RESUMEN
Although endometriosis is a common condition it can present with a wide range of symptoms. We report a case of chronic right hypochondrial and shoulder pain which proved to be due to endometriosis.
Asunto(s)
Endometriosis/diagnóstico , Dolor Referido/diagnóstico , Dolor de Hombro/etiología , Dolor de Hombro/terapia , Dolor Abdominal/etiología , Dolor Abdominal/terapia , Adulto , Endometriosis/cirugía , Femenino , Humanos , Infertilidad Femenina/etiología , Laparoscopía , Enfermedades del Ovario/diagnóstico , Enfermedades del Ovario/cirugía , Dolor Referido/etiología , Dolor Referido/terapia , Enfermedades Peritoneales/diagnóstico , Enfermedades Peritoneales/cirugía , Enfermedades Uterinas/diagnóstico , Enfermedades Uterinas/cirugíaRESUMEN
This observational study was conducted on the adolescents referred to a colposcopy clinic in a UK general hospital over a period of 10 years (1996 - 2005). It included 155 newly referred adolescents (age < or = 20 years) with abnormal smear results. The aim of the study was to define the demographic risk factors associated with the development of abnormal cervical smears and identify the incidence of high-grade cervical lesions in this age group. All the risk factors associated with development of HPV infection were found among this group, particularly early age of sexual contact and number of sexual partners. A total of 52.9% of the cases had a smear showing moderate or severe dyskaryosis. The incidence increased to 66.7% among those who had their first sexual contact before the age of 16. Colposcopy and histology confirmed the presence of CIN II and CIN III in 40.6% of cases. The study showed that patients can develop high-grade cervical lesions in their early teens. Delaying the age of onset of cervical screening to 25, as it is currently recommended in UK, will delay the detection and treatment of these cases. A new approach is required to deal with this problem.
Asunto(s)
Carcinoma in Situ/epidemiología , Infecciones por Papillomavirus/epidemiología , Neoplasias del Cuello Uterino/epidemiología , Adolescente , Carcinoma in Situ/patología , Carcinoma in Situ/virología , Colposcopía , Femenino , Humanos , Incidencia , Infecciones por Papillomavirus/patología , Estudios Retrospectivos , Factores de Riesgo , Reino Unido , Neoplasias del Cuello Uterino/patología , Neoplasias del Cuello Uterino/virología , Frotis VaginalRESUMEN
OBJECTIVE: Comparison of the demographic criteria and management of adolescents and other age groups referred to a colposcopy clinic with abnormal smears. METHODS: Retrospective study of newly referred cases to a colposcopy clinic in a UK district general hospital between 1996 and 2005. RESULTS: Most of the sociodemographic and sexual factors associated with HPV infection and cervical cancer were more obvious among adolescents than older women. There was a comparable incidence of high-grade cervical lesions in the two groups. CONCLUSIONS: A policy is needed to deal with adolescents who are exposed to all the risk factors associated with the development of HPV infection and high-grade cervical lesions. This has become an important issue for discussion recently in the UK after raising the age of onset of cervical screening to 25.
Asunto(s)
Cuello del Útero/patología , Displasia del Cuello del Útero/patología , Neoplasias del Cuello Uterino/patología , Frotis Vaginal , Adolescente , Adulto , Femenino , Humanos , Persona de Mediana Edad , Infecciones por Papillomavirus/complicaciones , Estudios Retrospectivos , Factores de Riesgo , Conducta Sexual , Reino Unido , Neoplasias del Cuello Uterino/diagnóstico , Neoplasias del Cuello Uterino/virología , Displasia del Cuello del Útero/diagnóstico , Displasia del Cuello del Útero/virologíaRESUMEN
Spontaneous heterotopic pregnancy is rare condition. We are reporting a case where the ectopic component was treated successfully laparoscopically and the intrauterine pregnancy continued to term uneventfully.