OasisLMS

Objectives    The aim of this study was to evaluate the risk factors, clinical presentation and different modalities of treatment received by the patients of vulvar cancer.    Methods    This prospective longitudinal observational study was conducted for four years with follow up periods in the department of Gynecological Oncology, National institute of cancer research & hospital, Bangladesh from July 2015 to July 2019. 76 vulvar cancer patients were included in this study. All information including biochemical, imaging & histopathological findings and recurrences were recorded in a pre-designed data collection sheet. Data was analysed by SPSS version 23.    Results    Among 76 patients, 34.21% of patients were below 50 years of age. Vulvar cancer was significantly more in multiparous (P=0 .001) and post-menopausal women (P=0.001). Among the cases who were tested for HPV (51% ), 35% were HPV positive.77.63% of the cases were squamous cell carcinomas (G-I). 25% cases are lymph node positive.84%t of the cases were primarily treated with surgery with or without adjuvant therapy and 15% of the cases were treated by radiotherapy or CCRT. 66% of the patients were in regular follow up. During follow up period, recurrence was noticed (24%). Most common site of recurrence was inguinal lymph node.    Conclusions    vulvar cancer is significantly high in multiparous and postmenopausal women but young females may also developed vulvar cancer. Conservative surgical treatment is the best option in early stage vulvar cancer and gives high survival rates .The outlook is normally good if diagnosis happens in early stages and receives prompt and appropriate treatment    #vulvar cancer #HPV #Wide local excision

Introduction  recent studies have shown that patients who undergo voiding trial by bladder retrofilling approach  are discharged faster from the hospital . but none of the studies so far have incorporated this technique for nerve sparing radical hysterectomy . so we conducted a pilot study to:  1 . compare the novel retrograde bladder filling technique with conventional bladder training for voiding trial  2 . investigate the bladder function recovery and quality of life (qol) in patients undergoing nerve-sparing radical hysterectomy (nsrh)    methodology  study period : jan 2019 –dec 2021 type : prospective  inclusion criteria : patients who underwent nsrh , with normal preoperative bladder filling and voiding function .  exclusion criteria : distant metastasis  as per the conventional clamping method of voiding trial foleys was removed on day 7 after intermittent clamping on day 5 and 6. While in the retrofilling approach foleys was removed on pod 5 .Bladder function recovery was compared in these two groups in terms of prevoid volume and post void residual volumes on day 5, day 14 and 4 th month follow up .    results  our study has shown : there is no significant difference between bladder function recovery using the conventional clamping method and the retrofilling approach.         Conclusions  using the retrofilling approach patient can be discharged on post operative day 5 , thereby further reducing hospital stay in cases of radical hysterectomy. It helps to save resources  also in retrograde filling approach , prevoid volume could be measured simultaneously without performing ultrasound  for same

Introduction   The Department of Obstetrics and Gynecology at the Women and Newborn Hospital (WNH) in Zambia created a gynecologic oncology unit that sought to improve the care of women with gynecologic cancers in September 2015. The International Gynecologic Cancer Society Global Curriculum and Mentorship Program selected Zambia as a partner in the local training of fellows as gynecologic oncologists in 2018. We report the demographics and cancer types of women who have had surgical procedures since the start of the program.    Methods  Cancer Diseases Hospital theatre registers from January 2018 through April 2022 were examined. All surgeries conducted by the fellows were included.    Results   A total of 202 cases were done. The age range was 12-85 years. The highest proportion of surgeries were for patients with vulvar disease (40%).   Conclusion  The variety of cases performed offered breadth and depth to the surgical training program which will improve the care of women with dysplasia and malignancies.