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[PMID]:27503088
[Au] Autor:Siff LN; Jallad K; Pizarro-Berdichevsky J; Walters MD
[Ad] Endereço:Center of Urogynecology and Reconstructive Pelvic Surgery, Obstetrics, Gynecology & Women's Health Institute, Cleveland Clinic, 9500 Euclid Ave A81, Cleveland, OH, 44195, USA. siffl@ccf.org.
[Ti] Título:Vaginal hysterectomy, vaginal salpingoophorectomy and uterosacral ligament colpopexy: a view from above (in English and Spanish).
[So] Source:Int Urogynecol J;28(1):151-153, 2017 Jan.
[Is] ISSN:1433-3023
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIM OF THE VIDEO: The aim of this video is to make vaginal hysterectomy (TVH), vaginal salpingoophorectomy and uterosacral ligament (USL) colpopexy approachable by showing the key procedural steps from both the vaginal and abdominal perspectives. METHODS: This production shows TVH with salpingoophorectomy and USL colpopexy that was performed on a cadaver and filmed simultaneously from the vaginal and abdominal views. The video begins with an anatomy overview from the open abdomen and proceeds with the TVH. The anterior and posterior peritoneal entries, a technique to safely and easily access the adnexa, as well as the placement of USL suspension sutures are highlighted. The proximity of the ureter and its distance from the three locations most vulnerable to injury during this procedure (the uterine artery pedicle, the infundibulopelvic ligament and the USL) are illustrated. The location of the USL suspension sutures in relation to the ischial spine, the rectum and the sacrum are demonstrated. For all of these crucial steps, a series of picture-in-picture views simultaneously showing the abdominal and vaginal perspectives are presented so that the viewer may better understand the spatial anatomy. CONCLUSION: This video provides the viewer with a unique anatomic perspective and helps more confidently perform TVH, vaginal salpingooophorectomy and USL colpopexy.
[Mh] Termos MeSH primário: Colposcopia/métodos
Histerectomia Vaginal/métodos
Ovariectomia/métodos
Salpingectomia/métodos
[Mh] Termos MeSH secundário: Ligamento Largo/cirurgia
Feminino
Seres Humanos
Ligamentos/cirurgia
Sacro/cirurgia
Técnicas de Sutura
Ureter/anatomia & histologia
Ureter/cirurgia
Útero/cirurgia
Vagina/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160810
[St] Status:MEDLINE
[do] DOI:10.1007/s00192-016-3102-9


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[PMID]:28174812
[Au] Autor:Wincewicz A; Kowalik A; Zieba S; Gózdz S; Woltanowska M
[Ad] Endereço:Non Public Health Care Unit, Department of Pathology (NZOZ Zaklad Patologii Spólka z o.o.), Kielce, Poland; ruahpolin@yahoo.com, andwinc@gmail.com.
[Ti] Título:Leiomyosarcoma FNCLCC G3 pT2B of broad ligament adherent to right oviduct - case report with molecular profiling.
[So] Source:Rom J Morphol Embryol;57(4):1409-1414, 2016.
[Is] ISSN:1220-0522
[Cp] País de publicação:Romania
[La] Idioma:eng
[Ab] Resumo:Here we present a report of 61-year-old female patient. Uterus with left appendages was removed together with clinically tagged "tumor of right ovary" and then extensively sampled and routinely processed with Hematoxylin-Eosin (HE) and some additional staining. There was discernible oviduct adherent to grayish, solid, polycyclic 22 cm in diameter focally necrotic tumor to be diagnosed high-grade conventional leiomyosarcoma FNCLCC (Fédération Nationale des Centres de Lutte Contre le Cancer) G3 pT2b, according to 7th edition pTNM, according to World Health Organization (WHO) 2013 International Classification of Diseases for Oncology (ICD-O): 8890÷3, in nearby of right oviduct. Grade of differentiation was given according to FNCLCC classification: grade 3 {point score: 6 = 1 [microscopically necrosis comprised 10% of the tumor] + 3 [high mitotic index eight mitoses÷one high-power field (HPF) in hot spots in HE slides; Ki67 labeled approximately 60% of tumor cells] + 2 [histopathological type: conventional leiomyosarcoma]}. The staging was more appropriate for pT2b (7th edition pTNM) for deeply seated sarcoma of soft tissues, in examined samples, there was no trace of microscopically evident ovarian texture) rather than pT1a for ovarian tumors. The tumor was alpha-smooth muscle actin (α-SMA)-positive. Detected epithelial membrane antigen (EMA) immuno-reactivity indicates a possible change in mesenchymal origin. Next generation sequencing revealed tumor protein p53 (TP53) mutation C275Y (7577114 C>T). Each soft tissue malignancy should be carefully reported with appropriate choice of staging and precisely graded with internationally acknowledged classification.
[Mh] Termos MeSH primário: Ligamento Largo/patologia
Leiomiossarcoma/complicações
Oviductos/patologia
[Mh] Termos MeSH secundário: Animais
Feminino
Seres Humanos
Leiomiossarcoma/patologia
Meia-Idade
Prognóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170502
[Lr] Data última revisão:
170502
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170209
[St] Status:MEDLINE


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[PMID]:27799059
[Au] Autor:Tsai YM
[Ad] Endereço:Department of Medicine, St Vincent's Hospital Melbourne, 41 Victoria Parade Fitzroy, 3065, Melbourne, VIC, Australia. maytsai1990@gmail.com.
[Ti] Título:A postmenopausal woman with sciatica from broad ligament leiomyoma: a case report.
[So] Source:J Med Case Rep;10(1):304, 2016 Oct 31.
[Is] ISSN:1752-1947
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Unilateral lower abdominal pain and/or sciatic nerve pain is a common presentation in the elderly population. The prevalence of broad ligament leiomyoma is <1 % with the prevalence declining after the menopause and it is rare for broad ligament leiomyomas to be clinically significant. Thus, we highlight a case of symptomatic broad ligament leiomyoma in a postmenopausal woman whose symptoms improved after definitive treatment. CASE PRESENTATION: A 62-year-old postmenopausal Macedonian woman was referred to our gynecological department with unexplained pain in her left leg and left iliac fossa region on walking. There was minimal relief with increasing analgesia use prescribed by the family physician. Investigations revealed an ipsilateral adnexal mass and subsequent treatment with laparoscopic broad ligament myomectomy helped to alleviate her symptoms. CONCLUSIONS: Our case highlights the importance of staying mindful of alternate diagnoses when presented with a common presentation of iliac fossa pain and pain in the leg. Although broad ligament leiomyomas are benign tumors, the uncommon symptomatic presentation led us to report and focus some attention on this type of tumor.
[Mh] Termos MeSH primário: Leiomioma/complicações
Leiomioma/diagnóstico
Pós-Menopausa
Ciática/etiologia
Neoplasias Uterinas/complicações
Neoplasias Uterinas/diagnóstico
[Mh] Termos MeSH secundário: Ligamento Largo/diagnóstico por imagem
Ligamento Largo/cirurgia
Diagnóstico Diferencial
Feminino
Grécia
Seres Humanos
Leiomioma/cirurgia
Meia-Idade
Tomografia Computadorizada por Raios X
Ultrassonografia
Miomectomia Uterina
Neoplasias Uterinas/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170517
[Lr] Data última revisão:
170517
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161102
[St] Status:MEDLINE


  4 / 448 MEDLINE  
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[PMID]:27793163
[Au] Autor:Saito A; Iwase A; Nakamura T; Osuka S; Bayasula; Murase T; Kato N; Ishida C; Takikawa S; Goto M; Kikkawa F
[Ad] Endereço:Department of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
[Ti] Título:Involvement of mesosalpinx in endometrioma is a possible risk factor for decrease of ovarian reserve after cystectomy: a retrospective cohort study.
[So] Source:Reprod Biol Endocrinol;14(1):72, 2016 Oct 28.
[Is] ISSN:1477-7827
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Serum anti-Müllerian hormone (AMH) concentration has been used to assess ovarian reserve in patients with endometriosis, especially when endometrioma surgery is involved. Previously, we reported that decreased serum AMH levels after cystectomy for endometriomas can recover to preoperative levels in some cases. In this present study, we assessed the sequential changes in serum AMH levels before and after cystectomy in terms of the state of the mesosalpinx prior to surgery. METHODS: The retrospective cohort study recruited 53 patients from a series of prospective studies conducted from 2009 to 2015. All patients underwent laparoscopic cystectomy for endometriomas. If either mesosalpinx was involved in the endometrioma or adnexal adhesion before cystectomy, the case was defined as 'involved mesosalpinx' (n = 14). If both mesosalpinx remained anatomically correct, the case was classified as 'intact mesosalpinx' (n = 39). Blood samples were obtained from the patients 2 weeks before surgery, and at 1 month and 1 year after surgery to assess serum AMH levels. RESULTS: The serum AMH levels (the involved group vs. the intact group) were 1.92 vs. 0.98 (P = 0.552) preoperatively, 0.59 vs. 1.99 (P = 0.049) at 1 month postoperatively, and 0.48 vs. 2.37 ng/mL (P = 0.007) at 1 year postoperatively. The involved mesosalpinx group showed a further decrease in serum AMH levels at 1 year postoperatively, while serum AMH levels in the intact mesosalpinx group tended to recover. CONCLUSION: These results suggest that pre-existing mesosalpinx disturbance, in combination with adhesiolysis, may be involved in the medium- and long-term decrease in ovarian reserve after endometrioma surgery. A disturbance in ovarian blood supply via the mesosalpinx may underlie this. TRIAL REGISTRATION: UMIN-CTR UMIN000019369 . Retrospectively registered October 15, 2015.
[Mh] Termos MeSH primário: Hormônio Antimülleriano/sangue
Ligamento Largo/cirurgia
Endometriose/cirurgia
Cistos Ovarianos/cirurgia
Doenças Ovarianas/cirurgia
Reserva Ovariana
[Mh] Termos MeSH secundário: Adulto
Estudos de Casos e Controles
Estudos de Coortes
Endometriose/sangue
Feminino
Procedimentos Cirúrgicos em Ginecologia
Seres Humanos
Laparoscopia
Cistos Ovarianos/sangue
Doenças Ovarianas/sangue
Estudos Retrospectivos
Fatores de Risco
Aderências Teciduais/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
80497-65-0 (Anti-Mullerian Hormone)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170328
[Lr] Data última revisão:
170328
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161030
[St] Status:MEDLINE


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[PMID]:27558953
[Au] Autor:Sharpe AN; Klys H; Choudhary M
[Ad] Endereço:a Newcastle upon Tyne NHS Trust , Newcastle upon Tyne , UK.
[Ti] Título:Hemolymphangioma of the broad ligament: A differential diagnosis for an ovarian cyst.
[So] Source:J Obstet Gynaecol;36(8):971-973, 2016 Nov.
[Is] ISSN:1364-6893
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Doenças dos Anexos/diagnóstico
Hemangioma/diagnóstico
Linfangioma/diagnóstico
Neoplasias Ovarianas/diagnóstico
[Mh] Termos MeSH secundário: Dor Abdominal/etiologia
Doenças dos Anexos/complicações
Adulto
Ligamento Largo
Diagnóstico Diferencial
Feminino
Hemangioma/complicações
Seres Humanos
Linfangioma/complicações
Cistos Ovarianos/diagnóstico
Neoplasias Ovarianas/complicações
Descarga Vaginal/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160826
[St] Status:MEDLINE


  6 / 448 MEDLINE  
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[PMID]:27510676
[Au] Autor:Mishra SS; Saha A; Mishra P; Jena SK
[Ad] Endereço:Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
[Ti] Título:Lipoleiomyoma of the left broad ligament with dermoid cyst in ipsilateral ovary and synchronous multiple benign lesions of female genital tract: An unusual association.
[So] Source:Indian J Pathol Microbiol;59(3):355-8, 2016 Jul-Sep.
[Is] ISSN:0974-5130
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:Lipoleiomyoma of the uterus is a rare variant of leiomyoma, and lipoleiomyoma of the broad ligament is still rarer, with only a handful of cases being reported. The present case was a perimenopausal woman who presented with a huge lower abdominal mass. Ultrasonography and computed tomography showed a heterogeneous solid mass in the left adnexa. The histopathological findings confirmed the nature of the lesions as a benign lipoleiomyoma with dermoid cyst of the left ovary and its other associated benign lesions, were the interesting features seen in this case which were not suspected clinically and radiologically.
[Mh] Termos MeSH primário: Ligamento Largo/patologia
Cisto Dermoide/diagnóstico
Neoplasias dos Genitais Femininos/diagnóstico
Leiomioma/diagnóstico
Lipoma/diagnóstico
Ovário/patologia
[Mh] Termos MeSH secundário: Actinas/análise
Antígenos CD34/análise
Biomarcadores Tumorais/análise
Cisto Dermoide/complicações
Cisto Dermoide/patologia
Desmina/análise
Feminino
Neoplasias dos Genitais Femininos/diagnóstico por imagem
Neoplasias dos Genitais Femininos/patologia
Histocitoquímica
Seres Humanos
Imuno-Histoquímica
Leiomioma/complicações
Leiomioma/patologia
Lipoma/complicações
Lipoma/patologia
Antígenos Específicos de Melanoma/análise
Microscopia
Meia-Idade
Pelve/diagnóstico por imagem
Proteínas Proto-Oncogênicas c-kit/análise
Tomografia Computadorizada por Raios X
Ultrassonografia
[Pt] Tipo de publicação:CASE REPORTS
[Nm] Nome de substância:
0 (Actins); 0 (Antigens, CD34); 0 (Biomarkers, Tumor); 0 (Desmin); 0 (HMB-45 protein, human); 0 (Melanoma-Specific Antigens); EC 2.7.10.1 (Proto-Oncogene Proteins c-kit)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170313
[Lr] Data última revisão:
170313
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160812
[St] Status:MEDLINE
[do] DOI:10.4103/0377-4929.188117


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[PMID]:27323536
[Au] Autor:Braun NM; Ben Shachar I
[Ti] Título:[ALLEN-MASTERS SYNDROME AS A CAUSE FOR CHRONIC PELVIC PAIN: DIAGNOSIS, TREATMENT AND LONG TERM FOLLOW-UP].
[So] Source:Harefuah;155(4):215-8, 255, 2016 Apr.
[Is] ISSN:0017-7768
[Cp] País de publicação:Israel
[La] Idioma:heb
[Ab] Resumo:Chronic pelvic pain is one of the main causes for repeated ambulatory and hospital visits. The main findings on exploratory laparoscopy performed for these complaints are endometriosis and adhesions, while in more than 50% of cases, no cause for the pain is found. In 1955, Allen and Masters reported pain associated with traumatic labor. They reported retroverted and hyper-mobile uterus in all women and during operation, tears in the posterior serosa of the broad igament. A few therapeutic options have been discussed, including repair of the tears, but without long term follow-up and significant relief of symptoms. Tightening of the utero-sacral ligaments following peritoneal resection of the Douglas as a long effective treatment was initially suggested in France in 1972. In 1997, von Theobald showed that it could be conducted by laparoscopy with long term follow-up. We report 3 cases of women diagnosed with Allen-Masters Syndrome, the surgical treatment performed and the long follow-up of these patients. We also discuss the ways to diagnose the syndrome and the preferred modality of treatment.
[Mh] Termos MeSH primário: Ligamento Largo/lesões
Dor Crônica/etiologia
Laparoscopia/métodos
Dor Pélvica/etiologia
[Mh] Termos MeSH secundário: Adulto
Ligamento Largo/cirurgia
Endometriose/diagnóstico
Feminino
Seguimentos
Seres Humanos
Complicações do Trabalho de Parto/fisiopatologia
Complicações do Trabalho de Parto/cirurgia
Gravidez
Síndrome
Útero/patologia
[Pt] Tipo de publicação:CASE REPORTS; ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160621
[Lr] Data última revisão:
160621
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160622
[St] Status:MEDLINE


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[PMID]:27185563
[Au] Autor:Chatterjee J; Howden S; Saso S; Ghaem-Maghami S; McIndoe A; Dina R
[Ad] Endereço:a Division of Cancer and Surgery, Faculty of Medicine , Imperial College, Hammersmith Hospital Campus , London , UK.
[Ti] Título:Metastatic low-grade fibromyxoid sarcoma of the broad ligament: A case report and literature review.
[So] Source:J Obstet Gynaecol;36(7):852-854, 2016 Oct.
[Is] ISSN:1364-6893
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Ligamento Largo/patologia
Fibrossarcoma
Neoplasias dos Genitais Femininos
Histerectomia/métodos
Ovariectomia/métodos
[Mh] Termos MeSH secundário: Adulto
Protocolos Antineoplásicos
Quimiorradioterapia Adjuvante/métodos
Terapia Combinada/métodos
Feminino
Fibrossarcoma/patologia
Fibrossarcoma/fisiopatologia
Fibrossarcoma/terapia
Neoplasias dos Genitais Femininos/patologia
Neoplasias dos Genitais Femininos/fisiopatologia
Neoplasias dos Genitais Femininos/terapia
Seres Humanos
Laparotomia/métodos
Invasividade Neoplásica
Metástase Neoplásica
Estadiamento de Neoplasias
Neoplasias Pélvicas/patologia
Neoplasias Pélvicas/fisiopatologia
Neoplasias Pélvicas/terapia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170620
[Lr] Data última revisão:
170620
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160518
[St] Status:MEDLINE


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[PMID]:27172756
[Au] Autor:Jiang S; Li QS; Sheng XG; Song QQ; Lu CH; Pan CX
[Ti] Título:Schwannomas of female genitalia from a gynaecologist's perspective: report of two cases and review of the literature.
[So] Source:Eur J Gynaecol Oncol;37(2):254-7, 2016.
[Is] ISSN:0392-2936
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Pelvic schwannomas are extremely rare. However, when located in the pelvic cavity, schwannomas are often encountered by a gynaecologist, not a general surgeon, and are misdiagnosed as gynaecologic masses. CASE REPORT: Here, the authors present two cases of pelvic schwannomas that were preoperatively misdiagnosed as broad ligament fibroid. One schwannoma occurred completely in the left broad ligament and was resected by laparoscopy without any complications. The other lesion was located in the retroperitoneum and had densely adhered to the surrounding tissues; this lesion was excised by laparotomy with considerable blood loss. CONCLUSIONS: Schwannomas of female genitalia are very scarce and difficulty to diagnose preoperatively. Literature review revealed 63 schwannomas arising from the female genital tract in total, 73.02% (46 cases) were located in the lower genital tract, and 26.98% (17 cases) were located in upper genital tract. The treatment modality is unique depending on the location of the tumor. Complete excision is benefical for diagnosis and treatment. The procedure can be performed safely under laparoscopy.
[Mh] Termos MeSH primário: Ligamento Largo
Erros de Diagnóstico
Neoplasias dos Genitais Femininos/diagnóstico
Leiomioma/diagnóstico
Neurilemoma/diagnóstico
Neoplasias Retroperitoneais/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Ligamento Largo/cirurgia
Feminino
Neoplasias dos Genitais Femininos/cirurgia
Seres Humanos
Leiomioma/cirurgia
Meia-Idade
Neurilemoma/cirurgia
Neoplasias Retroperitoneais/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160513
[Lr] Data última revisão:
160513
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160514
[St] Status:MEDLINE


  10 / 448 MEDLINE  
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[PMID]:27098588
[Au] Autor:Moerman P; Amant F; Vergote I
[Ad] Endereço:Department of Pathology, Catholic University of Leuven, Leuven, Belgium philippe.moerman@uzleuven.be.
[Ti] Título:Mesonephric (Wolffian) Pseudoendometrioid Carcinoma of the Broad Ligament, Arising From a Papillary Cystadenoma.
[So] Source:Int J Surg Pathol;24(7):635-9, 2016 Oct.
[Is] ISSN:1940-2465
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article describes the case of a 70-year-old woman with an adnexal cystadenocarcinoma located in the right broad ligament and displaying a striking resemblance to a well-differentiated endometrioid adenocarcinoma. The uniqueness of this pseudoendometrioid carcinoma lies in the fact that its mesonephric nature is revealed by the origin from a papillary cystadenoma of the broad ligament, where remnants of the mesonephric duct are seated, and the immunohistochemical profile, particularly a uniform negativity for estrogen and progesterone receptors, apical-luminal positivity for CD10, and strong nuclear positivity for GATA3.
[Mh] Termos MeSH primário: Ligamento Largo/patologia
Cistadenocarcinoma/diagnóstico
Cistadenoma Papilar/diagnóstico
[Mh] Termos MeSH secundário: Idoso
Biomarcadores Tumorais/análise
Carcinoma Endometrioide/diagnóstico
Cistadenocarcinoma/patologia
Cistadenoma Papilar/patologia
Diagnóstico Diferencial
Feminino
Seres Humanos
Imuno-Histoquímica
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers, Tumor)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170418
[Lr] Data última revisão:
170418
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160422
[St] Status:MEDLINE
[do] DOI:10.1177/1066896916644784



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