Journal of minimally invasive gynecology · 2005
Hysteroscopic myomectomy in postmenopausal women.
СтатьяНазвание и аннотация: Перевод в очереди
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Loffer Franklin D
Аннотация
STUDY OBJECTIVE: To review the findings in postmenopausal patients undergoing hysteroscopic myomectomy.
DESIGN: Retrospective case-controlled study (Canadian Task Force classification II-2).
SETTING: Private practice.
PATIENTS: Eighteen women with postmenopausal bleeding and two asymptomatic women with abnormal ultrasounds.
INTERVENTIONS: Hysteroscopic myomectomy in 19 patients, with concomitant destruction of the endometrium in 4 patients, and resectoscopic biopsy in 1 patient.
MEASUREMENTS AND MAIN RESULTS: Three patients underwent subsequent gynecologic surgery. One had hysteroscopy to evaluate and remove an asymptomatic residual myoma found on ultrasound. A sarcoma was found in two of the symptomatic patients. Two patients underwent hysterectomy-one for a sarcoma and the other for a carcinoma of the cervix. One patient has had further postmenopausal bleeding.
CONCLUSION: Women who have a submucosal myoma that becomes symptomatic in the menopausal period may be at increased risk for a sarcoma.
DESIGN: Retrospective case-controlled study (Canadian Task Force classification II-2).
SETTING: Private practice.
PATIENTS: Eighteen women with postmenopausal bleeding and two asymptomatic women with abnormal ultrasounds.
INTERVENTIONS: Hysteroscopic myomectomy in 19 patients, with concomitant destruction of the endometrium in 4 patients, and resectoscopic biopsy in 1 patient.
MEASUREMENTS AND MAIN RESULTS: Three patients underwent subsequent gynecologic surgery. One had hysteroscopy to evaluate and remove an asymptomatic residual myoma found on ultrasound. A sarcoma was found in two of the symptomatic patients. Two patients underwent hysterectomy-one for a sarcoma and the other for a carcinoma of the cervix. One patient has had further postmenopausal bleeding.
CONCLUSION: Women who have a submucosal myoma that becomes symptomatic in the menopausal period may be at increased risk for a sarcoma.