorioangiomas and four cases of chorionagiosis diagnosed in a total of 2,400 placental specimens examined in our laboratory. The differential diagnosis, clinical effects and therapeutic approach are discussed.

A rare case of congenital pulmonary lymphangiectasia, hydrothorax and ascites in a male embryo aborted at 20 weeks of gestation.

A case of a male embryo aborted at the 20th week of gestation with extensive ascites, hydrothorax, pulmonary lymphangiectasia and pulmonary hypoplasia is presented together with the pathological findings, the etiology, differential diagnosis, course and therapy of this pathologic entity. Also a short review of the literature is discussed.

Unwanted pregnancy and induced abortion among young women 16-22 years old in Greece: a retrospective study of the risk factors.

Unlabelled: Unwanted pregnancies and the subsequent induced abortions are common problems of our youths in modern Greece. The aim of this study was to recognize the risk factors of the problem in an effort to find the best possible solution out of this social dead end.

Materials And Method: We interviewed 1,320 young female individuals and analyzed their answers using statistical analysis.

Retroperitoneal ancient schwannoma presenting as an ovarian tumor in a patient with uterine cancer. A case report.

Ancient schwannomas are rare tumors of neural origin. We present a case of a retroperitoneal ancient schwannoma by discussing the main symptoms, ultrasound and CT findings, treatment, and histopathological characteristics.

Ectopic pelvic spleen. Presentation of two cases.

We present two cases of nulliparous women with ectopic pelvic spleens who were hospitalized in our department during the last decade. The clinical and laboratory characteristics and the management of such a rare entity are discussed.

Clinical parameters linked with malignancy in endometrial polyps.

Aim: To investigate the association of different clinical parameters with the histological diagnosis and the prevalence of premalignant and malignant endometrial polyps.

Method: The study included 516 cases from January 2002 to December 2006. Possible risk factors such as age, menopause status, abnormal bleeding, obesity, hypertension, diabetes mellitus, hormone therapy, use of tamoxifen and size of polyp were investigated in relation to their association with the malignant potential of endometrial polyps.