Publications by authors named "Isabella Iannini"

Article Synopsis
  • In a case involving a 38-year-old woman with a twin pregnancy and breast cancer, epirubicin chemotherapy was linked to the death of one twin, who was small for gestational age (SGA) and had oligohydramnios, while also causing temporary heart issues in the surviving twin.
  • The surviving twin exhibited signs of cardiovascular distress, with specific heart function abnormalities noted post-delivery, providing evidence of epirubicin’s cardiotoxic effects.
  • The study suggests careful monitoring of fetal conditions like SGA and oligohydramnios before administering epirubicin during pregnancy, as well as caution in administering it alongside other medications like desamethasone, to mitigate increased toxicity risks.
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Background: Metastases to the breast from extramammary malignancies are very rare, and ruling out the diagnosis of primary breast tumor is important in order to decide on clinical management and predict prognosis.

Case Presentation: Clinical examination revealed in a 49-year-old hairdresser a 3-cm hard lump adherent to the underlying layers in the right breast. Trucut biopsy was performed.

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Article Synopsis
  • - The study examined the effectiveness and safety of using ultrasound-guided methotrexate injections as a treatment for interstitial ectopic pregnancies in 14 patients where traditional surgical methods were not suitable.
  • - All patients received a 25 mg injection of methotrexate directly into the gestational sac, successfully terminating the pregnancies without any complications during a year-long follow-up.
  • - The findings suggest that this transabdominal approach is a viable and safe alternative for managing interstitial pregnancies when other methods are challenging, as long as appropriate patient selection and skilled operators are involved.
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Objectives: Breast cancer is one of the most common cancers occurring in pregnancy. Data on survival of these patients and their obstetrical complications are still limited.

Study Design: We conducted a case-control, retrospective study to evaluate the overall survival (OS) of 22 patients with breast cancer in pregnancy (BCP) and 45 non-pregnant women with breast cancer (BC) matched for age, stage and hormonal status.

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