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  • 1
    Electronic Resource
    Electronic Resource
    A stage Ia vulvar carcinoma with an inguinal lymph node recurrence after local excision. A case report and literature review (1992)
    Three Cambridge Center, Siute 208, Cambridge, MA 02142, USA : Blackwell Scientific Publications
    International journal of gynecological cancer 2 (1992), S. 0 
    Details
    ISSN: 1525-1438
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: A patient with a stage Ia vulvar squamous cell carcinoma (〈 1 mm invasion) is reported in which an inguinal recurrence one and a half years after partial radical vulvectomy and superficial inguinal lymph node sampling was noted. After the initial biopsy showing a tumor invading 0.3 mm into the stroma, residual tumor could not be shown in the vulvectomy specimen nor in the superficial lymph nodes. A review of the literature indicates that this is only the second reported case of stage Ia vulvar carcinoma with lymph node metastases.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1046/j.1525-1438.1992.02030157.x
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Euthanasia: a personal experience in gynecologic oncology (1995)
    Suite 500, 5th Floor, 238 Main Street, Cambridge, Massachusetts 02142, USA : Blackwell Science Inc.
    International journal of gynecological cancer 5 (1995), S. 0 
    Details
    ISSN: 1525-1438
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Euthanasia means the active causation of death by a life-shortening medical act performed on a seriously ill patient who has a concrete expectation to die. The request for euthanasia has always existed. In medical ethics the value of the protection of human life and the value of respect for the desire to die in dignity are both standards of equal order. In the process of euthanasia the wish of the patient is the most important. It is the responsibility of the doctor in attendance to keep all the personnel involved very well informed about the wishes of the patient, to prevent difficulties in the process of decision making. One has to realize that the emotional burden assumed by the doctor and nurses is very important. They become involved in the process of taking leave but have to give priority to their task as caregivers. Euthanasia can take place only as a part of terminal care which is given with much effort and personal concern.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1046/j.1525-1438.1995.05010071.x
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    The contribution of hysterectomy to the occurrence of urge and stress urinary incontinence symptoms (2002)
    Oxford, UK : Blackwell Science Ltd
    BJOG 109 (2002), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective To study the contribution of hysterectomy to the occurrence of urge-or stress urinary incontinence symptomsDesign A population-based, cross-sectional cohort study conducted in 1999Setting A university medical centre in The NetherlandsPopulation Random sample of 2322 women, between 35 and 70 years of age, from a suburban area in the central part of The NetherlandsMethods Self-report questionnaire with questions from the Urogenital Distress Inventory, sociodemographic variables and data on obstetric and gynaecological historyMain outcome measures Multivariate logistic regression analysis was used to obtain odds ratios with 95% confidence interval of the type and bothersomeness of urinary incontinence for hysterectomyResults One thousand, six hundred and twenty-six women (70%) responded. The adjusted odds of urge (1.9, 1.4;2.6) and bothersome urge (2.6, 1.4;4.4) urinary incontinence were increased for women who had a hysterectomy. This association was not limited to the elderly but also occurred in women under 60 years of age. No increased odds of stress or bothersome stress incontinence were foundConclusions Meta-analysis has shown that hysterectomy increases the odds of urinary incontinence by 30%. However, a distinction between the different types of urinary incontinence symptoms has not been made. Such a distinction is of importance since urge incontinence gives a significantly greater reduction in health-related quality of life as compared with stress incontinence. Therefore, our finding that women scheduled for hysterectomy have an increased risk of developing urge incontinence symptoms indicates that these women should be counselled about this particular consequence
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.2002.01332.x
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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