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Farolfi A, Scarpi E, Loizzi V, Cioffi R, Tuninetti V, Valabrega G, Godina C, Casanova C, Ventriglia J, Arezzo F, Pignata S, Candotti G, Cormio G, De Giorgi U. 23P Pre-treatment inflammatory indexes predict the clinical outcome of patients with endometrial cancer: A MITO24 study. ESMO Open 2023. [DOI: 10.1016/j.esmoop.2023.100794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2023] Open
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Peiretti M, Candotti G, Fais ML, Ricciardi E, Colombo N, Zanagnolo V, Bruni S, Aletti G, Maggioni A. Corrigendum to 'Comparison between laparoscopy and laparotomy in the surgical re-staging of granulosa cell tumors of the ovary' [Gynecologic Oncology 157 (2020) 85-88]. Gynecol Oncol 2021; 161:637. [PMID: 33757652 DOI: 10.1016/j.ygyno.2021.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- M Peiretti
- Department of Surgical Sciences, Division of Gynecology and Obstetrics, University of Cagliari, Italy.
| | - G Candotti
- Obstetrics and Gynecology Unit, IRCCS San Raffaele Scientific Institute,Milan, Italy
| | - M L Fais
- Department of Surgical Sciences, Division of Gynecology and Obstetrics, University of Cagliari, Italy
| | - E Ricciardi
- Department of "Gynäkologie & Gynäkologische Onkologie", Kliniken Essen-Mitte, Essen, Germany
| | - N Colombo
- Division of Gynecologic Oncology, European Institute of Oncology IRCCS, Milan, Italy
| | - V Zanagnolo
- Division of Gynecologic Oncology, European Institute of Oncology IRCCS, Milan, Italy
| | - S Bruni
- Division of Gynecologic Oncology, European Institute of Oncology IRCCS, Milan, Italy
| | - G Aletti
- Division of Gynecologic Oncology, European Institute of Oncology IRCCS, Milan, Italy
| | - A Maggioni
- Division of Gynecologic Oncology, European Institute of Oncology IRCCS, Milan, Italy
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Peiretti M, Candotti G, Fais ML, Ricciardi E, Colombo N, Zanagnolo V, Bruni S, Aletti G, Maggioni A. Comparison between laparoscopy and laparotomy in the surgical re-staging of granulosa cell tumors of the ovary. Gynecol Oncol 2020; 157:85-88. [PMID: 31954531 DOI: 10.1016/j.ygyno.2019.12.040] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2019] [Revised: 12/02/2019] [Accepted: 12/25/2019] [Indexed: 12/27/2022]
Abstract
OBJECTIVE To evaluate the role of laparoscopic (LPS) and laparotomic (LPT) re-staging in patients with incompletely surgically staged ovarian granulosa cell tumors (OGCT). METHODS We conducted a medical chart retrospective analysis of all patients with sex cord stromal tumors (SCSTs) who were managed in our division between March 1994 and March 2017. After a complete review of surgical and pathological notes, patients with incomplete staging were restaged according to the FIGO guidelines. Statistical analysis was conducted using Statistical Package version 20.0 for Windows (SPSS, Inc., Chicago, Illinois). RESULTS Out of a total of 170 patients SCSTs, 84 patients (49,5%) received primary surgery that included a hysterectomy; 86 patients (50,5%) underwent fertility-sparing surgery. Eighty-one patients (48%) with diagnosis of OGCT were incompletely surgically staged at another institution. We evaluated our results in terms of laparoscopic approach (56 patients) and open treatment (25 patients). Among the IA patient's group, 1 was upstaged to IIB stage and 2 to IIIB; among patients with IC stage, 1 was upstaged to IIA, 2 to IIB and 1 to IIIB stage. Adjuvant chemotherapy was given to the upstaged patients with final stage IIB-IIIC. No statistically significant difference between laparoscopy and open-surgery was detected in terms of upstaged patients after second surgery (p = 0,36). CONCLUSION According to our series, laparoscopic restaging compared to the open approach seems to be a feasible and efficient technique to complete surgical staging in patients with GCTs incorrectly staged. Surgical restaging seems to upstage a considerable number of OGCT, mainly in the initial stage IC group of patients. However, the impact of restaging on final outcome and survival remains to be demonstrated.
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Affiliation(s)
- M Peiretti
- Department of Surgical Sciences, Division of Gynecology and Obstetrics, University of Cagliari, Italy.
| | - G Candotti
- Obstetrics and Gynecology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - M L Fais
- Department of Surgical Sciences, Division of Gynecology and Obstetrics, University of Cagliari, Italy
| | - E Ricciardi
- Department of "Gynäkologie & Gynäkologische Onkologie", Kliniken Essen-Mitte, Essen, Germany
| | - N Colombo
- Division of Gynecologic Oncology, European Institute of Oncology, Milan, Italy
| | - V Zanagnolo
- Division of Gynecologic Oncology, European Institute of Oncology, Milan, Italy
| | - S Bruni
- Division of Gynecologic Oncology, European Institute of Oncology, Milan, Italy
| | - G Aletti
- Division of Gynecologic Oncology, European Institute of Oncology, Milan, Italy
| | - A Maggioni
- Division of Gynecologic Oncology, European Institute of Oncology, Milan, Italy
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Affiliation(s)
- P M Mannucci
- A. Bianchi Bonomi Hemophilia and Thrombosis Centre, First Dept, of Obstetrics and Blood Transfusion Centre, University of Milano, Italy
| | - S Viganò
- A. Bianchi Bonomi Hemophilia and Thrombosis Centre, First Dept, of Obstetrics and Blood Transfusion Centre, University of Milano, Italy
| | - B Bottasso
- A. Bianchi Bonomi Hemophilia and Thrombosis Centre, First Dept, of Obstetrics and Blood Transfusion Centre, University of Milano, Italy
| | - G Candotti
- A. Bianchi Bonomi Hemophilia and Thrombosis Centre, First Dept, of Obstetrics and Blood Transfusion Centre, University of Milano, Italy
| | - P Bozzetti
- A. Bianchi Bonomi Hemophilia and Thrombosis Centre, First Dept, of Obstetrics and Blood Transfusion Centre, University of Milano, Italy
| | - E Rossi
- A. Bianchi Bonomi Hemophilia and Thrombosis Centre, First Dept, of Obstetrics and Blood Transfusion Centre, University of Milano, Italy
| | - G Pardi
- A. Bianchi Bonomi Hemophilia and Thrombosis Centre, First Dept, of Obstetrics and Blood Transfusion Centre, University of Milano, Italy
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Ottolina J, Vanni VS, Tandoi I, Candotti G, Poppi G, Castellano L, Ferrari S, Candiani M. Surgical Training for Ovarian Non-Excisional Laparoscopic Laser Surgery: Fiber CO2 laser and Free-Beam CO2 Laser Compared. J Minim Invasive Gynecol 2016. [DOI: 10.1016/j.jmig.2016.08.676] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Ferrari AG, Frigerio LG, Candotti G, Buscaglia M, Petrone M, Taglioretti A, Calori G. Can Joel-Cohen incision and single layer reconstruction reduce cesarean section morbidity? Int J Gynaecol Obstet 2001; 72:135-43. [PMID: 11166746 DOI: 10.1016/s0020-7292(00)00315-5] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
OBJECTIVE To compare an innovative cesarean section based on Joel-Cohen incision with the traditional Pfannenstiel technique in terms of operative data and post-operative recovery. METHOD Out of 158 randomized patients, 83 patients underwent the innovative cesarean section (Joel-Cohen incision, one-layer locked uterine suture, no peritoneization) and 75 the traditional operative approach (Pfannenstiel incision, double layer closure of the uterus, visceral and parietal peritoneization). Operative data and post-operative morbidity were compared; sample size was calculated to detect a 13% difference in the occurrence of post-operative fever with a statistical power of 80%. RESULT Post-operative fever was not different in the two groups. Total operating time was shorter with the innovative technique: 31.6 +/-1.38 min vs. 44.4+/-1.44 (P=0.0001) and fewer sutures were used: 3.6+/-0.13 vs. 6+/-0.13 (P=0.001). Patients operated by the new technique began moving sooner and intestinal function restarted earlier. CONCLUSION The proposed technique made for shorter operating times and faster recovery but no decrease in puerperal morbidity.
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Affiliation(s)
- A G Ferrari
- Department of Obstetrics and Gynecology, University of Milan, Milan, Italy
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Radaelli A, Perlangeli S, Cerutti MC, Mircoli L, Mori I, Boselli L, Bonaita M, Terzoli L, Candotti G, Signorini G, Ferrari AU. Altered blood pressure variability in patients with congestive heart failure. J Hypertens 1999; 17:1905-10. [PMID: 10703888 DOI: 10.1097/00004872-199917121-00020] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE Congestive heart failure (CHF) is characterized by sympathetic overactivity but reduced variability of heart interval and sympathetic nerve activity; little information exists, however, about the alterations in blood pressure variability in this syndrome, especially during excitatory manoeuvres such as tilting or exercise. DESIGN AND METHODS Nine patients with CHF (age 62+/-1 years, NYHA class II-III, ejection fraction 33+/-1%, peak VO2 14.1+/-3.2 ml/min per kg body weight [mean +/- SEM]) and eight healthy control subjects (age 58+/-1 years) with normal left ventricular function were studied. Blood pressure (Finapres), R-R interval (ECG) and respiration (nasal thermistor) were recorded during 15-min periods of supine rest, 70 degree head-up tilting, submaximal bicycling exercise and post-exercise recovery. Total variance and the power of the spectral components of blood pressure (HF, respiratory-related; LF, 0.03-0.14 Hz; and VLF, 0.02-0.003 Hz) were measured. RESULTS Compared with control subjects, CHF patients have, first, a normal overall blood pressure variability during supine rest but a failure to increase this variability in response to head-up tilt and exercise; second, a suppressed LF spectral component of blood pressure at rest and in response to head-up tilt and exercise; and third, reappearance of LF blood pressure power during postexercise recovery. CONCLUSIONS In CHF patients, overall blood pressure variability and its LF spectral component are altered at rest and during sympathoexcitatory manoeuvres. Somewhat paradoxically, however, the depressed LF blood pressure power is partially restored during a 15-min recovery period, indicating that at least part of the CHF-related alterations of blood pressure variability have the potential to revert back towards normal under appropriate physiological circumstances.
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Affiliation(s)
- A Radaelli
- Ospedale di Seregno, Az Osp Vimercate, Cattedra di Cardioangiologia Medica, Centro Fisiologia Clinica e Ipertensione and CNR, Milano, Italy
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Mangili G, Garavaglia E, Frigerio L, Candotti G, Ferrari A. Management of low-risk gestational trophoblastic tumors with etoposide (VP16) in patients resistant to methotrexate. Gynecol Oncol 1996; 61:218-20. [PMID: 8626136 DOI: 10.1006/gyno.1996.0128] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Careful selection and treatment monitoring of patients with gestational trophoblastic tumors (GTT) is critical because 20 - 50% of patients may develop a resistance and consequently require alternative chemotherapeutic agents. In our study we propose and demonstrate the efficacy of etoposide (VP16) as a second-line drug. An average of 5 courses with VP16 were used to achieve a remission in 12 patients resistant to MTX with low-risk GTT. Toxicity was mild and no resistance to VP16 was observed. A follow-up of 66 months (range, 22-109) has been performed for the patients and all of them are now disease free. Two patients had a pregnancy, respectively, 3 and 4 years after treatment. The others did not desire any pregnancy.
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Affiliation(s)
- G Mangili
- Department of Obstetrics and Gynaecology, University of Milan, S. Raffaele Hospital Scientific Institute, Italy
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Dindelli M, Potenza MT, Candotti G, Frigerio L, Pifarotti G. [Clinical effectiveness and safety of Seaprose S in the treatment of complications of puerperal surgical wounds]. Minerva Ginecol 1990; 42:313-5. [PMID: 2293075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
The aim of the study was the assessment of the efficacy and safety of Seaprose S in women out patients from the maternity ward with infiltrated surgical wounds subsequent to vaginal birth or caesarean section. The semialkaline proteolithic enzyme Seaprose S, available in 30 mg tablets was administered at a dosage of 3 tablets a day for a period of 8 days. Thirty-two puerpera with a mean age of 31 years +/- 0.9 SE were admitted to the study with an episiotomic wound in 13 cases and a laparotomic wound consequent on caesarean section in the remaining 19 cases. The clinical situation deriving from the surgical wound resolved on average on the 4th day, in particular the swelling and the congestion of the wound had already diminished in the first days of treatment (p less than 0.01). Safety of Seaprose S was good considering that in no cases were side effects attributable to the treatment observed. In conclusion, from the data obtained in this study one may confirm the validity of Seaprose S in the treatment of laparotomic and episiotomic wounds.
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Affiliation(s)
- M Dindelli
- I Clinica Ostetrico-Ginecologica, Università degli Studi L. Mangiagalli, Milano
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Woodhams BJ, Candotti G, Shaw R, Kernoff PB. Changes in coagulation and fibrinolysis during pregnancy: evidence of activation of coagulation preceding spontaneous abortion. Thromb Res 1989; 55:99-107. [PMID: 2781523 DOI: 10.1016/0049-3848(89)90460-x] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
In order to monitor physiological changes in coagulation and fibrinolysis that occur during normal pregnancy, blood samples were collected in each trimester of pregnancy from 17 volunteers. Control samples were collected from 12 non-pregnant female volunteers. As pregnancy advanced there was a rise in the basal levels of fibrinopeptide A, cross linked D-dimer fragment and the B beta 15-42 fragment and an increase in the in vitro rate of fibrinopeptide A generation. These results were consistent with an increased activation of coagulation during normal pregnancy, compensated for by a concomitant rise in fibrinolytic activity. In two patients who spontaneously aborted, evidence of uncompensated activation of coagulation could be detected before the manifestation of any clinical signs. In a second pregnancy in one of these patients similar changes were observed, but were reversed by heparin treatment and the pregnancy progressed to full-term delivery of a normal infant.
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Affiliation(s)
- B J Woodhams
- Haemophilia Centre, Royal Free Hospital, London, England
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Candotti G, Rossi E, Dindelli M, Pifarotti G. [Congenital hypofibrinogenemia and labor: description of a clinical case]. Ann Ostet Ginecol Med Perinat 1989; 110:15-9. [PMID: 2787970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
The authors describe a case of Congenital Hypofibrinogenaemia which was revealed by the haemorrhagic complication occurred immediately after delivery.
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Mannucci PM, Tamaro G, Narchi G, Candotti G, Federici A, Altieri D, Tedesco F. Life-threatening reaction to factor VIII concentrate in a patient with severe von Willebrand disease and alloantibodies to von Willebrand factor. Eur J Haematol Suppl 1987; 39:467-70. [PMID: 3121382 DOI: 10.1111/j.1600-0609.1987.tb01458.x] [Citation(s) in RCA: 57] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
A 16-yr-old girl with severe von Willebrand disease complicated by the development of precipitating alloantibodies to von Willebrand factor (anti-VWF) had a life-threatening anaphylactoid reaction immediately after the infusion of a commercial plasma concentrate of factor VIII/von Willebrand factor. An early post-infusion activation of the complement system was demonstrated by the appearance of C3 split products and by the drop of serum CH50 activity, occurring in parallel with a post-infusion drop in the anti-VWF antibody levels. Immune complexes remained unchanged in the early post-infusion period and rose to a moderate extent only after 24 h. We conclude that biologically active products of the complement system contributed to the onset of this life-threatening reaction which occurred after concentrate infusion.
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Affiliation(s)
- P M Mannucci
- A. Bianchi Bonomi Hemophilia and Thrombosis Center, University of Milan, Italy
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Candotti G, Rossi E, Woodhams B, Kernoff PK. [Is fibrinolysis really depressed in normal pregnancy?]. Ann Ostet Ginecol Med Perinat 1987; 108:351-8. [PMID: 3448977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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Mannucci PM, Viganò S, Bottasso B, Candotti G, Bozzetti P, Rossi E, Pardi G. Protein C antigen during pregnancy, delivery and puerperium. Thromb Haemost 1984; 52:217. [PMID: 6549233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
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Goisis M, Candotti G. [Treatment of threatened abortion in a serotonin antagonist. Clinico-statistical data]. Minerva Ginecol 1975; 27:773-8. [PMID: 1207968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Goisis M, Candotti G, Sanfilippo A. [Intraorganic distribution of a new antibiotic combination]. Minerva Ginecol 1975; 27:158-63. [PMID: 1134673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Candotti G, Forti L. [Use of a new oxytocin in obstetrics]. Minerva Ginecol 1975; 27:164-71. [PMID: 1134674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Goisis M, Candotti G, Scillieri P. [Use of pristinamycin in obstetrics and gynecology]. Minerva Ginecol 1971; 23:473-9. [PMID: 5098897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Goisis M, Candotti G. [Gynecological indications of a new progestational agent with prolonged action]. Minerva Ginecol 1970; 22:339-67. [PMID: 5515153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Candotti G, Scillieri P. [On the use of a delayed-action progestational hormone in threatened abortion]. Minerva Ginecol 1968; 20:1147-51. [PMID: 5706588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Scillieri P, Candotti G. [On the therapeutic effect of small doses of a long-acting sulfonamide]. Minerva Ginecol 1967; 19:887-9. [PMID: 5615834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Goisis M, Candotti G, Lami V. [Biological and clinical data on a new estrolutein association]. Minerva Ginecol 1967; 19:303-11. [PMID: 4971706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Candotti G. [Indications for simultaneous estrogen and progestogen therapy]. Attual Ostet Ginecol 1967; 12:47-60. [PMID: 5628842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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