A differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleeding

The purpose: to justify a differentiated approach to the management of patients with hyperplastic uterine diseases complicated by abnormal uterine bleeding (AUB) based on the study of the morpho-functional features of the endo- and myometrium. It has been shown that PgR expression is low in patient...

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Main Authors: I. Lomakina, N. Rozhkovska, V. Sytnikova, S. Syviy
Format: Article
Language:English
Published: Kazimierz Wielki University 2023-05-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/46366
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author I. Lomakina
N. Rozhkovska
V. Sytnikova
S. Syviy
author_facet I. Lomakina
N. Rozhkovska
V. Sytnikova
S. Syviy
author_sort I. Lomakina
collection DOAJ
description The purpose: to justify a differentiated approach to the management of patients with hyperplastic uterine diseases complicated by abnormal uterine bleeding (AUB) based on the study of the morpho-functional features of the endo- and myometrium. It has been shown that PgR expression is low in patients with combined lesions of the endometrium and myometrium complicated by AMC. The degree of PgR expression has a strong negative correlation with pathological changes of the endometrial-myometrial junction (r=-0.71), which made it possible to consider these criteria in the creation of a differentiated algorithm for the management of patients taking into account clinical and morphological pathogenetic variants of the disease. The use of differentiated approaches to the treatment of patients with combined hyperplastic processes of the uterus, taking into account the clinical and morphological features of the disease, made it possible to reduce the number of recurrences of AMC and achieve a long-term clinical effect in comparison with traditional treatment.
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spelling doaj.art-f4b142ccdf894a609f28df8683eae8942023-10-08T10:49:42ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-05-0113510.12775/JEHS.2023.13.05.022A differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleedingI. Lomakina0N. Rozhkovska1V. Sytnikova2S. Syviy3Odessa National Medical UniversityOdesa National Medical UniversityOdesa National Medical UniversityOdesa National Medical University The purpose: to justify a differentiated approach to the management of patients with hyperplastic uterine diseases complicated by abnormal uterine bleeding (AUB) based on the study of the morpho-functional features of the endo- and myometrium. It has been shown that PgR expression is low in patients with combined lesions of the endometrium and myometrium complicated by AMC. The degree of PgR expression has a strong negative correlation with pathological changes of the endometrial-myometrial junction (r=-0.71), which made it possible to consider these criteria in the creation of a differentiated algorithm for the management of patients taking into account clinical and morphological pathogenetic variants of the disease. The use of differentiated approaches to the treatment of patients with combined hyperplastic processes of the uterus, taking into account the clinical and morphological features of the disease, made it possible to reduce the number of recurrences of AMC and achieve a long-term clinical effect in comparison with traditional treatment. https://apcz.umk.pl/JEHS/article/view/46366endometrial hyperplasiauterine myomaadenomyosismenstrual dysfunctionabnormal uterine bleedingdiagnosis
spellingShingle I. Lomakina
N. Rozhkovska
V. Sytnikova
S. Syviy
A differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleeding
Journal of Education, Health and Sport
endometrial hyperplasia
uterine myoma
adenomyosis
menstrual dysfunction
abnormal uterine bleeding
diagnosis
title A differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleeding
title_full A differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleeding
title_fullStr A differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleeding
title_full_unstemmed A differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleeding
title_short A differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleeding
title_sort differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleeding
topic endometrial hyperplasia
uterine myoma
adenomyosis
menstrual dysfunction
abnormal uterine bleeding
diagnosis
url https://apcz.umk.pl/JEHS/article/view/46366
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AT vsytnikova adifferentiatedapproachtothemanagementofpatientswithhyperplasticdiseasesoftheuteruscomplicatedbyabnormaluterinebleeding
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