Hydatidiform mole resulting from sexual violence
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1186/1755-7682-5-8 http://hdl.handle.net/11449/73236 |
Resumo: | Background. Hydatidiform mole (HM) is characterized by abnormal proliferation of human trophoblast with producers functioning tissues of human chorionic gonadotropin. It can evolve with ovarian cysts tecaluteínicos, hypertension of pregnancy or hyperthyroidism. The incidence of HM is variable and its etiology poorly known, associated with nutritional factors, environmental, age, parity, history of HM, oral contraceptives, smoking, consanguinity or defects in germ cells. There is no reference in literature on HM resulting from sexual violence, objective of this report. Method. Description of two cases of HM among 1146 patients with pregnancy resulting from sexual violence treated at Hospital Pérola Byington, São Paulo, from July 1994 to August 2011. Results. The cases affected young, white, unmarried, low educated and low parity women. Sexual violence was perpetrated by known offenders unrelated to the victims, under death threat. Ultrasound and CT of the pelvis showed bulky uterus compatible with HM without myometrial invasion. One case was associated with theca lutein cysts. The two cases were diagnosed in the second trimester of pregnancy and evolved with hyperthyroidism. There was no hypertension, disease recurrence, metastasis or sexually transmitted infection. Conclusion. The incidence of HM was 1:573 pregnancies resulting from rape, within the range estimated for Latin American countries. Trophoblastic material can be preserved to identify the violence perpetrator, considering only the paternal HM chromosomes. History of sexual violence should be investigated in cases of HM in the first half of adolescence and women in a vulnerable condition. © 2012 Drezzet et al; licensee BioMed Central Ltd. |
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Hydatidiform mole resulting from sexual violencecase reportCaucasiancomputer assisted tomographyechographyfemalehumanhydatidiform moleovary cystpelvic examinationrapesexual crimesexual violencetheca cellthreatBackground. Hydatidiform mole (HM) is characterized by abnormal proliferation of human trophoblast with producers functioning tissues of human chorionic gonadotropin. It can evolve with ovarian cysts tecaluteínicos, hypertension of pregnancy or hyperthyroidism. The incidence of HM is variable and its etiology poorly known, associated with nutritional factors, environmental, age, parity, history of HM, oral contraceptives, smoking, consanguinity or defects in germ cells. There is no reference in literature on HM resulting from sexual violence, objective of this report. Method. Description of two cases of HM among 1146 patients with pregnancy resulting from sexual violence treated at Hospital Pérola Byington, São Paulo, from July 1994 to August 2011. Results. The cases affected young, white, unmarried, low educated and low parity women. Sexual violence was perpetrated by known offenders unrelated to the victims, under death threat. Ultrasound and CT of the pelvis showed bulky uterus compatible with HM without myometrial invasion. One case was associated with theca lutein cysts. The two cases were diagnosed in the second trimester of pregnancy and evolved with hyperthyroidism. There was no hypertension, disease recurrence, metastasis or sexually transmitted infection. Conclusion. The incidence of HM was 1:573 pregnancies resulting from rape, within the range estimated for Latin American countries. Trophoblastic material can be preserved to identify the violence perpetrator, considering only the paternal HM chromosomes. History of sexual violence should be investigated in cases of HM in the first half of adolescence and women in a vulnerable condition. © 2012 Drezzet et al; licensee BioMed Central Ltd.Laboratório de Escrita Científica Departamento de Morfologia e Fisiologia Faculdade de Medicina Do ABC, Av. Príncipe de Gales, 821, 09060-650 Santo André, SPDepartamento de Fonoaudiologia Faculdade de Filosofia e Ciências Universidade Estadual Paulista, UNESP, Av. Hygino Muzzi Filho, 737, 17525-900 Marília, SPDepartamento de Fisioterapia Faculdade de Ciências e Tecnologia Universidade Estadual Paulista, UNESP, Rua Roberto Simonsen, 305, 19060-900 Presidente Prudente, SP, Rua Pedroso Alvarenga 1255 conjunto 64, CEP 045331 012 Itaim Bibi, SPDepartamento de Fonoaudiologia Faculdade de Filosofia e Ciências Universidade Estadual Paulista, UNESP, Av. Hygino Muzzi Filho, 737, 17525-900 Marília, SPDepartamento de Fisioterapia Faculdade de Ciências e Tecnologia Universidade Estadual Paulista, UNESP, Rua Roberto Simonsen, 305, 19060-900 Presidente Prudente, SPFaculdade de Medicina do ABC (FMABC)Universidade Estadual Paulista (Unesp)Drezett, JeffersonKurobe, Flavia CellaNobumoto, Cecília TomikoPedroso, DanielaBlake, MarciaValenti, Vitor Engrácia [UNESP]Vanderlei, Luiz Carlos M. [UNESP]Adami, FernandoVanderlei, Franciele M.De Araujo Moraes, Sandra Dircinha TeixeiraVertamatti, Maria Auxiliadora F.Reis, Alberto O.A.De Mello Monteiro, Carlos BandeiraRossi, Renata C.Abreu, Luiz Carlos de [UNESP]2014-05-27T11:26:24Z2014-05-27T11:26:24Z2012-03-14info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://dx.doi.org/10.1186/1755-7682-5-8International Archives of Medicine, v. 5, n. 1, 2012.1755-7682http://hdl.handle.net/11449/7323610.1186/1755-7682-5-82-s2.0-848579417262-s2.0-84857941726.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengInternational Archives of Medicine0,237info:eu-repo/semantics/openAccess2024-08-09T17:40:17Zoai:repositorio.unesp.br:11449/73236Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-09T17:40:17Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Hydatidiform mole resulting from sexual violence |
title |
Hydatidiform mole resulting from sexual violence |
spellingShingle |
Hydatidiform mole resulting from sexual violence Drezett, Jefferson case report Caucasian computer assisted tomography echography female human hydatidiform mole ovary cyst pelvic examination rape sexual crime sexual violence theca cell threat |
title_short |
Hydatidiform mole resulting from sexual violence |
title_full |
Hydatidiform mole resulting from sexual violence |
title_fullStr |
Hydatidiform mole resulting from sexual violence |
title_full_unstemmed |
Hydatidiform mole resulting from sexual violence |
title_sort |
Hydatidiform mole resulting from sexual violence |
author |
Drezett, Jefferson |
author_facet |
Drezett, Jefferson Kurobe, Flavia Cella Nobumoto, Cecília Tomiko Pedroso, Daniela Blake, Marcia Valenti, Vitor Engrácia [UNESP] Vanderlei, Luiz Carlos M. [UNESP] Adami, Fernando Vanderlei, Franciele M. De Araujo Moraes, Sandra Dircinha Teixeira Vertamatti, Maria Auxiliadora F. Reis, Alberto O.A. De Mello Monteiro, Carlos Bandeira Rossi, Renata C. Abreu, Luiz Carlos de [UNESP] |
author_role |
author |
author2 |
Kurobe, Flavia Cella Nobumoto, Cecília Tomiko Pedroso, Daniela Blake, Marcia Valenti, Vitor Engrácia [UNESP] Vanderlei, Luiz Carlos M. [UNESP] Adami, Fernando Vanderlei, Franciele M. De Araujo Moraes, Sandra Dircinha Teixeira Vertamatti, Maria Auxiliadora F. Reis, Alberto O.A. De Mello Monteiro, Carlos Bandeira Rossi, Renata C. Abreu, Luiz Carlos de [UNESP] |
author2_role |
author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Faculdade de Medicina do ABC (FMABC) Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Drezett, Jefferson Kurobe, Flavia Cella Nobumoto, Cecília Tomiko Pedroso, Daniela Blake, Marcia Valenti, Vitor Engrácia [UNESP] Vanderlei, Luiz Carlos M. [UNESP] Adami, Fernando Vanderlei, Franciele M. De Araujo Moraes, Sandra Dircinha Teixeira Vertamatti, Maria Auxiliadora F. Reis, Alberto O.A. De Mello Monteiro, Carlos Bandeira Rossi, Renata C. Abreu, Luiz Carlos de [UNESP] |
dc.subject.por.fl_str_mv |
case report Caucasian computer assisted tomography echography female human hydatidiform mole ovary cyst pelvic examination rape sexual crime sexual violence theca cell threat |
topic |
case report Caucasian computer assisted tomography echography female human hydatidiform mole ovary cyst pelvic examination rape sexual crime sexual violence theca cell threat |
description |
Background. Hydatidiform mole (HM) is characterized by abnormal proliferation of human trophoblast with producers functioning tissues of human chorionic gonadotropin. It can evolve with ovarian cysts tecaluteínicos, hypertension of pregnancy or hyperthyroidism. The incidence of HM is variable and its etiology poorly known, associated with nutritional factors, environmental, age, parity, history of HM, oral contraceptives, smoking, consanguinity or defects in germ cells. There is no reference in literature on HM resulting from sexual violence, objective of this report. Method. Description of two cases of HM among 1146 patients with pregnancy resulting from sexual violence treated at Hospital Pérola Byington, São Paulo, from July 1994 to August 2011. Results. The cases affected young, white, unmarried, low educated and low parity women. Sexual violence was perpetrated by known offenders unrelated to the victims, under death threat. Ultrasound and CT of the pelvis showed bulky uterus compatible with HM without myometrial invasion. One case was associated with theca lutein cysts. The two cases were diagnosed in the second trimester of pregnancy and evolved with hyperthyroidism. There was no hypertension, disease recurrence, metastasis or sexually transmitted infection. Conclusion. The incidence of HM was 1:573 pregnancies resulting from rape, within the range estimated for Latin American countries. Trophoblastic material can be preserved to identify the violence perpetrator, considering only the paternal HM chromosomes. History of sexual violence should be investigated in cases of HM in the first half of adolescence and women in a vulnerable condition. © 2012 Drezzet et al; licensee BioMed Central Ltd. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-03-14 2014-05-27T11:26:24Z 2014-05-27T11:26:24Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1186/1755-7682-5-8 International Archives of Medicine, v. 5, n. 1, 2012. 1755-7682 http://hdl.handle.net/11449/73236 10.1186/1755-7682-5-8 2-s2.0-84857941726 2-s2.0-84857941726.pdf |
url |
http://dx.doi.org/10.1186/1755-7682-5-8 http://hdl.handle.net/11449/73236 |
identifier_str_mv |
International Archives of Medicine, v. 5, n. 1, 2012. 1755-7682 10.1186/1755-7682-5-8 2-s2.0-84857941726 2-s2.0-84857941726.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
International Archives of Medicine 0,237 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
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UNESP |
reponame_str |
Repositório Institucional da UNESP |
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Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1808128208310108160 |