Les complications incluent la métastase, la douleur chronique et des problèmes fonctionnels.
ComplicationsLéiomyosarcomeMétastase
#2
Le léiomyosarcome peut-il se propager ?
Oui, il peut se propager à d'autres organes, notamment les poumons et le foie.
MétastaseLéiomyosarcomePropagation
#3
Y a-t-il des risques liés aux traitements ?
Oui, les traitements peuvent entraîner des effets secondaires comme la fatigue et des nausées.
Effets secondairesLéiomyosarcomeTraitements
#4
Comment gérer la douleur liée au léiomyosarcome ?
La gestion de la douleur peut inclure des médicaments, la physiothérapie et des soins palliatifs.
Gestion de la douleurLéiomyosarcomeSoins palliatifs
#5
Le suivi post-traitement est-il crucial ?
Oui, un suivi régulier est essentiel pour surveiller les récidives et gérer les complications.
Suivi post-traitementLéiomyosarcomeRécidive
Facteurs de risque
5
#1
Quels sont les principaux facteurs de risque ?
Les facteurs incluent l'exposition à des radiations, des produits chimiques et des antécédents familiaux.
Facteurs de risqueLéiomyosarcomeRadiations
#2
L'âge influence-t-il le risque de léiomyosarcome ?
Oui, le risque augmente généralement avec l'âge, touchant souvent les adultes d'âge moyen.
ÂgeLéiomyosarcomeRisque
#3
Les maladies génétiques sont-elles un facteur ?
Certaines maladies génétiques, comme le syndrome de Li-Fraumeni, augmentent le risque.
Maladies génétiquesLéiomyosarcomeSyndrome de Li-Fraumeni
#4
Le sexe joue-t-il un rôle dans le risque ?
Oui, les femmes sont légèrement plus susceptibles de développer un léiomyosarcome utérin.
SexeLéiomyosarcomeRisque
#5
L'obésité est-elle un facteur de risque ?
Oui, l'obésité peut être associée à un risque accru de certains types de sarcomes, y compris le léiomyosarcome.
ObésitéLéiomyosarcomeRisque
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"name": "Quels examens d'imagerie sont utilisés ?",
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"position": 20,
"acceptedAnswer": {
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Cystoscopy is an important procedure in the diagnostic evaluation of the lower urinary tract. Standard cystoscopy (white light) undergoes permanent improvement. High-end instruments and video systems ...
Office-based flexible cystoscopy is a common outpatient procedure in daily urology practice. Sometimes, cystoscopy procedures are performed on the initial day or scheduled on the following days. We de...
In this study, 160 patients were prospectively randomized to undergo office-based flexible cystoscopy by the same urologist between November 2017 and January 2018. Participants were grouped as schedul...
Among men, immediate cystoscopy group experienced an increased state anxiety score compared to scheduled group (51.21 ± 8.108 vs 35.29 ± 10.553; p < 0.001). BAI scores were 16.51 ± 8.078 for group1 vs...
To reduce anxiety and pain, informing patients properly about the cystoscopy and scheduling the procedure would be helpful for a better cooperation of the patient....
Ureteral reimplantation remains the primary surgical method used for patients with vesicoureteral reflux (VUR). Cystoscopy is commonly performed first to visualize anatomy and rule out possible abnorm...
Pediatric urologists were surveyed regarding collecting urine cultures in asymptomatic patients and cystoscopies before reimplantation. A retrospective review was also conducted of patients who underw...
When physicians were asked the frequency they obtain urine cultures before reimplantation on asymptomatic patients, 36% said "never" and 38% said "always." Regarding cystoscopy, 53% said "never" and 3...
Cystoscopies and asymptomatic urine cultures obtained before ureteral reimplantation provide no additional benefit while increasing cost for patients' families. Further research is needed to thoroughl...
Bladder cancer surveillance is associated with high costs and patient burden. CxMonitor (CxM), a home urine test, allows patients to skip their scheduled surveillance cystoscopy if CxM-negative indica...
Eligible patients due for cystoscopy from March-June 2020 were offered CxM and skipped their scheduled cystoscopy if CxM-negative. CxM-positive patients came for immediate cystoscopy. The primary outc...
During the study period, 92 patients received CxM and did not differ in demographics nor history of smoking/radiation between sites. 9 of 24 (37.5%) CxM-positive patients had 1 T0, 2 Ta, 2 Tis, 2 T2, ...
CxM safely reduces frequency of surveillance cystoscopy in real-world settings and appears acceptable to patients as an at-home test....
Processing full-length cystoscopy videos is challenging for documentation and research purposes. We therefore designed a surgeon-guided framework to extract short video clips with bladder lesions for ...
To evaluate office flexible cystoscopy findings in the evaluation and management of postmenopausal women with recurrent urinary tract infections (RUTIs)....
An IRB-approved, prospectively maintained database of women evaluated for RUTIs at a tertiary care center was retrospectively reviewed by an independent investigator for flexible cystoscopy (FC) findi...
Between 2017 and 2019, 113 consecutive postmenopausal women, mostly Caucasian, underwent flexible office cystoscopy to complete their RUTI evaluation. Eighty-four women (74%) had abnormal cystoscopy f...
Flexible cystoscopy, as an office diagnostic procedure, can provide valuable information of underlying etiology of RUTIs and allow directed management....
The prognosis of muscle-invasive bladder cancer (MIBC) has not improved for three decades. Transurethral resection of the bladder tumor (TURBT) is the standard procedure for local tumor staging. TURBT...
From July 2020 until March 2022, 321 patients with suspected primary BC in seven participating Dutch hospitals were included in this study. A flexible UCS was performed by urologists, physician assist...
Of the 321 included patients, 232 (72.3%) received a histopathological diagnosis of non-muscle-invasive bladder cancer (NMIBC) and 71 (22.1%) were histopathologically diagnosed as MIBC. In 2 patients ...
Our study shows a moderate accuracy of cystoscopy to predict muscle invasion. This result does not support the use of cystoscopy only instead of TURBT for local staging....
To identify the relationship between patient position during surgery and time to confirmation of ureteral patency on cystoscopy....
Randomized controlled trial....
Academic tertiary care medical center....
A total of 91 adult women undergoing laparoscopic (either conventional or robotic) hysterectomy between February 2021 and February 2022 were randomized to intervention (n = 45) or control (n = 46). Ex...
Subjects in the control group were placed in a 0° supine position during cystoscopy. Subjects in the intervention group were placed in a 20° angle in reverse Trendelenburg (RT) position during cystosc...
The primary outcome, time to confirmation of bilateral ureteral patency, was measured at the time the second ureteral jet was viewed during intraoperative cystoscopy. There was no significant differen...
RT position does not change time to confirmation of bilateral ureteral patency compared with supine position. However, there may be a benefit in position change if time to confirmation is >120 seconds...
First, to assess the number of patients with anorectal malformations (ARM) in whom additional urological and/or gynecological anomalies were identified through routine screening with cysto- or vaginos...
Retrospective mono-center cohort study, including all ARM patients born between January 2019 and December 2022. Routine screening consisted of cystoscopy for male patients, with the addition of vagino...
In total, 38 patients were included, of whom 27 (71.1%) underwent cystoscopy ± vaginoscopy, without the occurrence of complications. Nine of 13 females (69.2%) underwent cysto- and vaginoscopy and 18 ...
In 56% of the patients that underwent cysto- ± vaginoscopy, additional anomalies were identified that were not with imaging studies or physical examination. This study emphasizes the potential benefit...
III....
To re-examine and improve the cystoscopy process for women based on patient input. While cystoscopy is a common urological procedure, women perceive it as invasive, personal, and fear-inducing. Patien...
Women's perspectives on cystoscopy were collected using experience-based design. Observations and timings, emotion word lists, debrief forms, patient surveys, simulation, and interviews were used. A s...
Patients who reported feeling grateful for the positive impact of their care tended to minimize procedure-associated wait times, inconvenience, and discomfort. Women in the evaluation phase of their t...
Identifying and addressing the needs of women undergoing cystoscopy improves satisfaction as their emotional, physical, and knowledge-based needs are addressed. Active participation in the health care...
