objective: to compare the efficacy of ceftriaxone plus ofloxacin or azithromycin for cases of pelvic inflammatory disease (pid). materials and methods:   this clinical terial was performed on 180 women with pid from march 2005 to march 2007 in parastarane-shahed hospital. patients with pid were randomly divided to receive injection of ceftriaxone 250 mg plus ofloxacin 200 mg per day or azithrom...

Malignant mixed ovarian germ cell tumors are very rare malignant tumors, with a high degree of malignancy. They aggressive cancers affecting young adolescent girls. The commonest combination reported in literature is dysgerminoma and endodermal sinus tumors. Fertility sparing surgery followed by chemotherapy the treatment choice. objectives this case report advanced age presentation, unusual hi...

background: the prevalence of hip dysplasia is 1 in 1000. several pelvic osteotomy methods have been developed to prevent early osteoarthritis, such as triple osteotomy. in this study we are going to introduce our new technique that was done on 4 patients with favorable short-term results.   methods: four patients underwent triple osteotomy and fixation using a reconstruction plate and early we...

introduction: significant perineal injuries and major pelvic fractures resulting from blunt trauma manifest a high-energy injury. open pelvic fractures (with perineal injury) are associated with higher mortality rates of 40 to 60 %. methods: this study was a review of patients with multiple traumas comprising of major pelvic fracture and severe perineal injuries (shahid kamyab hospital in mashh...

background: about 70% of all pregnant women suffer from pelvic girdle pain (pgp)and/or low and high back pain(lbp,hbp). the risk factors for developing pelvic girdle pain and back pain in general are history of previous low back pain or pelvic or pain in previous pregnancy. in order to study the relative frequency of different kinds of backache in pregnancy and possible risk factors for develop...

abstract: primary adenoid cystic carcinoma (acc) of bartholin’s gland is a rare gynecologic malignancy. we report a case of locally advanced acc of bartholin’s gland. a 62-year-old presented with left bartholin’s gland carcinoma and underwent left radical vulvectomy,left-sided inguinal-femoral lymph node dissection, posterior pelvic exenteration, and pedicle abdominal muscle flap. on her 3 mont...

The standard adjuvant therapy for resectable T3 and/or N1-2 rectal cancer is pelvic radiation therapy plus fluorouracil (5-FU)-based chemotherapy. Two randomized intergroup trials, INT 0114 and INT 0144, will help determine the ideal chemotherapeutic agents and their routes of administration in the postoperative setting. The randomized National Surgical Adjuvant Project for Breast and Bowel Can...

While organ preservation with nonextirpative surgery, radiotherapy, and frequently, chemotherapy has become a favored strategy in the treatment of many cancers, bladder preservation for patients with invasive disease remains controversial. The standard treatment for muscle-invasive bladder cancer in the United States is still radical cystectomy with pelvic lymph node dissection. An alternative ...

The majority of uterine cancers present at an early stage because of abnormal post-menopausal bleeding. Locally advanced endometrial carcinoma with extension to the parametria represents a rare subset of patients with treatment options involving neoadjuvant therapy followed by extrafascial hysterectomy or definitive non-operative management. Neoadjuvant therapy enables R0 resection in the major...

The rare occurrence of radiation associated sarcoma (RAS) is well known but the therapeutic benefit of initial radiotherapy for most cancers far outweighs the very small (0.03-0.2%) risk of RAS. The vast majority of second primary solid tumours after radiation are sarcomas of bone and soft tissues and occur after a median latent period of 10 years. We present a case of radiation associated oste...