The Role of Mean Platelet Volume on Distinction of Submucosal Myomas from Other Etiologies in Increased Endometrial Thickness

OBJECTIVE: The aim of the study was to determine whether it is possible to differentiate submucosal fibroids before interventional procedures based on mean platelet volume (MPV), in reproductive-age patients presenting with endometrial thickening and abnormal uterine bleeding. STUDY DESIGN: This stu...

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Main Authors: Kerem Doğa Seçkin, Mehmet Fatih Karslı, Burak Yücel, Elif Akkaş Yılmaz, Murat Öz, Deniz Balsak, Hüseyin Kıyak, Gökhan Yıldırım
Format: Article
Language:English
Published: Medical Network 2016-04-01
Series:Gynecology Obstetrics & Reproductive Medicine
Subjects:
Online Access:http://gorm.com.tr/index.php/GORM/article/view/108
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author Kerem Doğa Seçkin
Mehmet Fatih Karslı
Burak Yücel
Elif Akkaş Yılmaz
Murat Öz
Deniz Balsak
Hüseyin Kıyak
Gökhan Yıldırım
author_facet Kerem Doğa Seçkin
Mehmet Fatih Karslı
Burak Yücel
Elif Akkaş Yılmaz
Murat Öz
Deniz Balsak
Hüseyin Kıyak
Gökhan Yıldırım
author_sort Kerem Doğa Seçkin
collection DOAJ
description OBJECTIVE: The aim of the study was to determine whether it is possible to differentiate submucosal fibroids before interventional procedures based on mean platelet volume (MPV), in reproductive-age patients presenting with endometrial thickening and abnormal uterine bleeding. STUDY DESIGN: This study included 581 reproductive-age women who underwent diagnostic procedures (curettage or operative hysteroscopy) and were subsequently divided into two groups based on clinico-pathological findings. The first group included those with benign endometrial pathology (control group, n=438), and the second group consisted of those with submucosal leiomyomas (n=143). The demographic characteristics and complete blood count (CBC) data of these patients were collected retrospectively, and comparisons were made between groups. RESULTS: No statistically significant difference was found between the groups according to demographic features and CBC parameters such as hemoglobin levels and white blood count (p>0,05). Platelet counts were significantly higher and MPV values were significantly lower in submucosal leiomyoma patients compared with the control subjects (p<0,05). CONCLUSIONS: MPV may be a useful predictive marker when differentiating submucosal leiomyoma from other benign causes of abnormal uterine bleeding. The ability to predict the possibility of the presence of submucosal leiomyoma before surgery can assist in determining the most appropriate type of invasive procedure.
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spelling doaj.art-d67326ef07bb4ade9957d2b26ae38be92023-02-15T16:17:36ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512016-04-0122110.21613/GORM.2016.10851The Role of Mean Platelet Volume on Distinction of Submucosal Myomas from Other Etiologies in Increased Endometrial ThicknessKerem Doğa Seçkin0Mehmet Fatih Karslı1Burak Yücel2Elif Akkaş Yılmaz3Murat Öz4Deniz Balsak5Hüseyin Kıyak6Gökhan Yıldırım7Department of Obstetrics and Gynecology, Kanuni Sultan Suleyman Training and Research Hospital, IstanbulDepartment of Obstetrics and Gynaecology, Sami Ulus Women and Children Health Training and Research Hospital, AnkaraDepartment of Obstetrics and Gynecology, Kanuni Sultan Suleyman Training and Research Hospital, IstanbulDepartment of Obstetrics and Gynaecology, Sami Ulus Women and Children Health Training and Research Hospital, AnkaraDepartment of Obstetrics and Gynaecology, Zekai Tahir Burak Womens’ Health and Research Hospital, AnkaraDepartment of Obstetrics and Gynaecology, Halic University, IstanbulDepartment of Obstetrics and Gynecology, Kanuni Sultan Suleyman Training and Research Hospital, IstanbulDepartment of Obstetrics and Gynecology, Kanuni Sultan Suleyman Training and Research Hospital, IstanbulOBJECTIVE: The aim of the study was to determine whether it is possible to differentiate submucosal fibroids before interventional procedures based on mean platelet volume (MPV), in reproductive-age patients presenting with endometrial thickening and abnormal uterine bleeding. STUDY DESIGN: This study included 581 reproductive-age women who underwent diagnostic procedures (curettage or operative hysteroscopy) and were subsequently divided into two groups based on clinico-pathological findings. The first group included those with benign endometrial pathology (control group, n=438), and the second group consisted of those with submucosal leiomyomas (n=143). The demographic characteristics and complete blood count (CBC) data of these patients were collected retrospectively, and comparisons were made between groups. RESULTS: No statistically significant difference was found between the groups according to demographic features and CBC parameters such as hemoglobin levels and white blood count (p>0,05). Platelet counts were significantly higher and MPV values were significantly lower in submucosal leiomyoma patients compared with the control subjects (p<0,05). CONCLUSIONS: MPV may be a useful predictive marker when differentiating submucosal leiomyoma from other benign causes of abnormal uterine bleeding. The ability to predict the possibility of the presence of submucosal leiomyoma before surgery can assist in determining the most appropriate type of invasive procedure.http://gorm.com.tr/index.php/GORM/article/view/108Mean platelet volume, Endometrial thickness, Submucosal myoma
spellingShingle Kerem Doğa Seçkin
Mehmet Fatih Karslı
Burak Yücel
Elif Akkaş Yılmaz
Murat Öz
Deniz Balsak
Hüseyin Kıyak
Gökhan Yıldırım
The Role of Mean Platelet Volume on Distinction of Submucosal Myomas from Other Etiologies in Increased Endometrial Thickness
Gynecology Obstetrics & Reproductive Medicine
Mean platelet volume, Endometrial thickness, Submucosal myoma
title The Role of Mean Platelet Volume on Distinction of Submucosal Myomas from Other Etiologies in Increased Endometrial Thickness
title_full The Role of Mean Platelet Volume on Distinction of Submucosal Myomas from Other Etiologies in Increased Endometrial Thickness
title_fullStr The Role of Mean Platelet Volume on Distinction of Submucosal Myomas from Other Etiologies in Increased Endometrial Thickness
title_full_unstemmed The Role of Mean Platelet Volume on Distinction of Submucosal Myomas from Other Etiologies in Increased Endometrial Thickness
title_short The Role of Mean Platelet Volume on Distinction of Submucosal Myomas from Other Etiologies in Increased Endometrial Thickness
title_sort role of mean platelet volume on distinction of submucosal myomas from other etiologies in increased endometrial thickness
topic Mean platelet volume, Endometrial thickness, Submucosal myoma
url http://gorm.com.tr/index.php/GORM/article/view/108
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