CMC Dept. Ob/Gyn

[CMC Dept. Ob/Gyn @cmcobgyn]

Should pelvic exams be performed in asymptomatic women? Poor evidence to support this is modality.
Arch Intern Med 2011;171:2053

[CMC Dept. Ob/Gyn @cmcobgyn]

Sentinel lymph node mapping for uterine cancer increases the detection of metastatic disease to regional LNs
Gynecol Oncol 2011;122:251

[CMC Dept. Ob/Gyn @cmcobgyn]

Lymph node mets are rare in stromal ovarian tumors. Lymphadenectomy adds little information in surgical staging,
Gynecol Oncol 2011;122:242

[CMC Dept. Ob/Gyn @cmcobgyn]

CIN I dx by bx does not increase the risk factor for CIN 3 compared to negative histology or colpo nl women.
Obstetric Gynecol 2011;118:1222

[CMC Dept. Ob/Gyn @cmcobgyn]

Meta-analysis indicates 78% & 93% for the detection rate & sensitivity for SLN biopsy in pts with uterine ca
Gynecol Oncol 2011;123:522

[CMC Dept. Ob/Gyn @cmcobgyn]

DVT prophylaxis is under used in women having gyn surgery based on a study of 738,000 women from 2000-2010.
Obstetric Gynecol 2011;118:978

[CMC Dept. Ob/Gyn @cmcobgyn]

Cyto findings of ASCUS/ LSIL do not require colop in cervix cancer survivors. Pts with HSIL or ASC-H need colop
Obstet Gynecol 2011;118:548

[CMC Dept. Ob/Gyn @cmcobgyn]

Biggest risk for cerebral palsy - preterm birth, IUGR, perinatal infection, & multiple birth
Obstet Gynecol 2011;118:576

[CMC Dept. Ob/Gyn @cmcobgyn]

ChemoRT using platinum improves survival for pts with advanced stg cervix- addn benefit from adjuvant chemo needs more studies
Cochrane 2010

[CMC Dept. Ob/Gyn @cmcobgyn]

The most effective single intervention for BRCA1 mutation carriers is BSO at 40 yo, 15% absolute gain in survival
J Am Coll Surg 2011:447

[CMC Dept. Ob/Gyn @cmcobgyn]

Major complic after gyn surg assoc with > 80 yo, poor performance status, med comorbidities, & unintentional wt loss
Obstet Gynecol 2011:785

[CMC Dept. Ob/Gyn @cmcobgyn]

Operative vaginal delivery & SVD are significantly associated with SUI & prolapse compared to C-Section
Obstet Gynecol 2011;118:777

[CMC Dept. Ob/Gyn @cmcobgyn]

Pts prone to keloids may benefit from radiation 500cGy/d x 4 to a surgical scar after removal of a keloid.
Obstet Gynecol 2011;118:351.

[CMC Dept. Ob/Gyn @cmcobgyn]

ECC is an impt tool to evaluate cervix dysplasia. Report indicates poor interobserver agreement by pathologists
Obstet Gynecol 2011;118:240

[CMC Dept. Ob/Gyn @cmcobgyn]

Consider testing Women <41yo dx with uterine ca for Lynch Syndrome
Gyn Oncol 2011;123:88-94

[CMC Dept. Ob/Gyn @cmcobgyn]

Patients with uterine cancer with a high SUV max of the primary tumor by PET is an indicator of poor prognosis
Gyn Oncol 2011;123:82-87

[CMC Dept. Ob/Gyn @cmcobgyn]

Increasing evidence that primary epithelial ovarian cancer may arise from fallopian tube secretory epithelial cells
Gyn Oncol 2011;123:1

[CMC Dept. Ob/Gyn @cmcobgyn]

High grade dysplasia has decreases by 1/3 in teenage girls in Australia where a school-based HPV program began in 2007
Lancet 2011;377:2085

[CMC Dept. Ob/Gyn @cmcobgyn]

5yr survival rates in ovarian cancer greatest in BRCA2 pts, compared to BRCA1 pts & pts neg for a BRCA mutation. Study of 3500 pts

[CMC Dept. Ob/Gyn @cmcobgyn]

Study published 10/27/11 in Lancet online supports giving aspirin to decrease CR & uterine cancer for pts with Lynch Syndrome.