Uterine Myomas: An Overview of Development, Clinical Features, and Management

Wallach, Edward E.; Vlahos, Nikolaos

doi:10.1097/01.aog.0000136079.62513.39

Cited by 480 publications

(361 citation statements)

References 60 publications

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“…Bu yüzden yaşlılarda saptanan miyomlar gençlerdekine göre daha küçük çaplı olma eğili-mindedir. 7 Bizim olgularımızda da 2 cm'den büyük miyom saptanmamıştır. Saptanan miyomların en fazla intramural olduğu gözlenmiştir.…”

Section: Gereç Ve Yöntemlerunclassified

Gynecologic Problems in Elderly Women and Results of Gynecologic Cancer Screening

Aras¹,

Varlı²,

Gence³

et al. 2013

Turkiye Klinikleri J Med Sci

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Ö ÖZ ZE ET T A Am ma aç ç: : Bu çalışma ile geriatrik yaş grubundaki kadınların jinekolojik problem profilini ve kanserlerini tespit edip, bu yaş grubunda jinekolojik prekanseröz patoloji ve kanserlere yaklaşım ve jinekolojik kanserlerde tarama programları ile ilgili saptamalarda bulunmayı amaçladık. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Ocak 2007-Ocak 2011 tarihleri arasında özgül olmayan belirtiler ile jinekoloji polikliniğine başvuran 65 yaş ve üzerindeki kadınların başvuru şikâyetleri, tarama ve tanı amaçlı yapılan Papanicolaou (Pap) smir sonuçları, abdominal ultrasonografi (AUSG), transvajinal ultrasonografi (TVUSG) sonuçları ve konulan tanılar geriye dönük olarak incelendi. B Bu ul lg gu ul la ar r: : Jinekoloji polikliniğine başvuran 31 429 kadının 1145 (%3,6)'i 65 yaş ve üzerinde idi; yaş ortalaması 70,7±5,7 (65-95) bulundu. Olgular en çok menopoz sonrası kontrol amaçlı başvurmuşlardı (%62,6). Osteoporoz, meme ile ilgili şikâyetler ve inkontinans sırası ile diğer en sık başvuru nedenlerini oluşturmaktaydı. Olguların 657 (%57,4)'sine tarama amaçlı Pap smir testi yapılmıştı. Bazı olgulara belirli aralıklarla birden fazla Pap smir testi yapılmıştı. Pap smir testlerinin hiçbirinde prekanseröz lezyonlar da dâhil olmak üzere patoloji saptanmamıştı. Olguların 261 (%35,6)'i AUSG, 472 (%64,4)'si TVUSG olmak üzere toplam 733 (%64)'üne USG yapılmıştı. Vakaların 49'unda endometriyal hiperplazi (EH), 4'ünde over kanseri (OK), 5'inde endometriyum kanseri (EK) saptandı. S So on nu uç ç: : Geriatrik yaş grubundaki kadınların daha genç yaştaki topluma göre çok daha nadir jinekolojik muayene için baş-vurduğu ve en sık başvuru nedeninin menopoz sonrası kontrol olduğu saptanmıştır. Bu yaş grubunda gerek bir kez, gerekse takipli birden fazla kez yapılan Pap smir tarama testlerinin hiçbi-rinde patolojik bulguya rastlanmamıştır.A An na ah ht ta ar r K Ke el li im me el le er r: : Yaşlı; kadınlar; jinekoloji; vajinal smir; uterin servikal tümörler A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : In this paper, we aimed to screen gynecological problems and cancers of elderly women, to make suggestions for gynecological screening programs and management of precancerous lesions or cancers in this age group. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : We made a retrospective review of complaints, Papanicolaou (Pap) smear results, abdominal ultrasonography (AUSG), transvaginal ultrasonography (TVUSG) results and diagnoses of women over 65 years old who presented with non-spesific sypmtoms to the gynecology outpatient clinic from January 2007 to January 2011. R Re es su ul lt ts s: : The number of patients over 65 years old were 1145 (3.6%) among 31429 admissions. Mean age was 70.7±5.7 (65-95) years. The most common cause of presentation was routine menapause follow-up. The other common causes were osteoporosis, breast problems, and incontinence respectively. Six hundred and fifty-seven patients (57.4%) were screened with Pap smear. No patient had abnormal histopathological results including pre...

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Section: Gereç Ve Yöntemlerunclassified

Gynecologic Problems in Elderly Women and Results of Gynecologic Cancer Screening

Aras¹,

Varlı²,

Gence³

et al. 2013

Turkiye Klinikleri J Med Sci

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“…Uterine fibroids are the most common benign tumors of the female reproductive system and a major cause of morbidity in women of childbearing age [1,2]. The incidence of uterine fibroids is estimated between 20 % and 40 % of women in their reproductive age, and has been shown to reach 70 % to 80 % by the age of 50 years [1 -3].…”

Section: Introductionmentioning

confidence: 99%

Radiation Exposure During Uterine Fibroid Embolization (UFE): A Confounder-Controlled Comparison Between a State-of-the-Art Angiography Unit and a Conventional Angiography unit

Sommer

Voigt

Oliger

et al. 2017

Fortschr Röntgenstr

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ZUSAMMENFASSUNGZiel Vergleich der Strahlenexposition zwischen einem modernen und einem konventionellen Angiografiesystem bei Patientinnen, die sich einer Uterusmyomembolisation (UME) unterzogen. Ergebnisse Die Einschlusskriterien wurden von 58 (Gruppe 1) bzw. 177 (Gruppe 2) Patientinnen erfüllt. Nach Propensity Score Matching ergaben sich keine signifikanten Unterschiede zwischen Gruppe 1 (n = 46) and Gruppe 2 (n = 92) bezüglich Alter, Body-Mass-Index, Volumen des dominanten Myoms, Uterusvolumen, Fluoroskopiezeit und Embolisatmenge (jeweils p ≥ 0,10). Das Dosisflächenprodukt war in Gruppe 1 signifikant geringer als in Gruppe 2 (1159,0 cGycm 2 vs. 3123,5 cGycm 2 ; p < 0,001), während die Major-Komplikationsrate (0 % in beiden Gruppen) und der Grad der Devaskularisation des dominanten Myoms (100 % in beiden Gruppen) vergleichbar waren (p > 0,99 Material und Methoden ABSTR AC TPurpose To compare radiation exposure of a state-of-the-art and a conventional angiography unit in patients undergoing uterine fibroid embolization (UFE). Materials and MethodsBetween January 2009 and December 2016, 286 patients underwent UFE in our Interdisciplinary Fibroid Center. The inclusion criteria for this retrospective analysis were first-time transarterial embolization for symptomatic fibroids, bilateral embolization, procedures applying a state-of-the-art (Group 1) or a conventional angiography unit (Group 2), and bilateral technical success with an adequate embolization endpoint after the injection of microspheres. Study endpoints included radiation exposure, major complications, morphological success (MRI), and clinical success (questionnaire on quality-of-life). Propensity score matching controlled for confounders.Results The inclusion criteria were met by 58 (Group 1) and 177 (Group 2) patients. After propensity score matching, there was no significant difference between Group 1 (n = 46) and Group 2 (n = 92) regarding age, body-mass index, volume of the dominant fibroid and the uterus, fluoroscopy time, and amount of embolic agent (p ≥ 0.10 each). The dose-area product was significantly lower in Group 1 than in Group 2 (1159.0 cGycm 2 vs. 3123.5 cGycm 2 ; p < 0.001), while major complication rates (both groups 0 %) and dominant fibroid devascularization (both groups 100 %) were equal (p > 0.99). There were no significant differences between both groups regarding shrinkage of the dominant fibroid and the uterus and no relevant differences regarding patient-reported quality-of-life.Conclusion A state-of-the-art angiography unit has the potential to reduce radiation exposure in patients undergoing UFE without increasing the risk of major complications and with comparably high morphological and clinical success.

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“…Hormon kullanımı, kilo alımı, sigara içimi, diyet, fiziksel aktivite, aile öyküsü, tubal ligasyon öyküsü, klamidya ve çok sayıda pelvik enfeksiyon atağı öyküsü, ayda bir veya daha sık perineal pudra kullanımı, hipertansiyon nedeniyle tıbbi tedavi görme potansiyel risk faktörleridir (7) . Siyah ırkta beyaz ırka göre yaklaşık 3-9 kat daha sık rastlanır (1) .…”

Section: Introductionunclassified

The Effects Of Uterine Fibroid Symptoms On Quality Of Life In Women

Cengiz¹,

Demırcı²

2017

Jaren

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Uterine Myomas: An Overview of Development, Clinical Features, and Management

Abstract: The past century has witnessed development of highly sophisticated diagnostic and therapeutic technology for myomas. The tools currently at our disposal permit greater management flexibility with safe options, which must be tailored to the individual clinical situation.

Cited by 480 publications

References 60 publications

Gynecologic Problems in Elderly Women and Results of Gynecologic Cancer Screening

Gynecologic Problems in Elderly Women and Results of Gynecologic Cancer Screening

Radiation Exposure During Uterine Fibroid Embolization (UFE): A Confounder-Controlled Comparison Between a State-of-the-Art Angiography Unit and a Conventional Angiography unit

The Effects Of Uterine Fibroid Symptoms On Quality Of Life In Women

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