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Patients who have limited sentinel lymphs node (SLN) metastatic breast cancer have similar survival rates when treated with sentinel lymph node dissection (SLND) or axillary lymph node dissection (ALND), according to a study published in the Feb. 9 issue of the Journal of the American Medical Association.

Metabolic syndrome appears to have little impact on sexual function in middle- to old-aged women, according to a study published online Jan. 14 in the Journal of Sexual Medicine.

Initiating mammography at a younger age and screening more frequently than the U.S. Preventive Services Task Force (USPSTF) recommends will likely result in more lives saved, according to a study published in the February issue of the American Journal of Roentgenology.

A 54-year-old patient presented for evaluation of spontaneous left breast discharge. The patient is status post-right mastectomy with TRAM reconstruction in 1999. The patient states she has noted left breast discharge for quite some time

Modern medicine recognizes the potential impact of stress on physical well-being, but can stress pass through the mother to the fetus? Indeed, it has been hypothesized that maternal chronic stress can alter the uterine environment and may affect length of gestation, fetal growth, birth weight, and spontaneous preterm birth. Similarly, research on cortisol levels in fetuses and mothers has found that anxiety in mothers can affect the function of the placenta. With so much evidence pointing to the interaction between maternal psychological well-being and fetal wellness, there has become an increased need to find effective, nonpharmacological interventions for pregnant women.

Compared to nondiabetic women, women with diabetes and high glucose levels during pregnancy tend to have babies with high birth weights. Moreover, it is thought that these offspring are at greater risk for obesity than those children born to women without diabetes. But is the larger body size due to greater lean mass in addition to greater fat mass?

The U.S. Food and Drug Administration is warning that terbutaline administered by injection or through an infusion pump should not be used in pregnant women for prevention or prolonged (beyond 48-72 hours) treatment of preterm labor due to the potential for serious maternal heart problems and death.

Women with breast cancer who are treated with anti-estrogens have a lower lung cancer mortality rate than the general population, according to a study published online Jan. 24 in Cancer.

Women who experience childhood trauma and go on to develop posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) as adults, may be more likely to have weight problems, according to a study published in the December issue of Journal of Tramatic Stress.

Saline or silicone gel-filled breast implants my be associated with anaplastic large cell lymphoma (ALCL), the U.S. Food and Drug Administration announced today. The agency requested that health care professionals report any confirmed cases of the disease in women with implants.

Patients with high-risk endometrial cancer, who are under the care of gynecologic oncologists, have improved survival rates, according to a study published online Jan. 24 in the Journal of Clinical Oncology.

Treatment with recombinant human prolactin (r-hPRL) increases milk volume, induces changes in milk composition similar to those that take place in regular lactogenesis, and increases antimicrobially active oligosaccharide concentrations for women who have both prolactin and lactation insufficiency, according to a study published online Jan. 24 in Pediatrics.

Active smoking has a modest effect on the risk of developing breast cancer, according to a study published in the Jan. 24 issue of the Archives of Internal Medicince.

High systolic blood pressure (BP) appears to be a substantial risk factor for cardiovascular events in women middle-aged and older, and many of these events are potentially preventable with lowered PB, according to research published online Jan 24 in Hypertension.

Women who receive false-positive results from routine breast cancer screenings may experience a low quality of life and feelings of anxiety for at least one year, according to a study published online Dec. 20 in the British Journal of Surgery.

A 30 y/o woman, P1001, sought a second opinion from me regarding the following situation: She just had her first baby, and has a history of symptomatic endometriosis including some difficulty in achieving pregnancy (but did so without medical intervention). She was advised by another physician that she should use either depo or the progestin only pill for the next 6-12 months (while she is breastfeeding) to prevent the progression of endometriosis.

Resolution of maternal grief following the experience of preterm birth, and the subsequent quality of maternal interactions, have important implications for attachment security development in premature infants, according to a study published online Jan. 17 in Pediatrics.

Radiotherapy may increase the long-term risk of death from cardiovascular disease, especially in women with left-sided breast cancer who are treated with contemporary tangential breast or chest-wall radiotherapy, according to a study in the Jan. 25 issue of the Journal of the American College of Cardiology.

Occult metastases are prognostic variables in patients with breast cancer who have negative sentinel lymph node biopsies, but the difference in five-year outcome is very small, according to a study published online Jan. 19 in the New England Journal of Medicine.

Basal-like breast cancer is not more aggressive among African-American individuals than whites; however, in patients with luminal A cancer, African-American women experience worse outcomes, according to a study published in the Dec. 15 issue of Clinical Cancer Research.

A Western diet high in fat and cholesterol may be linked to larger, faster-growing tumors that metastasize more easily in mice predisposed to breast cancer, according to a study published in the January issue of the American Journal of Pathology.

Adjuvant breast cancer therapy with an aromatase inhibitor (exemestane) alone, or used following tamoxifen, offers similar disease-free survival rates but different side-effect profiles, according to a study published online Jan. 18 in The Lancet.

Ideas about what constitutes "normal" labor progression and labor "arrest" may require revision, according to a new study.

Waiting 2 to 6 hours after delivery before using uterine compression sutures increases the odds of a hysterectomy by 4 times, according to study results.

In view of the recent publication by Chlebowski et al linking menopausal hormone therapy and progestin with breast cancer, clinicians are asking whether it is time to stop prescribing even short courses of such treatment.

Women undergoing vaginal hysterectomy experience less perioperative morbidity and use fewer resources when high-volume, rather than low-volume, vaginal surgeons perform the procedure, according to a new study.

Women who have more than 3 miscarriages have a 5-fold increase in risk for heart attack later in life, according to study findings.

The patient was referred to the defendant ob/gyn by the codefendant urologist in December 2006 for evaluation of longstanding uterine prolapse with cystocele and rectocele.