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Ginecologia

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Browsing Ginecologia by Author "Ambrósio, B"

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  • A disturbing vulvar mass – the tip of the iceberg
    Publication . Ambrósio, B; Ambrósio, P; Marques, C
    Uterine fibroids are benign monoclonal tumors that originates from the smooth muscle cells of the myometrium and are the most common solid pelvic tumors in women. In the differential diagnosis of vulvar masses we should considered Bartholin's cysts or abscesses, Bartholin's tumors, fibroids (usually fibroids of the round ligament), subcutaneous lipomas, inguinal hernia or adenomegaly. With this images we present a case of a vulvar mass caused by a fibroid, probably from the round ligament, which was a tip of the iceberg of an extensive pelvic leiomyomatosis.
    2018Journal article Open access Show more
  • How to Treat Cesarean Scar Pregnancy: A Difficult and Rare Case
    Publication . Ambrósio, B; Ferreira, AP; Correia, A
    Background: Cesarean scar ectopic pregnancy is a rare type of ectopic pregnancy. Due to high morbidity and mortality associated with delayed diagnosis of this condition, a high index of suspicion is important, as well as a thorough transvaginal ultrasound. There is still no consensus on the best treatment of these cases. The choice for conservative options, including medical therapy with methotrexate and transvaginal evacuation, avoids mutilating surgeries, such as hysterectomy, which can compromise women's fertility. Case: A 32-year-old patient with a cesarean scar pregnancy with a 7 weeks live embryo. Results: The patient was treated with transvaginal evacuation and a single dose of intramuscular methotrexate, after an initial attempt with medical treatment, consisting of a local injection of potassium chloride into the sac, proved to be technically impossible. Conclusions: Due to the low incidence of cesarean scar pregnancies and the nonexistence of consensus regarding their treatment, this case report can improve understanding of these pregnancies, which could lead to the establishment of new guidelines.
    2018Journal article Restricted access Show more
  • Preservação da fertilidade em doentes oncológicos
    Publication . Ambrósio, B; Costa, T; Pereira, JS
    2016Conference object Open access Show more
  • Tratamento conservador do cancro da mama
    Publication . Ambrósio, B
    2015Conference object Open access Show more