<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032020000100007</article-id>
<article-id pub-id-type="doi">10.35366/91993</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Correlación entre el diagnóstico clínico de un sangrado uterino anormal y el resultado anatomopatológico]]></article-title>
<article-title xml:lang="en"><![CDATA[Correlation between clinical diagnosis of abnormal uterine bleeding and anatomopathological outcome]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Colín Mejía]]></surname>
<given-names><![CDATA[Daryl Haydeé]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romo Aguirre]]></surname>
<given-names><![CDATA[Catalina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad la Salle Facultad Mexicana de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles Pedregal Departamento de Anatomía Patológica ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>18</volume>
<numero>1</numero>
<fpage>7</fpage>
<lpage>10</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032020000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032020000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032020000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El sangrado uterino anormal es la segunda causa de consulta ginecológica, cuyo diagnóstico o tratamiento, muchas veces, puede estar relacionado con enfermedades oncológicas o enfermedades que requieren abordaje quirúrgico para su tratamiento, por lo que éste suele ser urgente, y de ahí que el diagnóstico clínico sea muy importante.  Material y métodos:  Estudio transversal, observacional y retrospectivo que evaluó 276 mujeres en edad entre 25-60 años atendidas por sangrado uterino anormal en el Hospital Ángeles Pedregal, entre enero del 2014 y junio del 2017. De cada paciente, se recuperó de su expediente clínico el diagnóstico de ingreso, el obtenido mediante estudios de gabinete y el anatomopatológico.  Resultados:  Se estudiaron 276 casos de mujeres con una edad promedio de 42.9 años, de las cuales 39.7% no ha presentado un embarazo. El 47.6% de las intervenciones quirúrgicas se realizaron por laparoscopia. De los 261 casos de leiomioma diagnosticados por muestra de tejido, 91.5% fue diagnosticado clínicamente; sin embargo, sólo 11.26% de los casos de adenomatosis fueron identificados clínicamente.  Conclusión:  Pese a los avances en los algoritmos diagnósticos y el empleo de técnicas de gabinete, el diagnóstico anatomopatológico en el sangrado uterino anormal es vital para un diagnóstico preciso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hemorragia uterina]]></kwd>
<kwd lng="es"><![CDATA[leiomioma]]></kwd>
<kwd lng="es"><![CDATA[patología]]></kwd>
<kwd lng="es"><![CDATA[útero]]></kwd>
<kwd lng="es"><![CDATA[miomas]]></kwd>
<kwd lng="es"><![CDATA[sangrado]]></kwd>
<kwd lng="es"><![CDATA[metrorragia]]></kwd>
<kwd lng="es"><![CDATA[sangrado disfuncional]]></kwd>
<kwd lng="es"><![CDATA[tumor uterino]]></kwd>
<kwd lng="en"><![CDATA[Uterine hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[leiomyoma]]></kwd>
<kwd lng="en"><![CDATA[pathology]]></kwd>
<kwd lng="en"><![CDATA[uterus]]></kwd>
<kwd lng="en"><![CDATA[myomas]]></kwd>
<kwd lng="en"><![CDATA[bleeding]]></kwd>
<kwd lng="en"><![CDATA[metrorrhagia]]></kwd>
<kwd lng="en"><![CDATA[dysfunctional bleeding]]></kwd>
<kwd lng="en"><![CDATA[uterine tumor]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Munro]]></surname>
<given-names><![CDATA[MG]]></given-names>
</name>
<name>
<surname><![CDATA[Critchley]]></surname>
<given-names><![CDATA[HO]]></given-names>
</name>
<name>
<surname><![CDATA[Fraser]]></surname>
<given-names><![CDATA[IS]]></given-names>
</name>
<name>
<surname><![CDATA[Group]]></surname>
<given-names><![CDATA[FMDW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The FIGO classification of causes of abnormal uterine bleeding in the reproductive years]]></article-title>
<source><![CDATA[Fertil Steril]]></source>
<year>2011</year>
<volume>95</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>2204-8</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[DeCherney AH Nathan]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Laufer]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Roman]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
</person-group>
<source><![CDATA[Diagnóstico y tratamiento ginecoobstétricos]]></source>
<year>2014</year>
<edition>11</edition>
<publisher-loc><![CDATA[Mexico ]]></publisher-loc>
<publisher-name><![CDATA[McGraw Hill]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Munro]]></surname>
<given-names><![CDATA[MG]]></given-names>
</name>
<name>
<surname><![CDATA[Critchley]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Fraser]]></surname>
<given-names><![CDATA[IJRdc]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La clasificación FIGO de causas de sangrado uterino anormal en los años reproductivos]]></article-title>
<source><![CDATA[Revista del Climaterio]]></source>
<year>2011</year>
<volume>15</volume>
<numero>85</numero>
<issue>85</issue>
<page-range>9-17</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Palep-Singh]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Prentice]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiology of abnormal uterine bleeding]]></article-title>
<source><![CDATA[Best Pract Res Clin Obstet Gynaecol]]></source>
<year>2007</year>
<volume>21</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>887-90</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moradan]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ghorbani]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Lotfi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Agreement of histopathological findings of uterine curettage and hysterectomy specimens in women with abnormal uterine bleeding]]></article-title>
<source><![CDATA[Saudi Med J]]></source>
<year>2017</year>
<volume>38</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>497-502</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vercellini]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Consonni]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Dridi]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Bracco]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Frattaruolo]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Somigliana]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Uterine adenomyosis and in vitro fertilization outcome: a systematic review and meta-analysis]]></article-title>
<source><![CDATA[Hum Reprod]]></source>
<year>2014</year>
<volume>29</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>964-77</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abbott]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adenomyosis and Abnormal Uterine Bleeding (AUB-A)-Pathogenesis, diagnosis, and management]]></article-title>
<source><![CDATA[Best Pract Res Clin Obstet Gynaecol]]></source>
<year>2017</year>
<volume>40</volume>
<page-range>68-81</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hulka]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Hall]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[McCarthy]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Simeone]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sonographic findings in patients with adenomyosis: can sonography assist in predicting extent of disease?]]></article-title>
<source><![CDATA[AJR Am J Roentgenol]]></source>
<year>2002</year>
<volume>179</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>379-83</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Panduro]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Guadalupe]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jesús]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Panduro]]></surname>
<given-names><![CDATA[EG]]></given-names>
</name>
<name>
<surname><![CDATA[Castro]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores de riesgo prenatales en la muerte fetal tardía, Hospital Civil de Guadalajara, México]]></article-title>
<source><![CDATA[Rev Chil Obstet Gineco]]></source>
<year>2011</year>
<volume>76</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>169-74</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Learman]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Nakagawa]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gregorich]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
<name>
<surname><![CDATA[Jackson]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Jacoby]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kuppermann]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Success of uterus-preserving treatments for abnormal uterine bleeding, chronic pelvic pain, and symptomatic fibroids: age and bridges to menopause]]></article-title>
<source><![CDATA[Am J Obstet Gynecol]]></source>
<year>2011</year>
<volume>204</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>272</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carlson]]></surname>
<given-names><![CDATA[KJ]]></given-names>
</name>
<name>
<surname><![CDATA[Miller]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
<name>
<surname><![CDATA[Fowler]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Maine Women&#8217;s Health Study: II. Outcomes of nonsurgical management of leiomyomas, abnormal bleeding, and chronic pelvic pain]]></article-title>
<source><![CDATA[Obstet Gynecol]]></source>
<year>1994</year>
<volume>83</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>566-72</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bacon]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abnormal Uterine Bleeding: Current Classification and Clinical Management]]></article-title>
<source><![CDATA[Obstet Gynecol Clin North Am]]></source>
<year>2017</year>
<volume>44</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>179-93</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
