Osteoporotic risk in patients with gynaecologic cancer

Maturitas ◽  
2017 ◽  
Vol 100 ◽  
pp. 157-158
Author(s):  
HeungYeol Kim
2020 ◽  
Author(s):  
Chun-cheung Antony Fu ◽  
Wing Hang Luk

Abstract Background Bone health surveillance that includes laboratory tests and dual-energy x-ray absorptiometry (DXA) for patients with conditions that predispose them to a higher risk of osteoporosis is recommended. This study aimed to review current practice of such surveillance in a local tertiary referral centre. Methods Retrospective review of clinical data of patients who underwent DXA from 2013 to 2017 inclusive. Laboratory test results and presence of osteoporotic risk which was defined as bone mineral density (BMD) Z-score -2 SD or less were documented.Results This review consisted of 112 patients, 58 boys and age ranged from 1.1 to 20.3 years. Most referrals for DXA came from the subspecialty of nephrology (56.3%). Vitamin D status was rarely evaluated in this cohort of patients, only 17.9% of subjects had their vitamin D level checked. Overall, osteoporotic risk was demonstrated in 37% of the subjects. Thalassaemia, other haematological diseases like chronic ITP, osteogenesis imperfecta and inflammatory bowel disease accounted for majority of cases with high risk of osteoporosis.Conclusion DXA is underutilized in this center. Bone health surveillance and protection should be strengthened.


2018 ◽  
Vol 155 ◽  
pp. S23-S29 ◽  
Author(s):  
E. Bentivegna ◽  
A. Maulard ◽  
G. Miailhe ◽  
S. Gouy ◽  
P. Morice

Author(s):  
Frédéric Amant ◽  
Lieselot Brepoels ◽  
Michael J. Halaska ◽  
Mina Mhallem Gziri ◽  
Kristel Van Calsteren
Keyword(s):  

The Breast ◽  
2016 ◽  
Vol 26 ◽  
pp. 100-105 ◽  
Author(s):  
Lesley Stafford ◽  
Angela Komiti ◽  
Chad Bousman ◽  
Fiona Judd ◽  
Penny Gibson ◽  
...  

Author(s):  
Arati Mallick ◽  
Saubhagya K. Jena ◽  
Debasis Kuanar

Ovarian carcinoma is the second most common gynaecologic cancer and the leading cause of death from gynaecologic malignancy. Two-third of all malignant epithelial ovarian tumors are constituted by serous ovarian cystadenocarcinomas. It is generally observed that ovarian cancer tends to remain intraabdominal even in advanced cases and that dissemination is usually by invasion of adjacent viscera, diffuse intraperitoneal implantation, and metastatic involvement of aortic and pelvic lymph nodes. Metastasizes to the uterine cervix, vagina, or vulva in ovarian cancer is rare. The reverse i.e. ovarian metastasis from cervical tumor is rather more common. Published literature suggest that, patients with cervical metastases had associated malignant ascites, retroperitoneal lymph node involvement, and significant peritoneal carcinomatosis. Cervical metastasis in ovarian malignancies always indicates the advanced stage of tumor and multi-organ involvement, indirectly stating poor prognosis. The median survival in cases of ovarian cancer metastasizing to cervix is 4.4 months. Authors report a case of bilateral ovarian serous cystadenocarcinoma metastasising to posterior lip of cervix resulted in poor prognosis and proved fatal for the patient with review of published literature.


1997 ◽  
Vol 23 (2) ◽  
pp. 197-203 ◽  
Author(s):  
Jonathan R. Carter ◽  
M. Dwight Chen ◽  
Jeffrey M. Fowler ◽  
Linda F. Carson ◽  
Leo B. Twiggs

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. e20704-e20704
Author(s):  
Anna Rodriguez-Morera ◽  
Joaquin T. Limonero ◽  
Pilar Barretina

e20704 Background: Describe relationship between advanced gynaecologic cancer (AGC) patients and healthy parents emotional distress (ED) and information amount related to the disease they give to their children. Methods: We studied 28 children, aged between 5 and 18 years, whose mothers had AGC, 13 breast (72.2%), 2 cervix (11.1%) & 3 ovarian (16.7%). Interview with numerical scale from 1 to 10 points was used to assess the amount of children's information described by parents. Hospitality Ansiety Depression Scale (HADS) was used to assess parents ED. Parents and children older than 12 years gave Informed Consent. Results: 18 mothers diagnosed of AGC were included. They added up to a total of 31minor children (M=1.7;SD=0.7) 3 of them, younger than 5 years old were excluded. Emotional distress of parents did not significantly correlate with the number of minor children they had. In the other hand, depression symptoms increased with the duration of disease, for patients and healthy parents (rho=0.5,p<.01;rho=0.6,p<.01) also when patient's functional capacity decreased (rho=-0.4,p<.05;rho=-0.5,p<.05). Mothers gave the information in 60.7% of the cases, 35.7% both parents shared this task. Anxiety among patients (M=10.21;SD=5.4) and healthy parents (n=13,M=8.8;SD=4.8) had not significant correlation with the amount of information given (n=28,rho=-0.01,p>0.05;n=19,rho=-0.2,p>.05). Patients (M=7.3;SD=4.2) and healthy parents (n=13,M=5.2;SD=3.1) depression grade did not correlate with the amount of information children had (n=28,rho=0.2,p>.05;n=18,rho=-0.1,p>.05). Information given by mothers was slightly higher (M=6.8; SD=2.3), it was the same for sons and daughters (U=93.5,p>.05). Yet, fathers tended to give more information to daughters (M=6.2; SD=1.8;U=22.5,p=0.06). Information given by patients and healthy parents was concordant (rho=0.5;p<.05). Conclusions: AGC patients and healthy parents ED is not related with the information amount parents give to their children. We must be aware of the need to provide support to fathers during mothers’ disease in order to ease communication with the children, taking into account that mothers are who mainly give information to their children.


2016 ◽  
Vol 34 (15_suppl) ◽  
pp. 5509-5509
Author(s):  
Victor Rodriguez Freixinos ◽  
Stephanie Lheureux ◽  
Victoria Mandilaras ◽  
Blaise Clarke ◽  
Neesha Dhani ◽  
...  

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