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Int J Gynaecol Obstet. 2013 Aug;122(2):112-4. doi: 10.1016/j.ijgo.2013.03.009. Epub 2013 May 1.

Characteristics associated with postoperative diagnosis of adenomyosis or combined adenomyosis with fibroids.

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  • 1Department of Obstetrics and Gynecology, Nassau University Medical Center, East Meadow, USA. hansjb72@yahoo.com

Abstract

OBJECTIVE:

To identify clinical characteristics associated with combined adenomyosis and fibroids and to determine whether preoperative diagnosis by ultrasonography correlates with postoperative diagnosis by pathology.

METHODS:

A retrospective chart review was conducted of 206 women who attended Nassau University Medical Center, East Meadow, USA, between July 1, 2007, and June 30, 2010. The patients were stratified into 3 groups-fibroids only (n=148); adenomyosis only (n=21); or combined adenomyosis and fibroids (n=37)-according to postoperative pathology findings and variables known to be associated with adenomyosis and fibroids. Significant variables were included in a multinomial regression analysis.

RESULTS:

Dysmenorrhea was the only variable significantly associated with a diagnosis of adenomyosis. The odds ratio (OR) was 3.34 (95% confidence interval [CI], 1.14-9.80). Variables significantly associated with combined adenomyosis and fibroids were age (OR, 1.08; 95% CI, 1.01-1.15), black ethnicity (OR, 2.72; 95% CI, 1.11-6.68), and parity (OR, 1.44; 95% CI, 1.08-1.92). Preoperative diagnosis by ultrasonography did not correlate with the postoperative pathology report.

CONCLUSION:

Including the identified variables in the preoperative evaluation of patients with suspicion of fibroids might improve the counseling process and aid the choice of surgical procedure, especially among patients desiring a conservative approach.

Copyright © 2013 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

PMID:
23642890
[PubMed - indexed for MEDLINE]
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