Role of clinical characteristics in preoperative diagnosis of adenomyosis with endometrial cancer
10.19405/j.cnki.issn1000-1492.2024.05.022
- VernacularTitle:临床特征在术前诊断子宫腺肌病合并子宫内膜癌中的作用
- Author:
Chaoyi YANG
1
;
Aili TAN
Author Information
1. 武汉大学人民医院妇产科,武汉 430060
- Keywords:
adenomyosis;
endometrial cancer;
endometrial atypical hyperplasia;
abnormal uterine bleeding;
risk factors;
preoperative diagnosis
- From:
Acta Universitatis Medicinalis Anhui
2024;59(5):885-889
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical characteristics of patients with adenomyosis (AM) and endometrial cancer (EC) and their role in preoperative diagnosis.Methods A total of 142 patients with AM complicated with EC or endometrial atypical hyperplasia (EAH) and AM with abnormal uterine bleeding (AUB) during the same period were collected from this hospital.They were divided into AM with EC or EAH group (71 cases) and control group (71 cases) according to whether they were complicated with EC or EAH.The clinical data of the patients were retrospectively analyzed, and the clinical characteristics and treatment strategies of the patients with adenomy-osis complicated with endometrial cancer were discussed.Results Univariate analysis showed that age, increased proportion of CA125 and CA125, uterine volume, proportion of hypertension and abnormal endometrial ultrasonog-raphy in patients with AM with EC or EAH were significantly higher than those in the control group, and the pro-portion of dysmenorrhea was significantly lower than that in the control group, and the difference was statistically significant (P<0.05).Multivariate Logistic regression analysis showed that endometrial thickening, endometrial echogenicity, and endometrial thickening combined with echogenicity were independent risk factors for AM with EC or EAH.Conclusion In clinical practice, the patients with AM with endometrial thickening or uneven echo-ech-o of ultrasound should be treated by hysteroscopy and curettage before further operation plan is formulated, so as to achieve the purpose of early diagnosis and treatment of EC.
- Full text:2024073022400712569临床特征在术前诊断子宫腺肌病合并子宫内膜癌中的作用_杨超逸.pdf
