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2018, Number 1

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Acta Med 2018; 16 (1)

Prevalence of adenomyosis in surgical parts of hysterectomy and related clinical risk factors

Arellano PEI, Labastida TJ

Language: Spanish
References: 24
Page: 15-22
PDF size: 150.61 Kb.


ABSTRACT

We conducted a prevalence and case-control study that included 258 patients on which hysterectomy was performed in the hospital Unidad Médica de Alta Especialidad 4 in Mexico City. The prevalence of adenomyosis was 33.33% (80 patients). None of them were diagnosed with this disease before the surgery. There was a significant association between adenomyosis and the following risk factors: previous pregnancy beyond 22 weeks (OR 9.904), previous abortion (OR 3.088) and previous uterine surgery (OR 3.78). The was also a significant association between the diagnosis before hysterectomy of endometrial hyperplasia (OR 8.78), while the diagnosis of uterine fibroids before hysterectomy was identified as a protective factor (OR 0.37). The statistic analysis was performed using Mantel and Haenszel χ2 test, p test (exact Mid-p) and odds ratio with confidence intervals. Adenomyosis is a poorly studied condition, with an important prevalence and a clinical diagnosis of low specificity (2 to 27%). The identification of the mentioned risk factors, specially in patients without uterine fibroids, brings the opportunity of a directed search of adenomyosis criteria by ultrasound, which could improve the correct diagnosis and treatment of the disease.


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