Browsing by Author "Sousa, R"
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- Carcinoma do endométrio em mulheres jovens: a propósito de um caso clínicoPublication . Sousa, R; Silva, T; Carvalho, G; Cortesão, P; Franco, S; Godinho, I; Oliveira, CF
- Carcinoma do Endométrio em Mulheres Jovens: caso clínicoPublication . Godinho, I; Sousa, R; Silva, T; Regateiro, FJ; Oliveira, CF; Oliveira, HM
- Carcinoma misto do ovário: a propósito de um caso clínicoPublication . Franco, S; Andrade, MJ; Cortesão, P; Carvalho, G; Sousa, R; Guerra, C; Silva, T; Oliveira, CF
- Early magnetic resonance imaging control after temporomandibular joint arthrocentesisPublication . Ângelo, DF; Sousa, R; Pinto, I; Sanz, D; Gil, FM; Salvado, FTemporomandibular joint (TMJ) lysis and lavage arthrocentesis with viscosupplementation are an effective treatment for acute disc displacement (DD) without reduction. Clinical success seems to be related to multiple factors despite the lack of understanding of its mechanisms. The authors present a case report of 17-year-old women with acute open mouth limitation (12 mm), right TMJ pain-8/10 visual analog scale, right deviation when opening her mouth. The clinical and magnetic resonance imaging (MRI) diagnosis was acute DD without reduction of right TMJ. Right TMJ arthrocentesis was purposed to the patient with lysis, lavage, and viscosupplementation of the upper joint space. After 5 days, a new MRI was performed to confirm upper joint space distension and disc position. Clinical improvement was obtained 5 days and 1 month after arthrocentesis. Upper joint space increased 6 mm and the disc remained displaced. We report the first early TMJ MRI image postoperative, with measurable upper joint space.
- Lobulite linfocítica esclerosante: a propósito de um caso clínicoPublication . Carvalho, G; Silva, T; Sousa, R; Franco, S; Cortesão, P; Oliveira, CF
- Transvaginal ultrasonography and hysteroscopy in postmenopausal bleeding: a prospective studyPublication . Sousa, R; Silvestre, M; Almeida e Sousa, L; Falcão, F; Dias, I; Silva, T; Oliveira, CF; Oliveira, HMOBJECTIVE: To determine the diagnostic value of transvaginal ultrasonography and hysteroscopy in patients with postmenopausal bleeding. MATERIAL AND METHODS: Between January 1, 1998 and June 30, 1999, 88 outpatient women with postmenopausal bleeding were enrolled in a prospective study. They underwent transvaginal ultrasonography and hysteroscopy, and were submitted to directed biopsy during hysteroscopy. Findings were classified as normal endometrium, suggestive of atrophy, focal abnormality (benign or suspicious), and diffuse thickness (benign or suspicious). Data was compared with the final diagnosis, established by histological examination, as atrophy, benign pathology, atypical hyperplasia and endometrial carcinoma. RESULTS: Among 88 women enrolled, 15 were excluded because hysteroscopy was impossible, and four had abandoned the study. The histological findings were scanty material in 12 (17.4%), atrophy in 24 (34.8%), cystic atrophy in one (1.4%), normal endometrium in five (7.2%), tuberculous endometritis in one (1.4%), polyps in 12 (17.4%), leiomyoma in one (1.4%), non-atypical hyperplasia in three (4.3%), atypical hyperplasia in one (1.4%) and endometrial carcinoma in nine cases (13.0%). For the assessment of endometrial carcinoma, ultrasonography revealed sensitivity 77.8%, specificity 93.3%, positive predictive value 63.6%, negative predictive value 96.6%; and hysteroscopy revealed sensitivity of 88.9%, specificity 98.3%, positive predictive value 88.9%, negative predictive value 98.3%. The combined use of both methods revealed sensitivity 100%, specificity 91.7%, positive predictive value 64.3%, negative predictive value 100%. CONCLUSIONS: Both imagiological methods were found to be useful screening tests for endometrial carcinoma. Hysteroscopy was a superior diagnostic procedure.
- Tumor desmoide simulando carcinoma da mama: um caso clínicoPublication . Cortesão, P; Andrade, MJ; Franco, S; Carvalho, G; Sousa, R; Silva, T; Torgal, I; Amaral, N; Oliveira, CF