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- Title
Clinical indications for hysteroscopic removal of uterine masses: Time, age at diagnosis, and mass size.
- Authors
Cho, Hyun‐Woong; Koo, Yu‐Jin; Hong, Jin‐Hwa; Lee, Jae‐Kwan
- Abstract
Aim The aim of this study was to investigate clinical factors associated with abnormal pathologies of uterine masses resected via hysteroscopy. Methods Women who underwent hysteroscopic surgery for presumptive diagnoses of abnormal endometrial or endocervical masses, such as polyps or leiomyomas on ultrasonography, between January 2012 and April 2015, were enrolled. Clinical and pathologic data were retrospectively reviewed. Results Among 189 patients, pathologic diagnoses of the uterine mass were abnormal in 172 (91.0%) cases, including polyps in 119 (63.0%), leiomyomas in 49 (26.0%), endometrial hyperplasia in two (1.0%), and endometrial cancer in two (1.0%). Seventeen (9.0%) women who underwent hysteroscopic removal showed unremarkable results on pathology, and the most common finding among them was the proliferative phase of the normal endometrium. Women aged over 40 years with uterine masses and a time since last menstrual period of over 15 days are four times more likely to be diagnosed with neoplastic masses than others (odds ratio [OR], 4.39, 95% confidence interval [CI], 1.33-14.48 and OR, 4.22, 95%CI, 1.35-13.21, respectively); those with masses over 1.5 cm in size are three times more likely to be neoplastic than others (OR, 3.08, 95%CI, 1.04-9.12). Conclusion Large mass size, longer time after last menstrual period, and older age are risk factors for abnormal histologies of uterine masses resected via hysteroscopy. Clinicians should take particular care when contemplating hysteroscopic removal for women younger than 40 years, and those with masses of <1.5 cm in size in the proliferative phase of the endometrium to avoid an unnecessary surgery.
- Subjects
AGE distribution; CONFIDENCE intervals; HYSTEROSCOPY; POLYPS; TIME; ULTRASONIC imaging; UTERINE fibroids; RETROSPECTIVE studies; UTERINE tumors; DESCRIPTIVE statistics; ODDS ratio; TUMOR treatment
- Publication
Journal of Obstetrics & Gynaecology Research, 2017, Vol 43, Issue 11, p1751
- ISSN
1341-8076
- Publication type
Article
- DOI
10.1111/jog.13447