Feasibility of a new system of classification of submucous myomas: a multicenter study  

Oleh:

Lasmar, Ricardo Bassil ; Zhang, Xinmei ; Indman, Paul D. ; Celeste, Roger Keller ; Di Spiezio Sardo, Attilio

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 95 no. 06 (May 2011), page 2073-2077.
Topik: Hysteroscopy; myomectomy; myoma; classification; fibroids

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2011.03 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective To evaluate the performance of the STEPW (size, topography, extension, penetration, wall) classification system in predicting partial or complete fibroid removal on hysteroscopic myomectomy. Design Multicenter, prospective study (Canadian Task Force classification II-2). Setting Four hysteroscopy centers in Brazil, China, Italy, and the United States. Patient(s) Four hundred forty-nine women who underwent hysteroscopic resection of 465 submucous fibroids. Intervention(s) Resection of the submucous fibroids (hysteroscopic myomectomy). Fibroids were scored according to the European Society for Gynaecological Endoscopy (ESGE) and STEPW classifications. The validation of the two classifications was assessed using sensitivity and specificity of each classification, with their best cutoff point. A test of equality of the two areas under the receiver operating characteristic curves was performed for correlated samples. Main Outcome Measure(s) Correlation of ESGE and STEPW classifications with complete or incomplete removal of submucous fibroid. Result(s) Removal of the myoma was complete in 432 (92.9%) of 465 myomectomies and incomplete in 33 (7.1%). All 320 fibroids (100%) with a score =4 in the STEPW classification were completely removed, and 112 of 145 fibroids (77.2%) with a score >4 were removed. All 33 cases of incomplete hysteroscopic myomectomy (100%) had a STEPW score >4. Using the ESGE classification, 85 of 86 cases (98.9%) of type 0 fibroids, 278 of 298 (93.3%) of type 1, and 69 of 81 (85.2%) of type 2 were completely resected. Conclusion(s) Classifying submucous fibroids using the STEPW classification permits greater correlation with complete or incomplete removal of the myoma by hysteroscopic myomectomy.

Opini Anda

Klik untuk menuliskan opini Anda tentang koleksi ini!

Kembali