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Chiarella E, Aloisio A, Scicchitano S, Todoerti K, Cosentino EG, Lico D, Neri A, Amodio N, Bond HM, Mesuraca M. ZNF521 Enhances MLL-AF9-Dependent Hematopoietic Stem Cell Transformation in Acute Myeloid Leukemias by Altering the Gene Expression Landscape. Int J Mol Sci 2021; 22:ijms221910814. [PMID: 34639154 PMCID: PMC8509509 DOI: 10.3390/ijms221910814] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Revised: 09/28/2021] [Accepted: 09/29/2021] [Indexed: 12/12/2022] Open
Abstract
Leukemias derived from the MLL-AF9 rearrangement rely on dysfunctional transcriptional networks. ZNF521, a transcription co-factor implicated in the control of hematopoiesis, has been proposed to sustain leukemic transformation in collaboration with other oncogenes. Here, we demonstrate that ZNF521 mRNA levels correlate with specific genetic aberrations: in particular, the highest expression is observed in AMLs bearing MLL rearrangements, while the lowest is detected in AMLs with FLT3-ITD, NPM1, or CEBPα double mutations. In cord blood-derived CD34+ cells, enforced expression of ZNF521 provides a significant proliferative advantage and enhances MLL-AF9 effects on the induction of proliferation and the expansion of leukemic progenitor cells. Transcriptome analysis of primary CD34+ cultures displayed subsets of genes up-regulated by MLL-AF9 or ZNF521 single transgene overexpression as well as in MLL-AF9/ZNF521 combinations, at either the early or late time points of an in vitro leukemogenesis model. The silencing of ZNF521 in the MLL-AF9 + THP-1 cell line coherently results in an impairment of growth and clonogenicity, recapitulating the effects observed in primary cells. Taken together, these results underscore a role for ZNF521 in sustaining the self-renewal of the immature AML compartment, most likely through the perturbation of the gene expression landscape, which ultimately favors the expansion of MLL-AF9-transformed leukemic clones.
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MESH Headings
- Apoptosis
- Biomarkers, Tumor/genetics
- Biomarkers, Tumor/metabolism
- Cell Proliferation
- DNA-Binding Proteins/genetics
- DNA-Binding Proteins/metabolism
- Gene Expression Regulation, Neoplastic
- Hematopoietic Stem Cells/metabolism
- Hematopoietic Stem Cells/pathology
- Humans
- Leukemia, Myeloid, Acute/genetics
- Leukemia, Myeloid, Acute/metabolism
- Leukemia, Myeloid, Acute/pathology
- Myeloid-Lymphoid Leukemia Protein/genetics
- Myeloid-Lymphoid Leukemia Protein/metabolism
- Nucleophosmin
- Oncogene Proteins, Fusion/genetics
- Oncogene Proteins, Fusion/metabolism
- Prognosis
- Survival Rate
- Tumor Cells, Cultured
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Affiliation(s)
- Emanuela Chiarella
- Department of Experimental and Clinical Medicine, University Magna Græcia, 88100 Catanzaro, Italy; (A.A.); (S.S.); (E.G.C.); (N.A.)
- Correspondence: (E.C.); (H.M.B.); (M.M.)
| | - Annamaria Aloisio
- Department of Experimental and Clinical Medicine, University Magna Græcia, 88100 Catanzaro, Italy; (A.A.); (S.S.); (E.G.C.); (N.A.)
| | - Stefania Scicchitano
- Department of Experimental and Clinical Medicine, University Magna Græcia, 88100 Catanzaro, Italy; (A.A.); (S.S.); (E.G.C.); (N.A.)
| | - Katia Todoerti
- Hematology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; (K.T.); (A.N.)
- Department of Oncology and Hemato-Oncology, University of Milan, 20122 Milan, Italy
| | - Emanuela G. Cosentino
- Department of Experimental and Clinical Medicine, University Magna Græcia, 88100 Catanzaro, Italy; (A.A.); (S.S.); (E.G.C.); (N.A.)
- Exiris S.r.l., 00128 Roma, Italy
- Department of Hematology, Cancer Research Centre Groningen, University Medical Centre Groningen, University of Groningen, 9712 CP Groningen, The Netherlands
| | - Daniela Lico
- Department of Obstetrics and Gynaecology, Pugliese-Ciaccio Hospital, University Magna Græcia, 88100 Catanzaro, Italy;
| | - Antonino Neri
- Hematology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; (K.T.); (A.N.)
- Department of Oncology and Hemato-Oncology, University of Milan, 20122 Milan, Italy
| | - Nicola Amodio
- Department of Experimental and Clinical Medicine, University Magna Græcia, 88100 Catanzaro, Italy; (A.A.); (S.S.); (E.G.C.); (N.A.)
| | - Heather Mandy Bond
- Department of Experimental and Clinical Medicine, University Magna Græcia, 88100 Catanzaro, Italy; (A.A.); (S.S.); (E.G.C.); (N.A.)
- Correspondence: (E.C.); (H.M.B.); (M.M.)
| | - Maria Mesuraca
- Department of Experimental and Clinical Medicine, University Magna Græcia, 88100 Catanzaro, Italy; (A.A.); (S.S.); (E.G.C.); (N.A.)
- Correspondence: (E.C.); (H.M.B.); (M.M.)
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Esposito V, Rania E, Lico D, Pedri S, Fiorenza A, Strati MF, Conforti A, Marrone V, Carosso A, Revelli A, Zullo F, Di Carlo C, Venturella R. Influence of COVID-19 pandemic on the psychological status of infertile couples. Eur J Obstet Gynecol Reprod Biol 2020; 253:148-153. [PMID: 32866858 PMCID: PMC7443353 DOI: 10.1016/j.ejogrb.2020.08.025] [Citation(s) in RCA: 45] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Revised: 08/20/2020] [Accepted: 08/21/2020] [Indexed: 02/07/2023]
Abstract
No data are available to the distress of infertile couples during COVID-19. Stop performing ART treatments during COVID-19 contributed to increase anxiety. The psychological impact was more severe for women than for men. Psychological impact of COVID-19 in infertility couple should not be underestimated.
Objective(s) to evaluate the impact of the COVID-19 pandemic on infertile couples’ emotions, anxiety and future plans. Study design An observational study was perfomed by Italian ART centers and online forums. In this study, infertile couples candidate to ART and whose treatment was blocked due to the COVID-19 lockdown were enrolled through an online survey. The psychological impact of COVID-19 was measured by Impact of Event Scale-Revised (IES-R) and by a short form of the Spielberger State-Trait Anxiety Inventory (STAI); Self-perceived anxiety related either to pregnancy safety and to economic crisis measured by VAS scale. Results 627 patients completed the survey. The COVID-19 lock-down had a moderate/severe psychological impact on infertile patients (mean IES-R score 36.4 ± 16.6). The mean STAI score was 49.8 ± 15.3, with an overall incidence of STAI > 36 of 71 %. The mean VAS scale for anxiety perception was 45.3 ± 15.3. Women were more emotionally distressed, anxious and depressed than men (36.8 ± 16.4 vs 31.0 ± 18.4 for IES-R, respectively; p = 0.03). Notwithstanding the uncertainty about pregnancy safety, 64.6 % of respondents chose to maintain their reproductive programme. Economic crisis induced 11.5 % of the surveyed patients to give up their ART program. Respondents who had at least one relative affected by COVID-19 had a significantly higher IES-R score and anxiety VAS, but not higher STAI scores, than patients belonging to unaffected families. Conclusion(s) COVID-19 pandemic itself and the recommendation to stop ART program generated higher distress levels in infertile couples. The psychological impact of COVID-19 pandemic in infertility patients should not be underestimated, and a specific psychological support should be planned.
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Affiliation(s)
- Veronica Esposito
- Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy
| | - Erika Rania
- Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy.
| | - Daniela Lico
- Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy
| | - Sara Pedri
- Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy
| | - Alessia Fiorenza
- Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy
| | - Marina Francesca Strati
- Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy
| | - Alessandro Conforti
- Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples, Federico II Via Pansini 5, 80131 Naples, Italy
| | - Vinenzo Marrone
- Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples, Federico II Via Pansini 5, 80131 Naples, Italy
| | - Andrea Carosso
- Gynecology and Obstetrics 1, Physiopathology of Reproduction and IVF Unit, Department of Surgical Sciences, S. Anna Hospital, University of Torino, Via Ventimiglia 3, 10126, Turin, Italy
| | - Alberto Revelli
- Gynecology and Obstetrics 1, Physiopathology of Reproduction and IVF Unit, Department of Surgical Sciences, S. Anna Hospital, University of Torino, Via Ventimiglia 3, 10126, Turin, Italy
| | - Fulvio Zullo
- Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy; Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples, Federico II Via Pansini 5, 80131 Naples, Italy
| | - Costantino Di Carlo
- Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy
| | - Roberta Venturella
- Department of Experimental and Clinical Medicine, Chair of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, ART Public Centre, Pugliese Ciaccio Hospital, viale Pio X, 88100 Catanzaro, Italy
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Rocca ML, Palumbo AR, Lico D, Fiorenza A, Bitonti G, D'Agostino S, Gallo C, Di Carlo C, Zullo F, Venturella R. Relugolix for the treatment of uterine fibroids. Expert Opin Pharmacother 2020; 21:1667-1674. [PMID: 32674616 DOI: 10.1080/14656566.2020.1787988] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
INTRODUCTION Uterine fibroids (UF) are benign tumors common in premenopausal women, with strong impact on the health-care systems. For many years, surgery represented the only therapy for symptomatic fibroids. However, clinicians are observing a switch from surgery to noninvasive methods; in particular, medical treatment has been shown to be efficacious in obtaining a bleeding reduction and in ameliorating patient conditions. AREAS COVERED The authors review the current options available for the treatment of women with UF, with a special focus on the newest one, relugolix. It is an orally active non-peptide Gonadotropin-releasing hormone (GnRH)-receptor antagonist recently licensed for women with symptomatic fibroids. Relugolix is a well-tolerated safe drug; it is effective in inducing a dose-dependent decrease in menstrual blood loss, with faster reduction of heavy menstrual bleeding (HMB) and a greater shrinkage in fibroid volume compared to the current standard of GnRH agonist treatment. EXPERT OPINION Relugolix is a promising drug for the non-surgical treatment of women with UF. To date, the only published data come from a well-selected Japanese female population study while results from worldwide ongoing studies are ongoing in order to confirm the efficacy of this GnRH agonist receptor.
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Affiliation(s)
- M L Rocca
- Operative Unit of Obstetric and Gynaecology, Giovanni Paolo II Hospital , Lamezia Terme, Italy
| | - A R Palumbo
- Department of Clinical and Experimental Medicine, Unit of Obstetrics and Gynaecology, "Magna Graecia" University , Catanzaro, Italy
| | - D Lico
- Department of Clinical and Experimental Medicine, Unit of Obstetrics and Gynaecology, "Magna Graecia" University , Catanzaro, Italy
| | - A Fiorenza
- Department of Clinical and Experimental Medicine, Unit of Obstetrics and Gynaecology, "Magna Graecia" University , Catanzaro, Italy
| | - G Bitonti
- Department of Clinical and Experimental Medicine, Unit of Obstetrics and Gynaecology, "Magna Graecia" University , Catanzaro, Italy
| | - S D'Agostino
- Department of Clinical and Experimental Medicine, Unit of Obstetrics and Gynaecology, "Magna Graecia" University , Catanzaro, Italy
| | - C Gallo
- Department of Clinical and Experimental Medicine, Unit of Obstetrics and Gynaecology, "Magna Graecia" University , Catanzaro, Italy
| | - C Di Carlo
- Department of Clinical and Experimental Medicine, Unit of Obstetrics and Gynaecology, "Magna Graecia" University , Catanzaro, Italy
| | - F Zullo
- Department of Neurosciences, Reproductive and Dentistry Sciences, University of Naples "Federico II" , Naples, Italy
| | - R Venturella
- Department of Clinical and Experimental Medicine, Unit of Obstetrics and Gynaecology, "Magna Graecia" University , Catanzaro, Italy
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Chiarella E, Codispoti B, Aloisio A, Cosentino EG, Scicchitano S, Montalcini Y, Lico D, Morrone G, Mesuraca M, Bond HM. Zoledronic acid inhibits the growth of leukemic MLL-AF9 transformed hematopoietic cells. Heliyon 2020; 6:e04020. [PMID: 32529062 PMCID: PMC7283156 DOI: 10.1016/j.heliyon.2020.e04020] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 05/13/2020] [Accepted: 05/15/2020] [Indexed: 12/17/2022] Open
Abstract
A leukemic in vitro model produced by transducing Cord Blood derived-hematopoietic CD34+ cells with the MLL-AF9 translocation resulting in the oncogenic fusion protein, is used to assess for sensitivity to Zoledronic acid. These cells are practically immortalized and are of myeloid origin. Proliferation, clonogenic and stromal co-culture assays showed that the MLL-AF9 cells were considerably more sensitive to Zoledronic acid than normal hematopoietic CD34+ cells or MS-5 stromal cells. The MLL-AF9 cells were notably more inhibited by Zoledronic acid when cultured as colonies in 3 dimensions, requiring cell-cell contacts compared to suspension expansion cultures. This is coherent with the mechanism of action of Zoledronic acid inhibiting farnesyl diphosphate synthase which results in a block in prenylation of GTPases such that their role in the membrane is compromised for cell-cell contacts. Zoledronic acid can be proposed to target the MLL-AF9 leukemic stem cells before they emerge from the hematopoietic niche, which being in proximity to bone osteoclasts where Zoledronic acid is sequestered can be predicted to result in sufficient levels to result in an anti-leukemic action.
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Affiliation(s)
- Emanuela Chiarella
- Laboratory of Molecular Haematopoiesis and Stem Cell Biology, Dept. of Experimental and Clinical Medicine, University Magna Græcia, 88100 Catanzaro, Italy
| | - Bruna Codispoti
- Laboratory of Molecular Haematopoiesis and Stem Cell Biology, Dept. of Experimental and Clinical Medicine, University Magna Græcia, 88100 Catanzaro, Italy.,Tecnologica Research Institute-Marrelli Health, 88900 Crotone, Italy
| | - Annamaria Aloisio
- Laboratory of Molecular Haematopoiesis and Stem Cell Biology, Dept. of Experimental and Clinical Medicine, University Magna Græcia, 88100 Catanzaro, Italy
| | - Emanuela G Cosentino
- Laboratory of Molecular Haematopoiesis and Stem Cell Biology, Dept. of Experimental and Clinical Medicine, University Magna Græcia, 88100 Catanzaro, Italy.,Exiris S.r.l., 00128 Roma, Italy
| | - Stefania Scicchitano
- Laboratory of Molecular Haematopoiesis and Stem Cell Biology, Dept. of Experimental and Clinical Medicine, University Magna Græcia, 88100 Catanzaro, Italy
| | - Ylenia Montalcini
- Laboratory of Molecular Haematopoiesis and Stem Cell Biology, Dept. of Experimental and Clinical Medicine, University Magna Græcia, 88100 Catanzaro, Italy
| | - Daniela Lico
- Department of Obstetrics & Ginecology, University Magna Græcia, 88100 Catanzaro, Italy
| | - Giovanni Morrone
- Laboratory of Molecular Haematopoiesis and Stem Cell Biology, Dept. of Experimental and Clinical Medicine, University Magna Græcia, 88100 Catanzaro, Italy
| | - Maria Mesuraca
- Laboratory of Molecular Haematopoiesis and Stem Cell Biology, Dept. of Experimental and Clinical Medicine, University Magna Græcia, 88100 Catanzaro, Italy
| | - Heather M Bond
- Laboratory of Molecular Haematopoiesis and Stem Cell Biology, Dept. of Experimental and Clinical Medicine, University Magna Græcia, 88100 Catanzaro, Italy
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Venturella R, Vaiarelli A, Cimadomo D, Pedri S, Lico D, Mazzilli R, Mocciaro R, Rienzi L, Di Carlo C, Ubaldi FM, Zullo F. State of the art and emerging drug therapies for female infertility. Gynecol Endocrinol 2019; 35:835-841. [PMID: 31032671 DOI: 10.1080/09513590.2019.1603289] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
At present, infertility is a key-issue. When applicable, in vitro fertilization (IVF) has become the standard approach to treat this condition but a thorough investigation and, whenever possible, the individual diagnosis of the underlying causes of infertility are required. For many female causes, indeed, efficient medical therapies are available to achieve a fast solution of the problem. This review is based on the relevant literature indexed in PubMed and SCOPUS and is focused on the most recent clinical literature on the treatment of women (and couples) affected from infertility. The reduction in IVF treatment burden and risks are now considered pivotal to set 'patient-friendly' therapies and represent crucial issues for both patients and physicians. To this end, the researchers are now focusing their attention on old drugs with new indications and new compounds with more appropriate functions, to improve the compliance of the women and reduce the burden of infertility, a condition that is becoming an important issue in the modern world, also for the Public Health System.
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Affiliation(s)
- Roberta Venturella
- Department of Obstetrics & Gynaecology, "Magna Graecia" University of Catanzaro, Catanzaro, Italy
| | | | | | - Sara Pedri
- Department of Obstetrics & Gynaecology, "Magna Graecia" University of Catanzaro, Catanzaro, Italy
| | - Daniela Lico
- Department of Obstetrics & Gynaecology, "Magna Graecia" University of Catanzaro, Catanzaro, Italy
| | - Rossella Mazzilli
- G.EN.E.R.A. Centers for Reproductive Medicine, Rome, Italy
- Department of Clinical and Molecular Medicine, "Sapienza" University of Rome, Rome, Italy
| | - Rita Mocciaro
- Department of Obstetrics & Gynaecology, AO Annunziata di Cosenza, Cosenza, Italy
| | - Laura Rienzi
- G.EN.E.R.A. Centers for Reproductive Medicine, Rome, Italy
| | - Costantino Di Carlo
- Department of Obstetrics & Gynaecology, "Magna Graecia" University of Catanzaro, Catanzaro, Italy
| | | | - Fulvio Zullo
- Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples "Federico II", Naples, Italy
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Venturella R, De Vivo V, Carlea A, D'Alessandro P, Saccone G, Arduino B, Improda FP, Lico D, Rania E, De Marco C, Viglietto G, Zullo F. The Genetics of Non-Syndromic Primary Ovarian Insufficiency: A Systematic Review. Int J Fertil Steril 2019; 13:161-168. [PMID: 31310068 PMCID: PMC6642427 DOI: 10.22074/ijfs.2019.5599] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/29/2018] [Accepted: 01/15/2019] [Indexed: 01/19/2023]
Abstract
Several causes for primary ovarian insufficiency (POI) have been described, including iatrogenic and environmental
factor, viral infections, chronic disease as well as genetic alterations. The aim of this review was to collect all the ge-
netic mutations associated with non-syndromic POI. All studies, including gene screening, genome-wide study and as-
sessing genetic mutations associated with POI, were included and analyzed in this systematic review. Syndromic POI
and chromosomal abnormalities were not evaluated. Single gene perturbations, including genes on the X chromosome
(such as BMP15, PGRMC1 and FMR1) and genes on autosomal chromosomes (such as GDF9, FIGLA, NOBOX,
ESR1, FSHR and NANOS3) have a positive correlation with non-syndromic POI. Future strategies include linkage
analysis of families with multiple affected members, array comparative genomic hybridization (CGH) for analysis of
copy number variations, next generation sequencing technology and genome-wide data analysis. This review showed
variability of the genetic factors associated with POI. These findings may help future genetic screening studies on
large cohort of women.
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Affiliation(s)
- Roberta Venturella
- Department of Obstetrics and Gynaecology, Magna Graecia University of Catanzaro, Catanzaro, Italy
| | - Valentino De Vivo
- Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy
| | - Annunziata Carlea
- Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy
| | - Pietro D'Alessandro
- Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy
| | - Gabriele Saccone
- Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy. Electronic Address:
| | - Bruno Arduino
- Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy
| | - Francesco Paolo Improda
- Department of Obstetrics and Gynaecology, Magna Graecia University of Catanzaro, Catanzaro, Italy
| | - Daniela Lico
- Department of Obstetrics and Gynaecology, Magna Graecia University of Catanzaro, Catanzaro, Italy
| | - Erika Rania
- Department of Obstetrics and Gynaecology, Magna Graecia University of Catanzaro, Catanzaro, Italy
| | - Carmela De Marco
- Department of Experimental and Clinical Medicine, Magna Graecia University of Catanzaro, Catanzaro, Italy
| | - Giuseppe Viglietto
- Department of Experimental and Clinical Medicine, Magna Graecia University of Catanzaro, Catanzaro, Italy
| | - Fulvio Zullo
- Department of Obstetrics and Gynaecology, Magna Graecia University of Catanzaro, Catanzaro, Italy
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Cefalì K, Gallo C, Miele G, Bitonti G, D’ Agostino S, Lico D, Venturella R, Zullo F, Di Carlo C. Effects of Progesterone Receptor Modulators (PRMs) on the ectopic endometrium of uterus and ovaries. Australas J Ultrasound Med 2019. [DOI: 10.1002/ajum.12158] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
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Venturella R, Miele G, Cefalì K, Lico D, D'Alessandro P, Arduino B, Di Cello A, Zullo F, Di Carlo C. Subcutaneous Progesterone for Endometrial Polyps in Premenopausal Women: A Preliminary Retrospective Analysis. J Minim Invasive Gynecol 2019; 26:143-147. [DOI: 10.1016/j.jmig.2018.04.023] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2018] [Revised: 03/14/2018] [Accepted: 04/05/2018] [Indexed: 12/12/2022]
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Venturella R, Vaiarelli A, Lico D, Ubaldi FM, Zullo F, DI Carlo C. A modern approach to the management of candidates for assisted reproductive technology procedures. Minerva Obstet Gynecol 2018; 70:69-83. [PMID: 28895679 DOI: 10.23736/s0026-4784.17.04138-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [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: 06/07/2023]
Abstract
The growing use of assisted reproductive technologies (ART) and the incorrect information from mass media, determined in the public the wrong idea that the right moment of life for programming a pregnancy can be delayed well beyond the physiological fertile age. Spare and insufficient health authorities' interventions are driven to explain to the general population the reduction of the fertility potential of couples and particularly of women with advancing age. This situation, characterized by more and more women seeking for pregnancy after age 38-40 imposes to specialists in Reproductive Medicine an honest and transparent counselling. Today, more than ever, it is pertinent to talk about the need of an "ethic approach" to ART, by which the specialist takes care of all the aspects inherent to infertility, such as the strong motivations of the couples in searching a child, the wrong perception of ART infallibility, the incorrect advertising in the mass media about the pregnancy of elderly actresses and show-girls, and finally, the enormous amount of commercial interests revolving around the "business" of in-vitro fertilization. In this context, the ideal policy that an ART center should adopt entails the correct and rapid identification of the characteristics of the couple, the exploitation of women ovarian reserve to obtain the right number of high quality oocytes, the protection of patients' health, the identification of the embryos with the highest chances of implantation and the reduction of the time to pregnancy. Here we analyse how to obtain each of these goals, through a literature review and expert clinical opinion.
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Affiliation(s)
- Roberta Venturella
- Department of Obstetrics and Gynecology, Magna Graecia University, Catanzaro, Italy -
| | - Alberto Vaiarelli
- GENERA Center for Reproductive Medicine, Valle Giulia Clinic, Rome, Italy
- Department of Human Pathology, University of Messina, Messina, Italy
| | - Daniela Lico
- Department of Obstetrics and Gynecology, Magna Graecia University, Catanzaro, Italy
| | - Filippo M Ubaldi
- GENERA Center for Reproductive Medicine, Valle Giulia Clinic, Rome, Italy
| | - Fulvio Zullo
- Department of Obstetrics and Gynecology, Magna Graecia University, Catanzaro, Italy
| | - Costantino DI Carlo
- Department of Obstetrics and Gynecology, Magna Graecia University, Catanzaro, Italy
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Venturella R, Lico D, Borelli M, Imbrogno MG, Cevenini G, Zupi E, Zullo F, Morelli M. 3 to 5 Years Later: Long-term Effects of Prophylactic Bilateral Salpingectomy on Ovarian Function. J Minim Invasive Gynecol 2016; 24:145-150. [PMID: 27621194 DOI: 10.1016/j.jmig.2016.08.833] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [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: 06/15/2016] [Revised: 08/05/2016] [Accepted: 08/31/2016] [Indexed: 11/24/2022]
Abstract
STUDY OBJECTIVE Preliminary data on the effects of prophylactic bilateral salpingectomy (PBS) show that postoperative ovarian function is preserved up to 3 months after surgery. The confirmation of PBS safety on ovarian function even many years after surgery is essential to reassure the medical community that this new strategy, recently proposed for the prevention of ovarian cancer, is at least able to avoid the risk of premature surgical menopause. We investigated whether the addition of PBS during total laparoscopic hysterectomy (TLH) causes long-term effects on ovarian function. DESIGN An observational study (Canadian Task Force classification II-3). SETTING Department of Obstetrics and Gynecology, "Magna Graecia" University, Catanzaro, Italy. PATIENTS Seventy-nine patients who underwent TLH plus salpingectomy between September 2010 and September 2012 at our institution have been recalled to be submitted to ovarian reserve evaluation in February 2015. Eight of 79 women refused to participate in this follow-up study. INTERVENTIONS The ovarian age of PBS patients has been determined through OvAge (OvAge sr., Catanzaro, Italy), a statistical model that combines antimüllerian hormone, follicle-stimulating hormone, 3-dimensional antral follicle count, vascular index, flow index, and vascular flow index values. The control group consisted of a large population of 652 healthy women (with intact uterus and adnexa) previously enrolled to build the OvAge model. Comparisons between ovarian ages of PBS patients and the control group have been assessed by analysis of covariance linear statistical modeling. MEASUREMENTS AND MAIN RESULTS The main outcome measurement was the differences in the behavior within OvAge/age relation between PBS and control women. Descriptive statistics of those 71 enrolled PBS patients are the following: age, 49.61 ± 2.15 years; OvAge, 49.22 ± 2.57 years; follicle-stimulating hormone, 43.02 ± 19.92 mU/mL; antimüllerian hormone, 0.12 ± 0.20 ng/mL; 3-dimensional antral follicle count, 1.91 ± 1.28; vascular index, 2.80% ± 5.32%; flow index, 19.37 ± 5.88; and vascular flow index, 0.56 ± 1.12. Analysis of covariance disclosed that PBS and control women do not exhibit different behaviors (p = .900) within OvAge/age relation. CONCLUSION According to our model, the addition of PBS to TLH in the late reproductive years does not modify the ovarian age of treated women up to 3 to 5 years after surgery.
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Affiliation(s)
- Roberta Venturella
- Department of Obstetrics and Gynecology, "Magna Graecia" University, Catanzaro, Italy.
| | - Daniela Lico
- Department of Obstetrics and Gynecology, "Magna Graecia" University, Catanzaro, Italy
| | - Massimo Borelli
- Department of Life Sciences, University of Trieste, Trieste, Italy
| | - Maria G Imbrogno
- Department of Obstetrics and Gynecology, "Magna Graecia" University, Catanzaro, Italy
| | - Gabriele Cevenini
- Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - Errico Zupi
- Department of Biomedicine and Prevention, Obstetrics and Gynecological Clinic, University of Rome "Tor Vergata", Rome, Italy
| | - Fulvio Zullo
- Department of Obstetrics and Gynecology, "Magna Graecia" University, Catanzaro, Italy
| | - Michele Morelli
- Department of Obstetrics and Gynecology, "Magna Graecia" University, Catanzaro, Italy
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Venturella R, Morelli M, Lico D, Di Cello A, Rocca M, Sacchinelli A, Mocciaro R, D'Alessandro P, Maiorana A, Gizzo S, Zullo F. Wide excision of soft tissues adjacent to the ovary and fallopian tube does not impair the ovarian reserve in women undergoing prophylactic bilateral salpingectomy: results from a randomized, controlled trial. Fertil Steril 2015; 104:1332-9. [DOI: 10.1016/j.fertnstert.2015.08.004] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2015] [Revised: 08/01/2015] [Accepted: 08/05/2015] [Indexed: 11/28/2022]
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Venturella R, Lico D, Sarica A, Falbo MP, Gulletta E, Morelli M, Zupi E, Cevenini G, Cannataro M, Zullo F. OvAge: a new methodology to quantify ovarian reserve combining clinical, biochemical and 3D-ultrasonographic parameters. J Ovarian Res 2015; 8:21. [PMID: 25881987 PMCID: PMC4392473 DOI: 10.1186/s13048-015-0149-z] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2015] [Accepted: 03/19/2015] [Indexed: 11/10/2022] Open
Abstract
Background In the last decade, both endocrine and ultrasound data have been tested to verify their usefulness for assessing ovarian reserve, but the ideal marker does not yet exist. The purpose of this study was to find, if any, a statistical advanced model able to identify a simple, easy to understand and intuitive modality for defining ovarian age by combining clinical, biochemical and 3D-ultrasonographic data. Methods This is a population-based observational study. From January 2012 to March 2014, we enrolled 652 healthy fertile women, 29 patients with clinical suspect of premature ovarian insufficiency (POI) and 29 patients with Polycystic Ovary syndrome (PCOS) at the Unit of Obstetrics & Gynecology of Magna Graecia University of Catanzaro (Italy). In all women we measured Anti Müllerian Hormone (AMH), Follicle Stimulating Hormone (FSH), Estradiol (E2), 3D Antral Follicle Count (AFC), ovarian volume, Vascular Index (VI) and Flow Index (FI) between days 1 and 4 of menstrual cycle. We applied the Generalized Linear Models (GzLM) for producing an equation combining these data to provide a ready to use information about women ovarian reserve, here called OvAge. To introduce this new variable, expression of ovarian reserve, we assumed that in healthy fertile women ovarian age is identical to chronological age. Results GzLM applied on the healthy fertile controls dataset produced the following equation OvAge = 48.05 - 3.14*AHM + 0.07*FSH - 0.77*AFC - 0.11*FI + 0.25*VI + 0.1*AMH*AFC + 0.02*FSH*AFC. This model showed a high statistical significance for each marker included in the equation. We applied the final equation on POI and PCOS datasets to test its ability of discovering significant deviation from normality and we obtained a mean of predicted ovarian age significantly different from the mean of chronological age in both groups. Conclusions OvAge is one of the first reliable attempt to create a new method able to identify a simple, easy to understand and intuitive modality for defining ovarian reserve by combining clinical, biochemical and 3D-ultrasonographic data. Although design data prove a statistical high accuracy of the model, we are going to plan a clinical validation of model reliability in predicting reproductive prognosis and distance to menopause. Electronic supplementary material The online version of this article (doi:10.1186/s13048-015-0149-z) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Roberta Venturella
- Unit of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, Viale Europa - Localitá Germaneto, 88100, Catanzaro, Italy.
| | - Daniela Lico
- Unit of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, Viale Europa - Localitá Germaneto, 88100, Catanzaro, Italy.
| | - Alessia Sarica
- School of Informatics and Biomedical Engineering-Bioinformatics Laboratory, Magna Graecia University of Catanzaro, Viale Europa - Localitá Germaneto, 88100, Catanzaro, Italy.
| | - Maria Pia Falbo
- Chair of Clinical Pathology, Magna Graecia University of Catanzaro, Viale Europa - Localitá Germaneto, 88100, Catanzaro, Italy.
| | - Elio Gulletta
- Chair of Clinical Pathology, Magna Graecia University of Catanzaro, Viale Europa - Localitá Germaneto, 88100, Catanzaro, Italy.
| | - Michele Morelli
- Unit of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, Viale Europa - Localitá Germaneto, 88100, Catanzaro, Italy.
| | - Errico Zupi
- Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy.
| | - Gabriele Cevenini
- Department of Medical Biotechnologies, University of Siena, Siena, Italy.
| | - Mario Cannataro
- School of Informatics and Biomedical Engineering-Bioinformatics Laboratory, Magna Graecia University of Catanzaro, Viale Europa - Localitá Germaneto, 88100, Catanzaro, Italy.
| | - Fulvio Zullo
- Unit of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, Viale Europa - Localitá Germaneto, 88100, Catanzaro, Italy.
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Venturella R, Lico D, Miele G, La Ferrera N, Di Cello A, Cirillo R, Morelli M, Zullo F. Intracorporeal Versus Extracorporeal Morcellation with Endobag Extraction in Patients Undergoing Laparoscopic Myomectomy: Clinical Efficacy and Safety Outcomes. Preliminary Results of a RCT. J Minim Invasive Gynecol 2014. [DOI: 10.1016/j.jmig.2014.08.158] [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: 10/24/2022]
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Di Cello A, Morelli M, Lucia A, Rania E, Sacchinelli A, Venturella R, Lico D, Quaresima B, Costanzo F, Zullo F. Periostin Expression Is Related to the Invasive Tumor-Like Phenotype of Endometriosis: A New Promising Biomarker to Use in Risk Stratification of Patients. J Minim Invasive Gynecol 2014. [DOI: 10.1016/j.jmig.2014.08.058] [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: 12/01/2022]
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Zullo F, Lico D, Venturella R, Di Cello A, Sarica A, Falbo M, Gulletta E, Cannataro M. A New Algorithm To Predict Ovarian Age Combining Clinical, Biochemical and 3D-Ultrasonographic Parameters. Preliminary Results. J Minim Invasive Gynecol 2013. [DOI: 10.1016/j.jmig.2013.08.142] [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: 10/26/2022]
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Lico D, Morelli M, Venturella R, Mocciaro R, Di Cello A, Rania E, Zullo F. An Unusual Extremely Distant Non-Communicating Uterine Horn with Myoma and Adenomyosis Treated with Laparoscopic Hemy-Hysterectomy. J Minim Invasive Gynecol 2013. [DOI: 10.1016/j.jmig.2013.08.647] [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: 11/30/2022]
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Di Cello A, Morelli M, La Ferrera N, Venturella R, Rania E, Mocciaro R, Lico D, D’Alessandro P, Zullo F. The ‘‘Five Trocar Method’’ in Total Laparoscopic Hysterectomy in Obese Women. J Minim Invasive Gynecol 2013. [DOI: 10.1016/j.jmig.2013.08.711] [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: 10/26/2022]
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Venturella R, Morelli M, Mocciaro R, Di Cello A, Rania E, Lico D, D'Alessandro P, Zullo F. Prophylactic Salpingectomy in Premenopausal Low-Risk Women for Ovarian Cancer: Primum Non Nocere. J Minim Invasive Gynecol 2013. [DOI: 10.1016/j.jmig.2013.08.048] [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: 11/15/2022]
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Morelli M, Venturella R, Mocciaro R, Di Cello A, Rania E, Lico D, D'Alessandro P, Zullo F. It sounded like a good idea at the time. J Obstet Gynaecol Can 2013; 35:505-506. [PMID: 23870772 DOI: 10.1016/s1701-2163(15)30906-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [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)
- Michele Morelli
- Gynecologic Oncology Unit, Department of Obstetrics and Gynecology, Magna Graecia University, Tommaso Campanella Cancer Center of Germaneto, Catanzaro, Italy
| | - Roberta Venturella
- Gynecologic Oncology Unit, Department of Obstetrics and Gynecology, Magna Graecia University, Tommaso Campanella Cancer Center of Germaneto, Catanzaro, Italy
| | - Rita Mocciaro
- Gynecologic Oncology Unit, Department of Obstetrics and Gynecology, Magna Graecia University, Tommaso Campanella Cancer Center of Germaneto, Catanzaro, Italy
| | - Annalisa Di Cello
- Gynecologic Oncology Unit, Department of Obstetrics and Gynecology, Magna Graecia University, Tommaso Campanella Cancer Center of Germaneto, Catanzaro, Italy
| | - Erika Rania
- Gynecologic Oncology Unit, Department of Obstetrics and Gynecology, Magna Graecia University, Tommaso Campanella Cancer Center of Germaneto, Catanzaro, Italy
| | - Daniela Lico
- Gynecologic Oncology Unit, Department of Obstetrics and Gynecology, Magna Graecia University, Tommaso Campanella Cancer Center of Germaneto, Catanzaro, Italy
| | - Pietro D'Alessandro
- Gynecologic Oncology Unit, Department of Obstetrics and Gynecology, Magna Graecia University, Tommaso Campanella Cancer Center of Germaneto, Catanzaro, Italy
| | - Fulvio Zullo
- Gynecologic Oncology Unit, Department of Obstetrics and Gynecology, Magna Graecia University, Tommaso Campanella Cancer Center of Germaneto, Catanzaro, Italy
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Morelli M, Mocciaro R, Venturella R, Imperatore A, Lico D, Zullo F. Mesial side ovarian incision for laparoscopic dermoid cystectomy: a safe and ovarian tissue-preserving technique. Fertil Steril 2012; 98:1336-40.e1. [PMID: 22884658 DOI: 10.1016/j.fertnstert.2012.07.1112] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2012] [Revised: 07/13/2012] [Accepted: 07/13/2012] [Indexed: 10/28/2022]
Abstract
OBJECTIVE To evaluate safety and efficacy, in terms of spillage risk and ovarian tissue preservation, of mesial incision for laparoscopic dermoid cystectomy. DESIGN Randomized controlled trial. SETTING University. PATIENT(S) Sixty-seven women with dermoid cysts. INTERVENTION(S) Laparoscopic dermoid cystectomy performed by mesial incision (33 patients, study group) or antimesial incision (34 patients, control group). MAIN OUTCOME MEASURE(S) Spillage of intracystic content rate, operative times, chemical peritonitis rate, and intraoperative blood loss (ΔHb) as primary outcomes. Postoperative ovarian reserve (ΔFSH levels, basal antral follicle number, mean ovarian diameter, and peak systolic velocity at 3 and 12 months after surgery) as secondary outcome. RESULT(S) Spillage of intracystic content rate and operative time were significantly lower in the study than in the control group. None developed chemical peritonitis. ΔHb was higher in the study group but not significantly. During the follow-up, median FSH values were significantly lower in the study group, with no differences in the E(2) levels. Moreover, median basal antral follicle number, median ovarian diameter, and median peak systolic velocity were significantly higher in the study group. CONCLUSION(S) Ovarian mesial-side incision appears to be a safe as well as tissue-sparing technique. CLINICAL TRIAL REGISTRATION NUMBER .
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Affiliation(s)
- Michele Morelli
- Department of Obstetrics and Gynecology, University Magna Graecia of Catanzaro, Catanzaro, Italy
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