Publications by authors named "J N Bakkum-Gamez"
Article Synopsis
- Serous tubal intraepithelial carcinoma (STIC) lesions are precursors to high-grade serous ovarian carcinomas, which have the highest mortality rates among gynecologic cancers, particularly affecting women with hereditary risk factors.
- A 38-year-old woman of Nepalese descent was found to have a STIC lesion during an opportunistic salpingectomy performed for sterilization, highlighting the potential risks even in patients considered average risk for ovarian cancer.
- While the SEE-FIM protocol, which is more sensitive for detecting STIC lesions, is typically not applied to average risk patients, implementing it could reduce missed diagnoses, although the costs and effort involved remain uncertain, especially among underrepresented populations.
Cervical adenocarcinoma is the second most common histology of cervical cancer and treatment can involve surgery, radiotherapy, systemic therapy, and any combination of the three. Photon external beam radiation therapy and brachytherapy have been the mainstay of radiation treatment options for cervical cancer. Here, we report a case of a 41-year-old patient who had a prior renal transplant and was diagnosed with early-stage, intermediate-risk adenocarcinoma treated with modified radical hysterectomy plus adjuvant proton-beam therapy and vaginal brachytherapy.
View Article and Find Full Text PDFBackground: Enhanced recovery after surgery (ERAS) pathways utilize multimodal analgesia. In pathways already utilizing incisional injection of liposomal bupivacaine (ILB), we assessed the benefit of adding intrathecal opioid analgesia (ITA).
Methods: In this randomized controlled non-inferiority trial in patients undergoing laparotomy for gynecologic malignancy, we allocated patients 1:1 to ILB alone versus ITA + ILB with 150 μg intrathecal hydromorphone.
Objectives: To perform a systematic review of published academic literature related to lost, mislabeled, and mishandled surgical and clinical pathology specimens during the preanalytical stage.
Methods: The authors used Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines to search PubMed, MEDLINE, Web of Science, and Scopus for relevant articles published from January 1, 1990, to May 1, 2023.
Results: The authors screened 1313 articles and identified 44 peer-reviewed, English-language articles published between 1990 and 2021 for inclusion in the final systematic review.