Vulvar Pyogenic Granuloma in a Postmenopausal Woman: Case Report and Review of the Literature

Introduction. Although pyogenic granulomas (PG) are common and benign vascular proliferations of the skin and mucous membranes, they are relatively rare on the vulva. Case Presentation. A 57-year-old G7P7 postmenopausal woman presented with a 3-year history of a foul smell and bleeding lesions in the genital region. A gynecologic examination revealed multiple large papillomatous, pedunculated, and lobulated lesions that were cherry-red and infective in appearance. There was a 2-cm lesion at the upper intersection of the labia majora, a 2-cm lesion on the right labium majus, and a 4-cm lesion on the clitoris. The patient complained of itching, and the lesions were asymptomatic, except for occasional bleeding. All lesions were excised and sent for histopathological examination, which revealed an ulcerated polypoidal structure with extensive proliferation of vascular channels lined by a single layer of endothelium. The histopathological features were consistent with PG. Conclusion. The present case is the first case of multiple pyogenic granulomas on the vulva in a postmenopausal woman

Status of Pandemic Influenza Vaccination and Factors Affecting It in Pregnant Women in Kahramanmaras, an Eastern Mediterranean City of Turkey

BACKGROUND: Pregnant women are a target group for receipt of influenza vaccine because there appears to be an elevated mortality and morbidity rate associated with influenza virus infection in pregnant women. The goal of this study is to determine the factors affecting the decisions of pregnant women in Turkey to be vaccinated or not for 2009 H1N1 influenza. METHODOLOGY: We enrolled 314 of 522 (60.2%) pregnant women who attended to the antenatal clinics of the Medical Faculty of Kahramanmaras Sutcuimam University's Department of Gynecology and Obstetrics between December 23, 2009, and February 1, 2010. We developed a 48-question survey which was completed in a face-to-face interview at the clinic with each pregnant woman. PRINCIPAL FINDINGS: Of the 314 pregnant women, 27.4% were in the first trimester, 33.8% were in the second trimester, and 38.8% were in the third trimester. Twenty-eight pregnant women (8.9%) got vaccinated. Of all the women interviewed, 68.5% stated that they were comfortable with their decisions about the vaccine, 7.3% stated they were not comfortable, and 24.2% stated that they were hesitant about their decisions. The probability of receiving the 2009 H1N1 vaccine was 3.46 times higher among working women than housewives, 1.85 times higher among women who have a child than those who do not, and 1.29 times higher among women with a high-school education or higher than those with only a secondary-school education and below. Correct knowledge about the minimal risks associated with receipt of influenza vaccine were associated with a significant increase in the probability of receiving the 2009 H1N1 vaccine. CONCLUSIONS/SIGNIFICANCE: The number of pregnant women in the study group who received the 2009 H1N1 vaccine was very low (8.9%) and two-thirds of them stated that they were comfortable with their decisions concerning the vaccine. Our results may have implications for public health measures to increase the currently low vaccination rate among pregnant women. Further studies are required to confirm whether our findings generalize to other influenza seasons and other settings

Plasma selenium levels in Turkish women with polycystic ovary syndrome

Conclusion(s): Our results show decreased plasma concentrations of Se and a negative correlation between Se and LH, tT in women with PCOS. These results indicate that Se May play a role in the pathogenesis of PCOS related with hyperandrogenism. (C) 2013 Elsevier Ireland Ltd. All rights reserved

Estradiol plus drospirenone therapy increases mammographic breast density in perimenopausal women

Conclusions: E2/DRSP therapy for 12 months in perimenopausal women significantly increased mammographic breast density in comparison to a control group. Further long-term and large scale prospective studies are needed to evaluate this issue. (C) 2011 Elsevier Ireland Ltd. All rights reserved

Scorpion sting in a pregnant woman: A case report

Scorpion envenomations remain a serious health problem in many parts of the world, generally occurring in the summer months. While there are a number of case reports in the literature regarding scorpion stings, reports of envenomation oc- curring during pregnancy are rare. We present in this article a rare case of a sting by the yellow scorpion in a pregnant woman. A 27-year-old woman in the 10th week of gestation presented to our emergency service with a history of a scorpion sting. The patient underwent cooling on the sting areas and was administered 1 g IV paracetamol. In this case, antivenom was not used because the patient exhibited no systemic signs of toxicity and did not meet criteria for antivenom administration. The maternal and fetal follow-up were normal, and the mother gave birth to a healthy baby at the end of the gestation. [Arch Clin Exp Surg 2015; 4(2.000): 118-120

Effects of lumbar lordosis and pelvic inlet orientation on the outcome of the transobturator tape sling operation in women

Women with continence after the TOT sling procedure have lower angle of PI than women with incontinence

Could serum beta-hCG levels and gestational age be the indicative factors for the prediction of the degree of trophoblastic invasion into tubal wall in unruptured ampullary pregnancies?

To evaluate the predictive value of gestational age and maternal serum beta-hCG concentration for the determination of the depth of trophoblastic invasion into the tubal wall