BACKGROUND Fournier gangrene due to advanced rectal cancer is a rapidly progressive gangrene of the perineum and buttocks. Emergency surgical debridement of necrotic tissue is crucial, and secondary surgery to resect tumors is necessary for wound healing. However, pelvic exenteration damages the pelvic floor, increasing the likelihood of herniation of internal organs into the infectious wound. ...

Pelvic examinations, consisting of speculum and bimanual examination for the purpose of this guideline, are often performed in women without symptoms to screen for pathology, including cancer, infection, and pelvic inflammatory disease (PID). However, their accuracy for diagnosing PID, gynecologic cancer (not including cervical or ovarian cancer), and benign conditions has not been addressed in...

endometrial cancer generally carries a good prognosis. endometrial carcinoma more frequently metastasizes to the pelvic and para-aortic nodes. visceral metastases usually occur in the vagina and ovaries. distant metastases involve lungs and occur as a terminal event. this case report describes vulvalar metastasis of endometrial cancer to the clitoris. metastatic tumors of the vulva are rare. mo...

Pelvic actinomycosis comprises a rare, subacute to chronic bacterial infection characterised by suppurative and granulomatous inflammation. Diagnosis is difficult as it may simulate pelvic malignancies. Laboratory and radiological findings are non-specific. We reported on 2 cases of pelvic actinomycosis mimicking ovarian malignancy with different management approaches that lead to opposite outc...

Objective: Evaluation of the pathological status of the pelvic lymph nodes (LNs) is the most important prognostic factor of recurrence and survival in early -stage cervical cancer. Radical hysterectomy and pelvic lymphadenectomy is the cornerstone treatment of cervical cancer, however the morbidity rate associated with pelvic LN dissection is significantly high. Applying the Sentinel LN (SLN) c...

we evaluated the clinical experience of 120 women with early stage cervical cancer who underwent radical hysterectomy combined with pelvic lymphadenectomy (class iii rutledge) in our gynecologic oncology clinic. of these, 74 patient. (61.66%) were in stage i and 46 patients (38.34%) were in stage ii a. intraoperation complications comprised of great vessel injuries encountered in 4 (3.3%) patie...

Recent studies from Finland reported that maternal pelvic size predicted daughters' breast and ovarian cancer, possibly because maternal pelvic size is a marker for in utero hormone exposure. We sought to replicate this association in 3,845 women born between 1915 and 1929 in Uppsala, Sweden, and followed from 1960 to 2002. Archived obstetric records provided the standard measures of maternal p...

Rectal cancer constitutes about one third of all colorectal cancer cases. Total mesorectal excision (TME), first described by Heald, has become the gold standard in rectal cancer treatment, since it was shown to provide a dramatic reduction in local recurrence rates. However, TME does not involve any approaches for lateral pelvic lymph nodes (LPLN), which may be a source of local recurrences. T...