Recurrence of fibroids after myomectomy: a transvaginal ultrasonographic study |
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Authors: | Fedele, L. Parazzini, F. Luchini, L. Mezzopane, R. Tozzi, L. Villa, L. |
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Affiliation: | 1Clinica Ostetrico Ginecologica Luigi Mangiagalli, Universitá di Milano via Commenda 12, 20100 Milano 2Istituto di Ricerche Farmacologiche Mario Negri via Eritrea 62, 20157 Milano 3Istituto Europeo di Oncologia via Ripamonti 332/10, 20141 Milano, Italy |
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Abstract: | Frequency of recurrence of fibroids after myomectomy has beenevaluated in 145 women (median age 38 years, range 2152)who underwent myomectomy. After surgery all women returned forfollow-up visit every 12 months after surgery. Transvaginalultrasound examination was performed routinely in every patientat 24 and 60 months and at 12, 36 and 48 months if there wereany abnormal pelvic findings or suspicious symptomatology. Atotal of 39 (27%) women gave birth after myomectomy. For thewhole series, the cumulative probability of recurrence (CPR)increased constantly during the study period reaching 51% in5 years. The 5-year CPR decreased with parity after myomectomy,being 55% for women with no childbirth after surgery and 42%(based on 13 recurrences, P < 0.01) for those who gave birth. |
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Keywords: | myomectomy/recurrence/uterine fibroids |
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