Publications by authors named "Fotios Zachomitros"

Article Synopsis
  • Endometrial cancer is the most common gynecological cancer, and a study compared recent management guidelines from various major oncology societies.
  • Key findings showed both similarities and differences in surgical procedures, particularly relating to endometrial biopsy and lymph node involvement.
  • The study suggests that creating consistent international protocols could improve classification, surgical methods, risk assessment, and patient monitoring post-remission.
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Article Synopsis
  • The early and accurate diagnosis of endometrial cancer is crucial for patient survival, leading to a study evaluating the effectiveness of frozen section biopsy for this purpose.
  • A comprehensive literature review of relevant databases identified 47 studies, but only 11 were suitable for quantitative analysis, revealing high quality data with a pooled sensitivity of 0.863 and specificity of 0.916.
  • The findings suggest that frozen section biopsy is a reliable diagnostic tool, particularly effective for atypical hyperplasia, and could be recommended for clinical use where resources allow.
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Fetal and neonatal alloimmune thrombocytopenia (FNAIT) is a rare but serious condition. The first-line antenatal management of FNAIT consists of weekly IVIG with or without corticosteroids, ideally starting before 16 weeks of gestation.

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Twin gestations are associated with an increased risk of intrahepatic cholestasis in pregnancy (ICP), probably attributed to the elevated pregnancy hormones. We report a case of a dichorionic diamniotic twin pregnancy, at the third trimester, complicated with ICP and severe, selective fetal growth restriction (sFGR). A 32-year-old primiparous woman with a dichorionic, diamniotic twin gestation conceived via in vitro fertilization (IVF) presented with pruritus at the maternity care unit at 26 weeks of pregnancy.

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Background: Hysteroscopy remains the gold standard for the diagnosis and treatment of intracavitary uterine anomalies. As for recipients where oocyte donation is mandatory, accurate evaluation of previously missed intrauterine pathology may be an important step to optimize implantation process. The aim of this study was to hysteroscopically assess the incidence of unidentified intrauterine pathology prior to embryo transfer in an oocyte recipient population.

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Introduction And Importance: Smooth muscle tumors of uncertain malignant potential (STUMPs) are uncommon tumors representing an extremely rare cause of hemoperitoneum.

Case Presentation: We report a case of a 48-year-old Caucasian, premenopausal woman that presented in the emergency department with acute abdominal pain. There was no remarkable past medical and surgical history except from a known uterine leiomyoma.

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