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The incidence of unexpected uterine malignancy in women undergoing hysteroscopic myomectomy or polypectomy: A national population-based study
- Title
- The incidence of unexpected uterine malignancy in women undergoing hysteroscopic myomectomy or polypectomy: A national population-based study
- Authors
- Yuk J.-S.; Shin J.-Y.; Moon H.-S.; Lee J.H.
- Ewha Authors
- 문혜성
- SCOPUS Author ID
- 문혜성
- Issue Date
- 2018
- Journal Title
- European Journal of Obstetrics Gynecology and Reproductive Biology
- ISSN
- 0301-2115
- Citation
- European Journal of Obstetrics Gynecology and Reproductive Biology vol. 224, pp. 12 - 16
- Keywords
- Hysteroscopy; Leiomyoma; Myomectomy; Polypectomy; Uterine malignancy
- Publisher
- Elsevier Ireland Ltd
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- 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. © 2018 Elsevier B.V.
- DOI
- 10.1016/j.ejogrb.2018.03.003
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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