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Uterine Sarcoma
The uterine sarcomas form a group of malignant tumors that arises from the smooth muscle or connective tissue of the uterus. They can be difficult to detect, as symptoms are common to other uterine conditions and no specific screening test has been developed. This presents an issue for treatment, as the cancer spreads quickly. Uterine sarcoma is rare and mostly occurs in post-menopausal women. The most common type, leiomyosarcoma, is twice as common in Black women as it is in white women. Uterine sarcoma condition is most commonly treated by Hysterectomy, radical hysterectomy. If cancer has spread beyond the uterus, radiation, chemotherapy, and hormonal therapy may be used. If detected in its early stages, survival rates for uterine sarcoma are 66% after 5 years. If cancer has spread beyond the uterus, the survival rate declines to approximately 13-34%. Signs and symptoms Clinically, uterine sarcomas and leiomyomas (fibroids) both have similar symptoms such as increased uterine s ...
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T2*-weighted Imaging
''T''2*-weighted imaging is an MRI sequence to quantify observable or effective ''T''2 (T2* or "T2-star"). In this sequence, hemorrhages and hemosiderin deposits become hypointense. Physics ''T''2*-weighted imaging is built from the basic physics of magnetic resonance imaging where there is spin–spin relaxation, that is, the transverse component of the magnetization vector exponentially decays towards its equilibrium value. It is characterized by the ''spin–spin relaxation time'', known as 2. In an idealized system, all nuclei in a given chemical environment, in a magnetic field, relax with the same frequency. However, in real systems, there are minor differences in chemical environment which can lead to a distribution of resonance frequencies around the ideal. Over time, this distribution can lead to a dispersion of the tight distribution of magnetic spin vectors, and loss of signal ( free induction decay). In fact, for most magnetic resonance experiments, this "relaxatio ...
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Paraaortic Lymph Node
The periaortic lymph nodes (also known as lumbar) are a group of lymph nodes that lie in front of the lumbar vertebrae near the aorta. These lymph nodes receive drainage from the gastrointestinal tract and the abdominal organs. The periaortic lymph nodes are different from the paraaortic lymph nodes. The periaortic group is the general group, that is subdivided into: preaortic, paraaortic, and retroaortic groups. The paraaortic group is synonymous with the lateral aortic group. Divisions The periaortic lymph node group is divided into three subgroups: preaortic, paraaortic, and retroaortic: * The preaortic group drains the gastrointestinal viscera. They can be subdivided into three groups: the celiac nodes, the superior mesenteric nodes, and the inferior mesenteric nodes. *The paraaortic group (also known as lateral aortic group) drains the iliac nodes, the ovaries, the testes and other pelvic organs. The lateral group nodes are located adjacent to the aorta, anterior to the ...
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Mixed Müllerian Tumor
A malignant mixed Müllerian tumor, also known as malignant mixed mesodermal tumor (MMMT) is a cancer found in the uterus, the ovaries, the fallopian tubes and other parts of the body that contains both carcinomatous (epithelial tissue) and sarcomatous (connective tissue) components. It is divided into two types, homologous (in which the sarcomatous component is made of tissues found in the uterus such as endometrial, fibrous and/or smooth muscle tissues) and a heterologous type (made up of tissues not found in the uterus, such as cartilage, skeletal muscle and/or bone). MMMT account for between two and five percent of all tumors derived from the body of the uterus, and are found predominantly in postmenopausal women with an average age of 66 years. Risk factors are similar to those of adenocarcinomas and include obesity, exogenous estrogen therapies, and nulliparity. Less well-understood but potential risk factors include tamoxifen therapy and pelvic irradiation. Classificati ...
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Uterine Adenosarcoma
Uterine adenosarcoma is an uncommon form of cancer that arises from mesenchymal tissue of the uterus and has a benign glandular component. Signs and symptoms The most common presentation is vaginal bleeding. Other presentations include pelvic mass and uterine polyp. Generally, the clinical findings are non-specific. Pathology Uterine adenosarcoma have, by definition, a malignant stroma and benign glandular elements. The World Health Organization (WHO) criteria have a mitotic rate cut point; however, this is often disregarded, as bland-appearing tumours with a low mitotic rate are known to metastasize occasionally. Image: Uterine adenosarcoma - low mag.jpg , Low mag. Image: Uterine adenosarcoma - add - intermed mag.jpg , Intermed. mag. Image: Uterine adenosarcoma - very high mag.jpg , Very high mag. Treatment Uterine adenosarcomas are typically treated with a total abdominal hysterectomy and bilateral salpingoophorectomy (TAH-BSO). Ovary-sparing surgery may be done in ...
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Endometrial Stromal Sarcoma
Endometrial stromal sarcoma is a malignant subtype of endometrial stromal tumor arising from the stroma (connective tissue) of the endometrium rather than the glands. There are three grades for endometrial stromal tumors, as follows. It was previously known as ''endolymphatic stromal myosis'' because of diffuse infiltration of myometrial tissue or the invasion of lymphatic channels. Low-grade endometrial stromal sarcoma Low-grade endometrial stromal sarcoma consists of cells resembling normal proliferative phase endometrium, but with infiltration or vascular invasion. These behave less aggressively, sometimes metastasizing, with cancer stage the best predictor of survival. The cells express estrogen/progesterone-receptors. Undifferentiated uterine sarcoma Undifferentiated uterine sarcoma, or undifferentiated (high-grade) endometrial stromal sarcoma, does not resemble normal endometrial stroma and behaves much more aggressively, frequently metastasizing. The differential inclu ...
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Adnexa Of Uterus
The uterine appendages (or adnexa of uterus) are the structures most closely related structurally and functionally to the uterus. Terminology They can be defined in slightly different ways: * Some sources define the adnexa as the fallopian tubes and ovaries. * Others include the supporting tissues". * Another source defines the appendages as the "regions of the true pelvis posterior to the broad ligaments". * One dictionary includes the fallopian tubes, ovaries, and ligaments (without specifying precisely which ligaments are included). Clinical significance The term "adnexitis" is sometimes used to describe an inflammation of the uterine appendages (adnexa). In this context, it replaces the terms oophoritis and salpingitis. The term adnexal mass is sometimes used when the location of a uterine mass is not yet more precisely known. 63% of ectopic pregnancies present with an adnexal mass. Depending on the size of the mass, it could be a medical emergency. The term "adne ...
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Leiomyosarcoma
A leiomyosarcoma (LMS) is a rare malignant (cancerous) smooth muscle tumor. The word is . The stomach, bladder, uterus, blood vessels, and Gastrointestinal tract, intestines are examples of hollow organs made up of smooth muscles where LMS can be located; however, the uterus and abdomen are the most common sites. Although leiomyosarcomas are rare, they belong to the more common types of soft-tissue sarcoma, representing 10–20% of new cases. This type of cancer is more frequently diagnosed in adults as compared to children. When considering LMS specifically in the context of the uterus, it affects approximately 6 individuals per 1 million people in the United States each year. LMSs are resistant cancers, meaning they are generally not very responsive to chemotherapy or radiation. The best outcomes occur when the tumor tissue can be removed surgically at an early stage, while it is small and has not yet spread from the original site (it remains ''in situ''). Mechanism Smooth mus ...
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Uterine Leiomyoma
Uterine fibroids, also known as uterine leiomyomas, fibromyoma or fibroids, are benign smooth muscle tumors of the uterus, part of the female reproductive system. Most people with fibroids have no symptoms while others may have painful or heavy periods. If large enough, they may push on the bladder, causing a frequent need to urinate. They may also cause pain during penetrative sex or lower back pain. Someone can have one uterine fibroid or many. It is uncommon but possible that fibroids may make it difficult to become pregnant. The exact cause of uterine fibroids is unclear. However, fibroids run in families and appear to be partly determined by hormone levels. Risk factors include obesity and eating red meat. Diagnosis can be performed by pelvic examination or medical imaging. Treatment is typically not needed if there are no symptoms. NSAIDs, such as ibuprofen, and paracetamol (acetaminophen) may help with pain. According to The Mayo Clinic, NSAIDs may help relieve ...
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Mitosis
Mitosis () is a part of the cell cycle in eukaryote, eukaryotic cells in which replicated chromosomes are separated into two new Cell nucleus, nuclei. Cell division by mitosis is an equational division which gives rise to genetically identical cells in which the total number of chromosomes is maintained. Mitosis is preceded by the S phase of interphase (during which DNA replication occurs) and is followed by telophase and cytokinesis, which divide the cytoplasm, organelles, and cell membrane of one cell into two new cell (biology), cells containing roughly equal shares of these cellular components. The different stages of mitosis altogether define the mitotic phase (M phase) of a cell cycle—the cell division, division of the mother cell into two daughter cells genetically identical to each other. The process of mitosis is divided into stages corresponding to the completion of one set of activities and the start of the next. These stages are preprophase (specific to plant ce ...
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Dilation And Curettage
Dilation (or dilatation) may refer to: Physiology or medicine * Cervical dilation, the widening of the cervix in childbirth, miscarriage etc. * Coronary dilation, or coronary reflex * Dilation and curettage, the opening of the cervix and surgical removal of the contents of the uterus * Dilation and evacuation, the dilation of the cervix and evacuation of the contents of the uterus * Esophageal dilation, a procedure for widening a narrowed esophagus * Pupillary dilation (also called mydriasis), the widening of the pupil of the eye * Vasodilation, the widening of luminal diameter in blood vessels Mathematics * Dilation (affine geometry), an affine transformation * Dilation (metric space), a function from a metric space into itself * Dilation (operator theory), a dilation of an operator on a Hilbert space * Dilation (morphology), an operation in mathematical morphology * Scaling (geometry) In affine geometry, uniform scaling (or isotropic scaling) is a linear tr ...
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Hysteroscopy
Hysteroscopy is the inspection of the uterine cavity by endoscopy with access through the cervix. It allows for the diagnosis of intrauterine pathology and serves as a method for surgical intervention (operative hysteroscopy). Hysteroscope A hysteroscope is an endoscope that carries optical and light channels or fibers. It is introduced in a sheath that provides an inflow and outflow channel for insufflation of the uterine cavity. In addition, an operative channel may be present to introduce scissors, graspers or biopsy instruments. A hysteroscopic resectoscope is similar to a transurethral resectoscope and allows entry of an electric loop to shave off tissue, for instance to eliminate a fibroid. A ''contact hysteroscope'' is a hysteroscope that does not use distention media. Procedure Hysteroscopy has been carried out in hospitals, surgical centers and doctors' offices. It is best carried out when the endometrium is relatively thin, that is after a menstruation. Both diagnost ...
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