Current Treatment Options for Cervical Leiomyomas: A Systematic Review of Literature
<i>Background and objectives</i>: Cervical leiomyomas are a rare benign disease. Although they are mainly treated surgically, currently, there is not a standardized treatment for cervical leiomyomas. This study aims to summarize current literature evidence about treatment options for cer...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-01-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1010-660X/57/2/92 |
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| author | Federico Ferrari Sara Forte Gaetano Valenti Laura Ardighieri Fabio Barra Valentina Esposito Enrico Sartori Franco Odicino |
| author_facet | Federico Ferrari Sara Forte Gaetano Valenti Laura Ardighieri Fabio Barra Valentina Esposito Enrico Sartori Franco Odicino |
| author_sort | Federico Ferrari |
| collection | DOAJ |
| description | <i>Background and objectives</i>: Cervical leiomyomas are a rare benign disease. Although they are mainly treated surgically, currently, there is not a standardized treatment for cervical leiomyomas. This study aims to summarize current literature evidence about treatment options for cervical leiomyomas. <i>Materials and methods</i>: A systematic research of the literature was conducted in Scopus, PubMed/MEDLINE, ScienceDirect, and the Cochrane Library, including observational prospective and retrospective studies, case series and case reports. We collected data regarding studies related to treatment options for cervical leiomyomas, evaluating the following aspects: study design, population, treatment type, rate of surgical complications, and fertility outcome. <i>Results</i>: According to literature research, 38 articles were included. Among 214 patients, the weighted average age was 39.4 years-old; 23 patients were pregnant. Most of the leiomyomas (78%) were extracervical; in 22% of cases (29 patients) were intracervical; 188 patients (88%) received surgical treatment, 6 (3%) received exclusive conservative management and 21 (10%) underwent interventional radiology treatment. One hundred twenty-seven patients (67.5%) underwent myomectomy, while 54 (28.7%) and 7 (3.7%) hysterectomy and trachelectomy, respectively. Cervical myomectomy was performed by open surgery in 21 out of 127 cases (16.5%), while in 92 (72.4%) and 6 (4.7%) patients the surgical approach was performed by traditional and robot-assisted laparoscopy, respectively. The total rate of surgical complications was 5.6%. <i>Conclusion</i>: Surgery is the primary therapeutic option for cervical leiomyomas with a low rate of surgical complications. Interventional radiology techniques have reported promising but still limited results. |
| first_indexed | 2024-03-12T11:09:21Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 1010-660X |
| language | English |
| last_indexed | 2024-03-12T11:09:21Z |
| publishDate | 2021-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-3d7099cf620e41bcbb914d42ecf55acb2023-09-02T03:06:16ZengMDPI AGMedicina1010-660X2021-01-0157929210.3390/medicina57020092Current Treatment Options for Cervical Leiomyomas: A Systematic Review of LiteratureFederico Ferrari0Sara Forte1Gaetano Valenti2Laura Ardighieri3Fabio Barra4Valentina Esposito5Enrico Sartori6Franco Odicino7Department of Obstetrics and Gynecology, Spedali Civili of Brescia, 25123 Brescia, ItalyDepartment of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, ItalyDepartment of General Surgery and Medical-Surgical Specialties, Institute of Obstetrics and Gynecology, University of Catania, 95123 Catania, ItalyDepartment of Pathology, Spedali Civili of Brescia, 25123 Brescia, ItalyAcademic Unit of Obstetrics and Gynaecology, IRCCS Ospedale Policlinico San Martino, 16100 Genova, ItalyDepartment of Gynecology and Obstetrics, Università degli Studi di Milano, 20122 Milan, ItalyDepartment of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, ItalyDepartment of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy<i>Background and objectives</i>: Cervical leiomyomas are a rare benign disease. Although they are mainly treated surgically, currently, there is not a standardized treatment for cervical leiomyomas. This study aims to summarize current literature evidence about treatment options for cervical leiomyomas. <i>Materials and methods</i>: A systematic research of the literature was conducted in Scopus, PubMed/MEDLINE, ScienceDirect, and the Cochrane Library, including observational prospective and retrospective studies, case series and case reports. We collected data regarding studies related to treatment options for cervical leiomyomas, evaluating the following aspects: study design, population, treatment type, rate of surgical complications, and fertility outcome. <i>Results</i>: According to literature research, 38 articles were included. Among 214 patients, the weighted average age was 39.4 years-old; 23 patients were pregnant. Most of the leiomyomas (78%) were extracervical; in 22% of cases (29 patients) were intracervical; 188 patients (88%) received surgical treatment, 6 (3%) received exclusive conservative management and 21 (10%) underwent interventional radiology treatment. One hundred twenty-seven patients (67.5%) underwent myomectomy, while 54 (28.7%) and 7 (3.7%) hysterectomy and trachelectomy, respectively. Cervical myomectomy was performed by open surgery in 21 out of 127 cases (16.5%), while in 92 (72.4%) and 6 (4.7%) patients the surgical approach was performed by traditional and robot-assisted laparoscopy, respectively. The total rate of surgical complications was 5.6%. <i>Conclusion</i>: Surgery is the primary therapeutic option for cervical leiomyomas with a low rate of surgical complications. Interventional radiology techniques have reported promising but still limited results.https://www.mdpi.com/1010-660X/57/2/92leiomyomacervixhysterectomycervical leiomyoma |
| spellingShingle | Federico Ferrari Sara Forte Gaetano Valenti Laura Ardighieri Fabio Barra Valentina Esposito Enrico Sartori Franco Odicino Current Treatment Options for Cervical Leiomyomas: A Systematic Review of Literature Medicina leiomyoma cervix hysterectomy cervical leiomyoma |
| title | Current Treatment Options for Cervical Leiomyomas: A Systematic Review of Literature |
| title_full | Current Treatment Options for Cervical Leiomyomas: A Systematic Review of Literature |
| title_fullStr | Current Treatment Options for Cervical Leiomyomas: A Systematic Review of Literature |
| title_full_unstemmed | Current Treatment Options for Cervical Leiomyomas: A Systematic Review of Literature |
| title_short | Current Treatment Options for Cervical Leiomyomas: A Systematic Review of Literature |
| title_sort | current treatment options for cervical leiomyomas a systematic review of literature |
| topic | leiomyoma cervix hysterectomy cervical leiomyoma |
| url | https://www.mdpi.com/1010-660X/57/2/92 |
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