51
|
Scioscia M, Scardapane A, Ceccaroni M. Regarding "Continuous Amenorrhea May be Insufficient to Stop the Progression of Colorectal Endometriosis". J Minim Invasive Gynecol 2016; 23:1203-1205. [PMID: 27329546 DOI: 10.1016/j.jmig.2016.06.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2016] [Accepted: 06/08/2016] [Indexed: 10/21/2022]
|
52
|
Scioscia M, Fratelli N, Stepniewska A, Fascilla F, Bettocchi S, Ceccaroni M. A standardized formula based on 2D fetal thigh measurements improves the accuracy of intrapartum birth weight estimation. Int J Gynaecol Obstet 2016; 133:122-3. [PMID: 26868064 DOI: 10.1016/j.ijgo.2015.09.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2015] [Revised: 08/16/2015] [Accepted: 12/09/2015] [Indexed: 10/22/2022]
|
53
|
Kunjara S, McLean P, Rademacher L, Rademacher TW, Fascilla F, Bettocchi S, Scioscia M. Putative Key Role of Inositol Messengers in Endothelial Cells in Preeclampsia. Int J Endocrinol 2016; 2016:7695648. [PMID: 27738431 PMCID: PMC5050364 DOI: 10.1155/2016/7695648] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2016] [Revised: 07/26/2016] [Accepted: 08/04/2016] [Indexed: 02/01/2023] Open
Abstract
Immunological alterations, endothelial dysfunction, and insulin resistance characterize preeclampsia. Endothelial cells hold the key role in the pathogenesis of this disease. The signaling pathways mediating these biological abnormalities converge on PKB/Akt, an intracellular kinase regulating cell survival, proliferation, and metabolism. Inositol second messengers are involved in metabolic and cell signaling pathways and are highly expressed during preeclampsia. Intracellular action of these molecules is deeply affected by zinc, manganese, and calcium. To evaluate the pathophysiological significance, we present the response of the intracellular pathways of inositol phosphoglycans involved in cellular metabolism and propose a link with the disease.
Collapse
|
54
|
Scioscia M, Karumanchi SA, Goldman-Wohl D, Robillard PY. Endothelial dysfunction and metabolic syndrome in preeclampsia: an alternative viewpoint. J Reprod Immunol 2015; 108:42-7. [PMID: 25766966 DOI: 10.1016/j.jri.2015.01.009] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2014] [Revised: 12/28/2014] [Accepted: 01/29/2015] [Indexed: 01/28/2023]
Abstract
Several clinical and basic science reports have elucidated partial aspects of the pathophysiology of preeclampsia and have led many authors to conclude that different "subtypes" of the disease exist. All these subtypes share the main clinical features of the disease and present additional characteristics that define different clinical phenotypes. Nevertheless, immunological alterations, endothelial dysfunction, and insulin resistance constantly characterize this syndrome. These aspects are intimately related at a molecular level; thus, we propose an alternative approach to explaining biologically the main intracellular processes that occur in preeclampsia and this may yield an insight into the pathogenesis.
Collapse
|
55
|
Scioscia M, Stepniewska A, Trivella G, De Mitri P, Bettocchi S. Estimation of birthweight by measurement of fetal thigh soft-tissue thickness improves the detection of macrosomic fetuses. Acta Obstet Gynecol Scand 2014; 93:1325-8. [DOI: 10.1111/aogs.12470] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2014] [Accepted: 08/01/2014] [Indexed: 11/26/2022]
|
56
|
Scardapane A, Lorusso F, Scioscia M, Ferrante A, Stabile Ianora AA, Angelelli G. Standard high-resolution pelvic MRI vs. low-resolution pelvic MRI in the evaluation of deep infiltrating endometriosis. Eur Radiol 2014; 24:2590-6. [DOI: 10.1007/s00330-014-3297-4] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2014] [Revised: 05/26/2014] [Accepted: 06/26/2014] [Indexed: 10/25/2022]
|
57
|
Scioscia M, Nigro M, Montagnani M. The putative metabolic role of d -chiro inositol phosphoglycan in human pregnancy and preeclampsia. J Reprod Immunol 2014; 101-102:140-147. [DOI: 10.1016/j.jri.2013.05.006] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2013] [Revised: 05/11/2013] [Accepted: 05/23/2013] [Indexed: 02/01/2023]
|
58
|
Ruffo G, Scioscia M, Crippa S, Minelli L, Falconi M. Re: "long-term comparison of laparoscopy-assisted distal gastrectomy and open distal gastrectomy in advanced gastric cancer" (Surg Endosc (2010) 24:1:63-67). Surg Endosc 2013; 27:3050-1. [PMID: 23389065 DOI: 10.1007/s00464-012-2748-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2012] [Accepted: 12/06/2012] [Indexed: 10/27/2022]
|
59
|
Fratelli N, Scioscia M, Bassi E, Musola M, Minelli L, Trivella G. Transvaginal sonography for preoperative assessment of deep endometriosis. JOURNAL OF CLINICAL ULTRASOUND : JCU 2013; 41:69-75. [PMID: 23233390 DOI: 10.1002/jcu.22018] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2011] [Accepted: 10/24/2012] [Indexed: 06/01/2023]
Abstract
PURPOSE To determinate transvaginal scan (TVS) accuracy in the preoperative evaluation of deep endometriosis in a large cohort of patients with subsequent laparoscopic assessment. METHODS A retrospective study was performed in a tertiary referral center for endometriosis. Transvaginal scan reports were retrieved from an electronic database of all patients who underwent laparoscopy for pelvic pain or infertility in 2009. The accuracy of TVS was assessed for 10 different sites of pelvic endometriosis. RESULTS Four hundred twenty women were included in the study. Sensitivity and specificity of TVS were 61% and 99%, respectively, for bladder endometriosis, 52% and 96% for endometriosis of rectovaginal septum, 65% and 99% for rectum endometriosis, and 69% and 98% for endometriosis of the sigmoid colon. CONCLUSIONS TVS appears to be useful for the detection of endometriosis located in the bladder and involving the sigmoid colon, the rectovaginal septum, and the rectum.
Collapse
|
60
|
Scioscia M, Pesci A, Zamboni G, Huppertz B, Resta L. d-chiro-inositol phosphoglycan expression in human placenta at term in diabetes. Arch Gynecol Obstet 2013; 288:459-60. [DOI: 10.1007/s00404-013-2729-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2012] [Accepted: 01/17/2013] [Indexed: 12/15/2022]
|
61
|
Scioscia M, Siwetz M, Campana C, Huppertz B. Differences in d-chiro-inositol-phosphoglycan expression between first and third trimester human placenta. Pregnancy Hypertens 2012; 3:1-2. [PMID: 26105733 DOI: 10.1016/j.preghy.2012.10.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2012] [Revised: 09/27/2012] [Accepted: 10/02/2012] [Indexed: 11/27/2022]
|
62
|
Ceci O, Cantatore C, Scioscia M, Nardelli C, Ravi M, Vimercati A, Bettocchi S. Ultrasonographic and hysteroscopic outcomes of uterine scar healing after cesarean section: Comparison of two types of single-layer suture. J Obstet Gynaecol Res 2012; 38:1302-7. [DOI: 10.1111/j.1447-0756.2012.01872.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
63
|
Scioscia M, Zantedeschi B, Trivella G, Fratelli N, Cosma S, Minelli L. A suggestive diagnosis of uterine arteriovenous fistula based on ultrasonography and hysteroscopy. Eur J Obstet Gynecol Reprod Biol 2011; 160:116-7. [PMID: 22104476 DOI: 10.1016/j.ejogrb.2011.09.019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2011] [Accepted: 09/05/2011] [Indexed: 10/15/2022]
|
64
|
Ceccaroni M, Paglia A, Ruffo G, Scioscia M, Bruni F, Pesci A, Minelli L. Symptomatic vaginal bleeding in a postmenopausal woman revealing colon adenocarcinoma metastasizing exclusively to the vagina. J Minim Invasive Gynecol 2011; 17:779-81. [PMID: 20955988 DOI: 10.1016/j.jmig.2010.05.014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2010] [Revised: 03/31/2010] [Accepted: 05/28/2010] [Indexed: 01/02/2023]
Abstract
Vaginal carcinomas are rare entities, accounting for 2% of all malignant cancers of the female genital tract, and the vast majority are metastatic. Adenocarcinoma of the colon metastasizing to the vagina is extremely rare, only 5 cases have been reported. We present the case of a woman who experienced vaginal bleeding as an isolated symptom of vaginal metastasis of colorectal adenocarcinoma. Vaginal localization of metastasis from colorectal cancer significantly worsens the survival prognosis, and a standard treatment has not yet been proposed. Potential mechanisms of spread of colorectal cancer to the vagina and therapeutic approaches are discussed. In this case, treatment included surgery and chemotherapy.
Collapse
|
65
|
Scioscia M, Williams PJ, Gumaa K, Fratelli N, Zorzi C, Rademacher TW. Inositol phosphoglycans and preeclampsia: from bench to bedside. J Reprod Immunol 2011; 89:173-7. [DOI: 10.1016/j.jri.2011.03.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2010] [Revised: 02/09/2011] [Accepted: 03/07/2011] [Indexed: 12/24/2022]
|
66
|
Burton GJ, Scioscia M, Rademacher TW. Endometrial secretions: creating a stimulatory microenvironment within the human early placenta and implications for the aetiopathogenesis of preeclampsia. J Reprod Immunol 2011; 89:118-25. [PMID: 21531028 DOI: 10.1016/j.jri.2011.02.005] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2010] [Revised: 01/31/2011] [Accepted: 02/21/2011] [Indexed: 02/01/2023]
Abstract
Endometrial glands represent an important source of nutrients for the conceptus during the first trimester. Their secretions are enriched with carbohydrates, and glycogen accumulates within the syncytiotrophoblast of the placenta. It has been assumed that fetal and placental metabolism follow adult pathways, although it is now appreciated that early development occurs in a low-oxygen environment. In past decades, a novel family of putative insulin mediators, inositol phosphoglycans (IPGs), was discovered. These molecules act as allosteric activators and/or inhibitors of enzymes and transduction proteins involved in the control of cell signalling and metabolic pathways, and determine the specificity of responses after activation of the insulin receptor. One member, IPG P-type, activates pyruvate dehydrogenase phosphatase (PDH-Pase), glycogen synthase phosphatase, and glycerol-3-phosphate acyltransferase. Activation of key phosphatases play a major role in the regulation of glucose disposal by oxidative metabolism via PDH, and the non-oxidative storage by glycogen synthesis, both pathways classically known to be regulated by insulin. High concentrations of IPG P-type in amniotic fluid suggest a role in the regulation of carbohydrate metabolism in the fetal-placental unit. Glycogen accumulation in the syncytiotrophoblast also occurs in preeclamptic pregnancies, and is consistently associated with higher placental levels of IPG P-type. Here, we explore the relationship between nutrients provided by the endometrial glands during early pregnancy, IPG P-type and fetal metabolic requirements. We also discuss whether a disconnect between the placental/fetal metabolic state and oxygen tension could lead to a preeclamptic-type syndrome via leakage of Warburg/IPG mediators into the maternal circulation.
Collapse
|
67
|
Scioscia M, Speri C, Menegazzi F, Lamanuzzi M, Trivella G, Musola M, Spoto E, Mainardi P, Minelli L. Proposal for a systematic preoperative assessment of pelvic endometriosis. MINERVA GINECOLOGICA 2011; 63:189-194. [PMID: 21508907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
AIM Severe endometriosis represents one of the most challenging clinical and surgical cases in gynecology. Preoperative assessment of the extension of the disease is of key relevance to opt for medical or surgical therapy and, sometimes, to plan a multidisciplinary approach. METHODS A systematic diagnostic approach is proposed and evaluated in a tertiary referral centre. It is based on an initial clinical evaluation and a second level ultrasound of the pelvis. Further exams, whenever required, have to be aimed at demonstrating specific involvements of organs other than ovaries and peritoneum such as bowel, urinary tract and nerves. RESULTS The application of the proposed protocol has led to a reduction of the number of non-radical surgical procedures due to incomplete consent associated with missed diagnosis over the years (P<0.001). CONCLUSION Our findings support the efficacy of a systematic diagnostic approach to endometriosis. This allows a correct planning of therapy with a multidisciplinary approach when necessary.
Collapse
|
68
|
Scioscia M, Robillard PY, Hall DR, Rademacher LH, Williams PJ, Rademacher TW. Inositol phosphoglycan P-type in infants of preeclamptic mothers. J Matern Fetal Neonatal Med 2011; 25:193-5. [DOI: 10.3109/14767058.2011.557789] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
|
69
|
Scioscia M, Fornalè M, Bruni F, Peretti D, Trivella G. Four-dimensional and Doppler sonography in the diagnosis and surveillance of a true cord knot. JOURNAL OF CLINICAL ULTRASOUND : JCU 2011; 39:157-159. [PMID: 20957737 DOI: 10.1002/jcu.20757] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2010] [Accepted: 08/26/2010] [Indexed: 05/30/2023]
Abstract
Prenatal diagnosis of a true knot of the umbilical cord is often an incidental observation at ultrasound with a difficult differential diagnosis between true and false knots. Furthermore, little is known about the optimal management of these cases. We report the importance of color Doppler and four-dimensional ultrasound for the differential diagnosis in the case of true cord knot and the role of Doppler flow velocimetry in the management of that case.
Collapse
|
70
|
Scioscia C, Scioscia M, Anelli MG, Praino E, Bettocchi S, Lapadula G. Intentional etanercept use during pregnancy for maintenance of remission in rheumatoid arthritis. Clin Exp Rheumatol 2011; 29:93-95. [PMID: 21269575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2010] [Accepted: 10/11/2010] [Indexed: 05/30/2023]
Abstract
OBJECTIVES Rheumatoid arthritis is associated with an increased risk of adverse pregnancy outcomes. TNF inhibitors are effective in the treatment of signs and symptoms of the disease although their safety during pregnancy is debated. METHODS Two cases of women with rheumatoid arthritis in complete remission of the disease with etanercept who decided to continue the therapy throughout their pregnancy are presented. A longitudinal evaluation of the disease activity showed a satisfactory control and good pregnancy outcomes were obtained. A flare of the disease after delivery was not observed. CONCLUSIONS Etanercept seems to be safe during pregnancy and lactation. A good control of the activity of the disease was reported throughout the pregnancy and during puerperium, when a reactivation of rheumatoid arthritis is often observed.
Collapse
|
71
|
Scioscia M, Bruni F, Ceccaroni M, Steinkasserer M, Stepniewska A, Minelli L. Distribution of endometriotic lesions in endometriosis stage IV supports the menstrual reflux theory and requires specific preoperative assessment and therapy. Acta Obstet Gynecol Scand 2010; 90:136-9. [PMID: 21241258 DOI: 10.1111/j.1600-0412.2010.01008.x] [Citation(s) in RCA: 50] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
A detailed picture of the prevalence and distribution of abdomino-pelvic endometriosis in more that 1,500 cases of endometriosis stage IV is presented. A great prevalence of endometriotic localizations in the posterior pelvic compartment compared to the other quadrants with more frequently observed lesions on the left part of the pelvis supports the menstrual reflux theory. The extent of anatomical sites suggests the opportunity to plan a proper preoperative instrumental study for patients with clinical suspect of severe endometriosis possibly to set a multidisciplinary clinical or surgical management.
Collapse
|
72
|
Stepniewska A, Grosso G, Molon A, Caleffi G, Perin E, Scioscia M, Mainardi P, Minelli L. Ureteral endometriosis: clinical and radiological follow-up after laparoscopic ureterocystoneostomy. Hum Reprod 2010; 26:112-6. [DOI: 10.1093/humrep/deq293] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
|
73
|
Paine MA, Scioscia M, Williams PJ, Gumaa K, Rodeck CH, Rademacher TW. Urinary Inositol Phosphoglycan P-Type as A Marker for Prediction of Preeclampsia and Novel Implications for the Pathophysiology of This Disorder. Hypertens Pregnancy 2010; 29:375-84. [DOI: 10.3109/10641950903242667] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
74
|
Stepniewska A, Pomini P, Guerriero M, Scioscia M, Ruffo G, Minelli L. Colorectal endometriosis: benefits of long-term follow-up in patients who underwent laparoscopic surgery. Fertil Steril 2010; 93:2444-6. [PMID: 19836731 DOI: 10.1016/j.fertnstert.2009.08.029] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2009] [Revised: 08/10/2009] [Accepted: 08/10/2009] [Indexed: 11/25/2022]
Abstract
In this retrospective cohort study, three groups of patients were included: 60 women who underwent endometriosis surgery with colorectal segmental resection, 40 women with surgical evidence of bowel endometriosis who underwent endometriosis removal without bowel resection, and 55 women affected by moderate or severe endometriosis with at least one endometrioma and deep infiltrating endometriosis but without bowel involvement. The results of a long-term ambulatory follow-up showed that if colorectal endometriosis was present, postoperative pain regression was more frequent, and among patients with bowel endometriosis the rate of recurrence was lower if segmental resection was performed.
Collapse
|
75
|
Ceccaroni M, Pontrelli G, Scioscia M, Ruffo G, Bruni F, Minelli L. Nerve-sparing laparoscopic radical excision of deep endometriosis with rectal and parametrial resection. J Minim Invasive Gynecol 2010; 17:14-5. [PMID: 20129328 DOI: 10.1016/j.jmig.2009.03.018] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2009] [Revised: 03/13/2009] [Accepted: 03/18/2009] [Indexed: 10/20/2022]
|