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| 1 | Laparoscopic hysterectomy as optimal approach for 5400 grams uterus with associated polycythemia: A case report显示文摘BACKGROUND Uterine myomas are the most common benign gynecological soft tissue tumors in women but polycythemia associated with these tumors is rare.Polycythemia is significantly associated with risk of venous thromboembolism(VTE),which is further increased in case of a large pelvic mass and obesity.Here we report the surgical challenges in the case of an obese patient with a giant fibromatous uterus and associated polycythemia.CASE SUMMARY A 42-year-old obese woman was referred to our department for treatment for a huge fibromatous uterus.She suffered of pelvic pressure and abdominal distension and reported severe dyspnea from several months.Laboratory analyses including hemoglobin(Hb)19.2 g/dL and hematocrit(Hct)59.7%were indicative of polycythemia.Arterial blood gas analysis showed arterial oxygen pressure(pO2)of 81.5 mmHg.Abdominal computed tomography confirmed a giant fibromatous uterus measuring 28.2 cm×17 cm×25 cm.To reduce the thromboembolic risk,the patient underwent low molecular weight heparin,phlebotomy twice before surgery,and we opted for a laparoscopic hysterectomy.The uterus weighed 5400 g and the histology confirmed a diagnosis of leiomyoma.We did not find increased erythropoietin levels in the supernatant of the myomatous uterine tissue.There were no complications.On postoperative day 1,the Hb and the Hct levels normalized to 13.3 g/dL and 41.7%,respectively.Arterial blood gas analysis after surgery showed a pO2 of 144.7 mmHg.These results suggested the diagnosis of myomatous erythrocytosis syndrome.The patient was discharged on the second postoperative day in very good condition with no symptoms.CONCLUSION We believe this is the first reported laparoscopic hysterectomy in a patient with a giant uterus,polycythemia and obesity.Multiple VTE risk factors warranted a laparoscopic approach. | Antonio Macciò Giacomo Chiappe Fabrizio Lavra Elisabetta Sanna Romualdo Nieddu Clelia Madeddu | 2019 | World Journal of Clinical Cases2019，7，19： | 5 |
| 2 | Presacral ganglioneuroma: A case report and review of literature显示文摘骶骨前 ganglioneuromas 是仅仅 17 个案例在文学被报导了的那么稀罕的良性瘤。他们是慢慢地成长的腹的群众并且微分诊断不得不被考虑。因为它代表唯一的治疗学的选择,外科的切除术为权威的诊断是重要的。因为神经节瘤的良性的性质,辅助化学或放射疗法没被显示,但是常规后续为潜在的本地复发的早诊断是必要的。我们与一个骶骨前神经节瘤报导一个 64 岁的人的一个案例。 | Guido Cerullo Daniele Marrelli Bernardino Rampone Clelia Miracco Stefano Caruso Di Martino Marianna Maria Antonietta Mazzei Franco Roviello | 2007 | World Journal of Gastroenterology2007，13，14： | 3 |
| 3 | l -Carnitine: An adequate supplement for a multi-targeted anti-wasting therapy in cancer显示文摘 | Sílvia Busquets Roberto Serpe Míriam Toledo Angélica Betancourt Enrica Marmonti Marcel Orpí Fabrizio Pin Eva Capdevila Clelia Madeddu Francisco J. López-Soriano Giovanni Mantovani Antonio Macciò Josep M. Argilés | 2012 | Clinical Nutrition2012，，6： | 2 |
| 4 | Effective bowel cleansing before colonoscopy: a randomized study of split-dosage versus non-split dosage regimens of high-volume versus low-volume polyethylene glycol solutions显示文摘 | Riccardo Marmo Gianluca Rotondano Giovanni Riccio Armando Marone Maria Antonia Bianco Italo Stroppa Anna Caruso Nicola Pandolfo Stefano Sansone Elena Gregorio Giuseppe D’Alvano Nicoletta Procaccio Pina Capo Clelia Marmo Livio Cipolletta | 2010 | Gastrointestinal Endoscopy2010，，2： | 2 |
| 5 | Interplay between SOX9, β-catenin and PPARγ activation in colorectal cancer显示文摘 | Anna Panza Valerio Pazienza Maria Ripoli Giorgia Benegiamo Annamaria Gentile Maria Rosaria Valvano Bartolomeo Augello Giuseppe Merla Clelia Prattichizzo Francesca Tavano Elena Ranieri Pierluigi di Sebastiano Manlio Vinciguerra Angelo Andriulli Gianluigi M | 2013 | BBA - Molecular Cell Research2013，，8： | 2 |
| 6 | Prostatein or steroid binding protein(PSBP) induces experimental autoimmune prostatitis (EAP)in NOD mice显示文摘 | Virginia R Claude C Clelia MR | 2002 | Clinical immunology2002，105，11： | 1 |
| 7 | Halipeptins A and B: Two novel potent anti - inflammatory cyclic depsipeptides from the Vanuatu marine sponge Haliclona species显示文摘 | Antonio R Giuseppe B Clelia G | 2001 | J Am Chem Soc2001，123，10： | 1 |
| 8 | A new route for the preparation of flexible skin-core poly(ethylene-co-acrylic acid)/polyaniline functional hybrids显示文摘 | Roberto S Giada L R Clelia D | 2011 | Functional Polymers2011，71，12： | 1 |
| 9 | 显示文摘 | Giovanni Mantovani Antonio Macciò Loredana Mura Elena Massa Maria Caterina Mudu Carlo Mulas Maria Rita Lusso Clelia Madeddu Annita Dessì | 2000 | Journal of Molecular Medicine2000，，10： | 1 |
| 10 | Halipeptins A and B: two new potent anti-inflammatory cyclic depsipeptides from the vanuatu marine sponge Haliclona species 显示文摘 | Antonio R Giuseppe B Clelia G | 2001 | J Am Chem Soc2001，123，10： | 1 |
| 11 | Effect of Screw Element Type in Degradation of Polypropylene upon Multiple Extrusions显示文摘 | Sebastiao V Canevarolo Ana Clelia Babetto | 2002 | Advances in Polymer Technology2002，21，4： | 1 |
| 12 | Randomized phase III clinical trial of a combined treatment with carnitine + celecoxib ± megestrol acetate for patients with cancer-related anorexia/cachexia syndrome显示文摘 | Clelia Madeddu Mariele Dessì Filomena Panzone Roberto Serpe Giorgia Antoni Maria Chiara Cau Lorenza Montaldo Quirico Mela Marco Mura Giorgio Astara Francesca Maria Tanca Antonio Macciò Giovanni Mantovani | 2011 | Clinical Nutrition2011，，2： | 1 |
| 13 | Is land abandonment having an impact on biodiversity? A meta- analytical approach to bird distribution changes in the north- western Mediterranean显示文摘 | Clelia Sirami Lluis Brotons Ian Burfield | 2008 | Biological Conservation2008，141，： | 1 |
| 14 | Randomized phase III clinical trial of five different arms of treatment for patients with cancer cachexia: interim results显示文摘 | Giovanni Mantovani Antonio Macciò Clelia Madeddu Giulia Gramignano Roberto Serpe Elena Massa Mariele Dessì Francesca Maria Tanca Eleonora Sanna Laura Deiana Filomena Panzone Paolo Contu Carlo Floris | 2008 | Nutrition2008，，4： | 1 |
| 15 | Use of donor bone marrow mesenchymal stem cells for treatment of skin allograft rejection in a preclinical rat model显示文摘 | Paolo Sbano Aldo Cuccia Benedetta Mazzanti Serena Urbani Betti Giusti Ilaria Lapini Luciana Rossi Rosanna Abbate Giuseppina Marseglia Genni Nannetti Francesca Torricelli Clelia Miracco Alberto Bosi Michele Fimiani Riccardo Saccardi | 2008 | Archives of Dermatological Research2008，，3： | 1 |
| 16 | The prognostic role of Beclin 1 protein expression in high-grade gliomas显示文摘 | Luigi Pirtoli Gabriele Cevenini Paolo Tini Marta Vannini Giuseppe Oliveri Stefania Marsili Vasileios Mourmouras Giovanni Rubino Clelia Miracco | 2009 | Autophagy2009，，： | 1 |
| 17 | Plant neighbor identity in{luences plant biochemistry and physiology related to defense显示文摘 | Amanda K Broz Corey D Broeckling Clelia De la-Pena | 2010 | BMC Plant Biology2010，10，： | 1 |
| 18 | Clinical Course, Prognosis, and Cause of Death in Primary Sj?gren’s Syndrome显示文摘 | Ildiko Fanny Horvath Antonia Szanto Gabor Papp Margit Zeher Clelia M. Riera | 2014 | Journal of Immunology Research2014，，： | 1 |
| 19 | Age and lateness of referral as determinants of extra-ocular retinoblastoma显示文摘 | Clelia M. Erwenne Eduardo L. Franco | 1989 | Ophthalmic Genetics1989，，3： | 1 |
| 20 | Myopic deconvolution from wave- front sensing 显示文摘 | LAURENT M M CLELIA R JEAN-MARC C | 2001 | J Opt Soe Am A2001，18，： | 1 |
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