Clinical and morphological features of combined hyperplastic diseases of the uterus against the background of adenomyosis

Rozhkovskaya N. M., Sitnikova V. O., Sivyi S. M., Lomakina I. S. Clinical and morphological features of combined hyperplastic diseases of the uterus against the background of adenomyosis. Journal of Education, Health and Sport. 2020;10(4):226-233. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2020.10.04.025 https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/JEHS.2020.10.04.025 https://zenodo.org/record/3844131 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2020; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 06.04.2020. Revised: 23.04.2020. Accepted: 30.04.2020. CLINICAL AND MORPHOLOGICAL FEATURES OF COMBINED HYPERPLASTIC DISEASES OF THE UTERUS AGAINST THE BACKGROUND OF ADENOMYOSIS N. M. Rozhkovskaya, V. O. Sitnikova, S. M. Sivyi, I. S. Lomakina Odessa National Medical University, Ukraine Abstract To determine clinical and morphological features of combined uterine hyperplastic diseases in premenopausal women at the background of adenomyosis, 62 patients operated on for chronic abnormal uterine bleeding were examined. The control group consisted of 30 premenopausal patients who applied for preventive examination. Anthropometric and ultrasound examinations, assessment of carbohydrate and lipid metabolism, histologic examination were done. It has been established that uterine hyperplasia patients often had lipid metabolism damages (dislipidemy) and damages of carbohydrate one (alimentary – constitutional obesity, metabolic syndrome) which worsen the clinical course of the main disease. According to histological examination data, the activity of adenomyosis foci in patients with comorbid uterine pathology correlated with the severity of clinical manifestations (abnormal uterine bleeding, pain) and the presence of comorbid lesions (concomitant endometrial hyperplasia, chronic endometriosis, fibroids, endometriosis). Key words: hyperplastic diseases of the uterus; adenomyosis; endometriosis; dislipidemy; metabolic syndrome.