Presentation
Eight cases of microglandular hyperplasia arising in vaginal adenosis are presented. [ncbi.nlm.nih.gov]
Risk is however still present in subsequent generations due to recent exposure.It is thought steroid hormones play a stimulatory growth in adenosis formation. Vaginal adenosis is also often observed in adenocarcinoma patients. [en.wikipedia.org]
Entire Body System
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Localized Pain
is very rare. [4] Patients with small cell carcinoma of female genital tract may be asymptomatic but usually present with localized pain, vaginal bleeding, abdominal bloating or a mass. [cancerjournal.net]
Psychiatrical
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Withdrawn
Once bowel sounds are auscultated and the patient passes flatus, then oral feeding is initiated; the TPN is withdrawn when oral intake is adequate. Intermittent, pneumatic calf compression is continued until the patient is fully ambulatory. [emedicine.medscape.com]
Urogenital
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Vaginal Discharge
However, it should be considered as a possible diagnosis in girls with persistent vaginal discharge. [ncbi.nlm.nih.gov]
A 40year-old female presented with complaints of persistent excessive watery vaginal discharge. On examination, there was red, patchy, diffuse lesion all over the vaginal wall and cervix. [semanticscholar.org]
As a result, abnormally heavy vaginal discharge can occur. Because heavy vaginal discharge can also indicate infection, it is important that you work with a medical professional to be sure the issue is vaginal adenosis. [hystersisters.com]
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Profuse Vaginal Discharge
Plouffe L, Hansen K, Hanly M: Vaginal adenosis following transverse vaginal septum resection as a cause of profuse vaginal discharge. Fertil Steril 1997;68(suppl 1):180–181. Herbst AL: Diethylstilbestrol and adenocarcinoma of the vagina. [karger.com]
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Cervical Enlargement
Other cervicovaginal abnormalities observed after prenatal DES exposure included structural alterations, cervical enlargement, squamous metaplasia in the endocervical canal, excess keratinization of the ectocervix and vagina, transverse folds and basal [ncbi.nlm.nih.gov]
Workup
Otherwise, the antibiotic is changed according to the fever workup and cultures are obtained. If the cultures are negative for infection, then the antibiotics should be changed to cover anaerobic and gram-negative organisms. [emedicine.medscape.com]
Other Pathologies
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Lymphocytic Infiltrate
Merkel cell carcinoma with a follicular lymphocytic infiltrate: report of two cases. American Journal of Dermatopathology, 30, 389-391, 2008. [sikluv-ustav-patologie.patologie.cz]
Treatment
We report an unusual long-term consequence of treatment. [ncbi.nlm.nih.gov]
Prognosis
Until the natural history of sufficient numbers of these variants of vaginal adenosis have been studied, the analogous cervical condition may serve as a guide to prognosis. [ncbi.nlm.nih.gov]
Prognosis It is expected that the vast majority of patients will have squamous metaplasia and epithelialization with complete resolution of the adenosis. [tipsdiscover.com]
Flats Phase-4 Ashok Vihar Delhi-110052 India Source of Support: None, Conflict of Interest: None DOI: 10.4103/0973-1482.113422 Primary neuroendocrine carcinoma of the female genital tract is a rare entity with aggressive clinical behavior and a poor prognosis [cancerjournal.net]
Etiology
Vaginal adenosis, without a history of diethylstilbestrol (DES) exposure, is a rare condition with an unclear etiology. A 24-year-old female presented with complaints of persistent vaginal discharge and dyspareunia. [ncbi.nlm.nih.gov]
The cervical and vaginal CCACs are generally negative for human papilloma virus (HPV) infection, and their etiology is not understood. [grantome.com]
In DES-exposed females, the incidence of adenosis is higher; the etiology presumably is from the effect of the DES on the developing embryologic system. [tipsdiscover.com]
ETIOLOGY/PATHOGENESIS Spontaneous (Developmental Anomaly) Postembryonic persistence of müllerian-type epithelium Environmental Exposure In utero exposure to diethylstilbestrol (DES) If 8th week gestation, 100% develop adenosis If 15th week gestation, [basicmedicalkey.com]
Nasrin Akhter and Sakti Das and Afroza Kutubi}, year {2013} } Shamsun Nahar Begum Hena, Nasrin Akhter, 1 author Afroza Kutubi Published 2013 Vaginal adenosis, without a history of diethylstilbestrol (DES) exposure, is a rare condition with an unclear etiology [semanticscholar.org]
Epidemiology
Epidemiology Incidence Although the cumulative incidence of vaginal adenosis is unknown, the incidence of cloacal malformations is 1/20,000 to 1/25,000 live births. [unboundmedicine.com]
Epidemiology Incidence While the incidence of vaginal adenosis is unknown, the incidence of cloacal malformations is 1/20,000 to 1/25,000 live births. Predominant age: Teenage years: Epithelialization occurs from puberty to 20 years of age. [tipsdiscover.com]
In 1971 a retrospective epidemiologic study showed a close association of this therapy with occurrence of vaginal and cervical adenocarcinoma in young women (mean age 19 years). [desdaughter.com]
Diagnostic criteria and microbial and epidemiologic associations. Am J Med. Seite 193 - Henson D, Tarone R. An epidemiologic study of cancer of the cervix, vagina, and vulva based on the Third National Cancer Survey in the United States. [books.google.de]
Therefore, epidemiological knowledge of this disease, which occurs spontaneously, such as in our Figure 2. Histology of part of the fistula. [file.scirp.org]
Pathophysiology
Predominant age Age Prepubertal: typically absent Age 13 to 25 years: 13% Age 25 years: decreasing prevalence, uncommon beyond age 30 years ( 2 ) Etiology and Pathophysiology In most young females, the etiology is incomplete squamous metaplasia or epithelialization [unboundmedicine.com]
General Prevention None: Last DES exposure in the 1970s Pathophysiology In the vast majority of young females, the etiology is incomplete squamous metaplasia or epithelialization. This occurs as a natural phenomenon and resolves with age. [tipsdiscover.com]
Anomalies of the uterus Anomalies of Müllerian duct fusion Anomalies of Müllerian duct fusion Types of fusion anomalies Relative frequency Pathophysiology Müllerian agenesis (Class I ) Rare Both the Müllerian ducts fail to develop absent or hypoplastic [amboss.com]
[…] in 2 - 10% of nonexposed females Sites Involves the upper third of the vagina (34% of DES exposed cases), with the anterior wall more frequently involved than the posterior wall Middle third (9% of cases) and lower third (2% of cases) may be involved Pathophysiology [pathologyoutlines.com]
Prevention
DES, an orally active synthetic estrogen, was believed to prevent adverse pregnancy outcome and thus was routinely given to selected pregnant women from the 1940s to the 1960s. [ncbi.nlm.nih.gov]
DES was last used to prevent spontaneous abortion in the US in 1971; therefore, it is decreasing in clinical significance. [tipsdiscover.com]
This presentation is a narrative about diethylstilbestrol (DES) which was first synthesized in 1938 and prescribed from the 1940s to 1971 to try to prevent complications of pregnancy. [iupui.edu]
DES is a synthetic, nonsteroidal estrogen used to prevent miscarriage or premature deliveries from 1938 to 1971 ( 3 ). An estimated 5 million women were prescribed DES during this period ( 4 ). [unboundmedicine.com]
Oestrogen supplementation, mainly diethylstilbestrol, for preventing miscarriages and other adverse pregnancy outcomes. Cochrane Database Syst Rev. 200... [5minuteconsult.com]