Adenomyosis: Difficult to Diagnose, and Difficult to Treat

Adenomyosis: Difficult to Diagnose, and Difficult to Treat

Drug therapy may be effective in controlling symptoms but the frequent coexistence of endometriosis and the lack of controlled studies make their efficacy difficult to quantify. Danazol IUD has been shown to reduce symptoms. Conservative surgery involving endomyometrial ablation, laparoscopic myometrial electrocoagulation or excision has proven to be effective in more than 50% of patients, alth...

Staphylococcus aureus small colony variants: difficult to diagnose and difficult to treat.

Prevention of Iodine Deficiency: Difficult to Implement, More Difficult to Sustain

Psychological interventions for difficult-to-treat depression.

Mindfulness-based cognitive therapy (MBCT) may be helpful in preventing relapse in those with three or more depressive episodes. Recent research suggests it may also benefit those who have experienced fewer previous episodes of depression. If confirmed, this raises challenges of how MBCT is offered, accessed and supported.

Pseudomixoma peritonei, a rare entity difficult to diagnose and treat - case report.

The authors present the case of a 56 year-old patient diagnosed with pseudomyxoma peritonei, 4 years after being subjected to a left adnexectomy for ovarian cystadenoma. The intra-parietal insemination of the mucinous cells enabled the development,at this level, of a gelatinous mass that raised problems of differential diagnosis with irreducible incisional hernia. In what regards the preoperati...