附註:Includes bibliographical references and index.
Foreword -- Preface -- Background and Tools -- Gynecologic Clinical Examination of the Child and Adolescent -- Evidence Leading to Gynecological Examination -- Preparation for the Examination -- The Examination -- Gynecological Examination of a Prepubertal Child -- Gynecological Examination of a Newborn -- Gynecological Clinical Examination of the Adolescent -- References -- Imaging in Pediatric and Adolescent Gynecology -- The Infant and Adolescent Uterus -- Ovarian Development during Puberty and Adolescence -- References -- The Prepubertal Girl.
Ambiguous Genitalia in the Newborn: Diagnosis, Etiology and Sex Assignment -- Diagnosis of Ambiguous Genitalia in the Newborn -- Clinical Investigations -- Cytogenetic and Molecular Investigations -- Hormonal Investigations -- Imaging Investigations -- Etiology of Ambiguous Genitalia in the Newborn -- XX Newborn -- Excessive Maternal Androgens -- Excessive Placental Androgens -- Excessive Fetal Androgens -- True Hermaphroditism -- XY Newborn -- Partial Androgen Insensitivity Syndrome (PAIS) -- 5 alpha-Reductase Deficiency (5 alpha-RD) -- Abnormal Testicular Determination -- Leydig Cell Hypoplasia.
Defect in Testosterone Synthesis -- 46,XY/XO Newborn -- Sex Assignment of the Intersex Child at Birth -- References -- Vulvo-Vaginal Disorders -- Labial Adhesions -- Diaper Dermatitis in Infancy -- Based on the Localization of the Dermatitis One Can Distinguish [5] -- Other Etiologies Are Less Systematic in Their Location -- Tumoral and Hamartomatous Diseases of the Vulva -- Tumoral Diseases -- Hemangiomas and Vascular Dysplasia May Involve the Perineal Region -- Infantile Perianal Pyramidal Protrusion [18] -- Infectious Diseases (Except Sexually Transmitted Diseases) -- Vulvo-Vaginitis [19, 20].
Perineal Dermatitis -- Viral Infections [4, 11] -- Infestations with Pinworms, Scabies and Lice [2, 20] -- Lichen Sclerosus -- Vulvo-Perineal Localization of Dermatologic Disorders -- References -- Precocious Puberty (Complete, Partial) -- Investigations -- Precocious Puberty -- Adrenal Dysfunction -- Central Precocious Puberty -- Isolated Premature Thelarche -- Thelarche Variant -- Isolated Menarche -- Gonadotrophin-Independent Precocious Puberty -- Acknowledgement -- References -- Ovarian Cysts in Prepubertal Girls -- Clinical Presentations -- Painful Abdomino-Pelvic Syndrome.
'Endocrine' Signs -- Diagnostic Arguments -- Pelvic Ultrasonography -- Hormonal Investigation -- Tumor Markers -- The Various Etiologies -- Hormonal Activation or Interaction -- Central Pituitary Involvement:Transient or Persistent Activation? -- Pseudopuberty due to an Autonomous Cyst -- Other Endocrine Affection -- Ovarian Neoplasms -- Benign Teratomas -- Juvenile Granulosa Cell Tumors -- Management (fig. 3,4) -- Conclusion -- References -- Sexual Abuse in Prepubertal Children and Adolescents -- General Considerations on CSA -- General Considerations on Medical Aspects of CSA.
摘要:This book addresses the most common gynecological problems encountered in childhood medicine, including endocrinological and surgical aspects. It begins with a detailed description of infant and adolescent gynecological examination and then covers the advantages of imaging methods, with an emphasis on sonography. Several chapters are devoted to the various pathologies encountered in prepubertal and adolescent girls, including contemporary social issues (e.g., sexual abuse, sexually transmitted diseases, contraception for teenagers and teenage pregnancy). The gynecological problems encountered in children and adolescents are often both medically and psychologically complex and thus require a highly skilled and coherent approach. One of the practical advantages of this book is that it presents a clear plan for clinical management and treatment in this patient population.Providing practical information for dealing with frequently encountered problems in prepubertal and adolescent girls, this book should be read by pediatricians, endocrinologists, gynecologists and family practitioners.
