The incidence of unexpected uterine malignancy in women undergoing hysteroscopic myomectomy or polypectomy: A national population-based study
- 주제(키워드) Hysteroscopy , Leiomyoma , Myomectomy , Polypectomy , Uterine malignancy
- 주제(기타) Obstetrics & Gynecology; Reproductive Biology
- 설명문(일반) [Yuk, Jin-Sung; Lee, Jung Hun] Gyeongsang Natl Univ, Gyeongsang Natl Univ Changwon Hosp, Sch Med, Dept Obstet & Gynecol, Chang Won, Gyeongnam, South Korea; [Shin, Ji-Yeon] Eulji Univ, Sch Med, Dept Prevent Med, Daejeon, South Korea; [Moon, Hye-Sung] Ewha Womans Univ, Sch Med, Dept Obstet & Gynecol, Robot Surg Ctr, Seoul, South Korea
- 등재 SCIE, SCOPUS
- 발행기관 ELSEVIER SCIENCE BV
- 발행년도 2018
- URI http://www.dcollection.net/handler/ewha/000000151451
- 본문언어 영어
- Published As http://dx.doi.org/10.1016/j.ejogrb.2018.03.003
초록/요약
Objective: The objective of this study was to investigate the incidence of unexpected uterine malignancy (UUM) diagnosed after hysteroscopic surgery for presumed submucosal leiomyomas or endometrial polyps. Study design: From the Korean national health insurance database between January 1, 2009 and December 31, 2015, we analyzed inpatient sample data that were extracted by a stratified random sampling (gender and age) method. We extracted women with or without UUM that was diagnosed after hysteroscopic surgery using diagnosis codes and procedure codes. Results: A total of 11,866 women who underwent hysteroscopic surgery were extracted from 4,476,495 women. The mean age of the patients who underwent hysteroscopic surgery was 37.8 +/- 0.1 years. A hysteroscopic myomectomy or polypectomy was performed in 3498 and 8368 women, respectively. The incidence of UUM diagnosed after hysteroscopic myomectomy or polypectomy was 0.86% and 1.11%, respectively. The logistic regression analysis showed that the risk of UUM increased with age (Odds Ratio (OR), 1.61; 95% Confidence Interval (CI), 1.47-1.77; P < 0.001) and did not indicate hysteroscopic myomectomy or polypectomy (OR, 1.21; 95% CI, 0.93-1.55; P = 0.151). Conclusions: The incidence of UUM diagnosed after hysteroscopic myomectomy (0.86%) or polypectomy (1.11%) was higher than that of UUM diagnosed after hysterectomy (0.19%) or myomectomy (0.12%) for presumed benign leiomyoma. The incidence of UUM increased over the age of 50. (C) 2018 Elsevier B.V. All rights reserved.
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