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Acta médica Grupo Ángeles
versión impresa ISSN 1870-7203
Resumen
COLIN MEJIA, Daryl Haydeé y ROMO AGUIRRE, Catalina. Correlation between clinical diagnosis of abnormal uterine bleeding and anatomopathological outcome. Acta méd. Grupo Ángeles [online]. 2020, vol.18, n.1, pp.7-10. Epub 22-Mar-2022. ISSN 1870-7203. https://doi.org/10.35366/91993.
Introduction:
Abnormal uterine bleeding is the second cause of gynecological consultation and many times its diagnosis or treatment may be related to oncological diseases or require a surgical approach for treatment require immediate access so the clinical assessment is very important.
Material and methods:
Cross-sectional, observational and retrospective study that evaluated women between the ages of 25-60 years treated at the Ángeles Pedregal Hospital between January 2014 and June 2017 due to abnormal uterine bleeding. They required surgical intervention and a sample was sent for anatomopathological analysis as a diagnostic method.
Results:
We studied 276 cases of women of average age of 42.9 years, of which 39.7% have not presented a pregnancy. 56.23% of the deeds have been resolved by caesarean sections. 47.6% of the surgical interventions were performed by laparoscopy. Of the 261 cases of leiomyoma diagnosed by tissue sample, 91.5% were clinically diagnosed; however, only 11.26% of the cases of adenomatosis were clinically identified.
Conclusion:
Despite advances in diagnostic algorithms and the use of cabinet techniques, anatomopathological diagnosis in abnormal uterine bleeding is vital for an accurate diagnosis.
Palabras llave : Uterine hemorrhage; leiomyoma; pathology; uterus; myomas; bleeding; metrorrhagia; dysfunctional bleeding; uterine tumor.