Frequency of Smooth Muscle Tumors and Adenomyosis in Patient with Previous History of Cesarean Section and the Fate of the Cesarean Section Scar: A Long Term Follow-Up Study
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This study compared hysterectomies with and without a Cesarean section history, finding no significant difference in the frequency of leiomyoma or adenomyosis and noting only rare changes at the C-section scar site.
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Abstract
Leiomyoma and adenomyosis are two common pathologic entities encountered in hysterectomy specimens. It is often speculated, but not confirmed, that repeated injury to uterine wall may initiate smooth muscle proliferation resulting in a smooth muscletumor. Similarly injury to the wall may lead to entrapment of endometrium in muscle layer leading to adenomyosis. To evaluate the above questions and assess the long term morphologic appearance of the C-section scar, 55 consecutive hysterectomies with previous history of C-section and 45 control cases were studied to evaluate the frequency of leiomyoma and adenomyosis. Our findings show no significant statistical difference in the frequency of such lesions between study and control groups in this series. Besides the scar formation, only rare instances of cystic change, osseous metaplasia and abnormal vasculature were noted at the site of C-section incision in the uterus.
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Too few in-corpus citations on either side for a chart; here are the lists.
Cites (3)
- Epidemiology of endometriosis among parous women 1995
- Pathologic Findings from the Maryland Womenʼs Health Study: Practice Patterns in the Diagnosis of Adenomyosis 1996
- A correlative study of adenomyosis and pelvic endometriosis, with special reference to the hormonal reaction of ectopic endometrium 1948
References (10)
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- Epidemiology of endometriosis among parous women via openalex
- Pathologic Findings from the Maryland Womenʼs Health Study: Practice Patterns in the Diagnosis of Adenomyosis via openalex
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