Frequency of adenomyosis in hysterectomy specimens performed for benign indications

Bülent Çakmak, Zeki Özsoy, Mehmet Can Nacar, tülay aysal, yeliz hýsým, fazlý demirtürk
In: \n Volume: 2, Issue: 3\n 1-4\n \n · 2012 · W1506987991
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This study found adenomyosis in 11.7% of hysterectomy specimens performed for benign indications like leiomyoma or menorrhagia.

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This paper evaluated the frequency of adenomyosis in hysterectomy specimens obtained for benign indications, using pathological assessment of uterine tissue collected from the study population. The authors report how often adenomyosis was detected among these benign hysterectomy cases and describe relevant patient characteristics associated with its presence. A major limitation is that results are based on women who underwent hysterectomy for benign reasons, which may not represent adenomyosis frequency in all populations and can introduce selection bias. Relevance to endometriosis: endometriosis is not explicitly discussed in the provided text, though the paper is included in this corpus via adenomyosis-related keyword matching.

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Abstract

Objective: The aim of this study is to determine the frequency of adenomyosis in hysterectomy specimens performed for benign indications.\nMethods: Adenomyosis frequency was retrospectively evaluated hystopathologically in hysterectomy specimens performed for benign indications on 149 patients between January 2009 and January 2012 in Gaziosmanpasa University Medical School, Obstetric and Gynecology Clinic.\nResults: Adenomyosis frequency was determined as 11.7% (17) of 149 patients received for the elavuation for this study. There was no statistically significance in terms of ages among the cases with or without adenomyosis (49.4+/-8.3 vs 50.5+/-9.7) (p>0.05). Similarly there was no statistically significance between two groups in the number of pregnancy and parous (p>0.05). Adenomyosis was determined as 13.2% in hysterectomy specimens performed for leiomyoma and again it was determined as 17.8% in hysterectomy specimens performed for refracter menorrhagia. There was no statistically significance between two indication groups for the sake of being determined of adenomyosis hystopathologically in hysterectomy specimens (p>0.05). \nConclusion: Adenomyosis can be seen in patients with leiomyoma and menorrhagia. So the possibility of adenomyosis detection should not be forgotten when the treatment is planned for the cases with leiomyoma and menorrhagia.\n\n [J Contemp Med 2012; 2(3.000): 158-161]
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Benign endikasyonlar nedeniyle uygulanan histerektomi materyallerinde adenomyozis sıklığı Öz Anahtar Kelimeler Kaynakça - 1- Bird CC, McElin TW, Manalo-Estrella P. The elusive adenomyosis of the uterusdrevisited. Am J Obstet Gynecol 1972;112(5):583-93. - 2- Matalliotakis IM, Katsikis IK, Panidis DK. Adenomyosis: What is the impact on fertility? Curr Opin Obstet Gynecol 2005;17(3):261-64. - 3- Ferenczy A. Pathophysiology of adenomyosis. Hum Reprod Update 1998;4(4):312-22. - 4- Vercellini P, Parazzini F, Oldani S, Panazza S, Bramante T, Crosignani PG. Adenomyosis at hysterectomy: A study on frequency distribution and patient characteristics. Human Reproduction 1995;10(5):1160-2. - 5- Vercellini P, Vigano P, Somigliana E, Daguati R, Abbiati A, Fedele L. Adenomyosis: Epidemiological factors. Best Practice Research. Clinical Obstetrics Gynaecology 2006;20(4):465-77. - 6- Shaikh H, Khan KS. Adenomyosis in Pakistani women: Four year experience at the Aga Khan University Medical Centre, Karachi. Journal of Clinical Pathology 1990;43(10):817- 9. - 7- Bergholt T, Eriksen L, Berendt N, Jacobsen M, Hertz JB. Prevalence and risk factors of adenomyosis at hysterectomy. Human Reproduction 2001;16(11):2418-21. - 8- Parazzini F, Mais V, Cipriani S, Busacca M, Venturini P. Determinants of adenomyosis in women who underwent hysterectomy for benign gynecological conditions: Results from a prospective multicentric study in Italy. European Journal of Obstetrics Gynecology and Reproductive Biology 2009;143(2):103-6. Ayrıntılar Birincil Dil Türkçe Konular - Bölüm - Yazarlar Bülent Çakmak Bu kişi benim Zeki Özsoy Bu kişi benim Mehmet Nacar Bu kişi benim Tülay Aysal Bu kişi benim Yeliz Hısım Bu kişi benim Fazlı Demirtürk Bu kişi benim Yayımlanma Tarihi 1 Eylül 2012 Gönderilme Tarihi 3 Mayıs 2014 Kabul Tarihi - Yayımlandığı Sayı Yıl 2012 Cilt: 2 Sayı: 3

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