Evidence map›Paper›PMID 25609056›Full record

SynthesisBMC women's health2015

Presentation and treatment of uterine leiomyoma in adolescence: a systematic review.

Rafael Mendes Moroni, Carolina Sales Vieira, Rui Alberto Ferriani, Rosana Maria dos Reis, Antonio Alberto Nogueira, Luiz Gustavo Oliveira Brito

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC women's health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 79 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Does Big Mean Evil? Giant, but Benign Uterine Leiomyoma: Case Report and Review of the Literature.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2021
    Review
  13. Article
  14. Article
  15. Pathogenomics of Uterine Fibroids Development.International journal of molecular sciences · 2019
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Uterine leiomyoma in a 19-year-old girl: Case report and literature review.Malawi medical journal : the journal of Medical Association of Malawi · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Rafael Mendes MoroniDepartment of Gynecology and Obstetrics - Ribeirao Preto Medical School, University of Sao Paulo, Avenida Bandeirantes, 3900 - 8th floor - Monte Alegre, Ribeirão Preto, SP, Brazil. rafaelmmoroni@gmail.com.
Carolina Sales VieiraDepartment of Gynecology and Obstetrics - Ribeirao Preto Medical School, University of Sao Paulo, Avenida Bandeirantes, 3900 - 8th floor - Monte Alegre, Ribeirão Preto, SP, Brazil. carol.sales@uol.com.br.
Rui Alberto FerrianiDepartment of Gynecology and Obstetrics - Ribeirao Preto Medical School, University of Sao Paulo, Avenida Bandeirantes, 3900 - 8th floor - Monte Alegre, Ribeirão Preto, SP, Brazil. raferria@fmrp.usp.br.
Rosana Maria dos ReisDepartment of Gynecology and Obstetrics - Ribeirao Preto Medical School, University of Sao Paulo, Avenida Bandeirantes, 3900 - 8th floor - Monte Alegre, Ribeirão Preto, SP, Brazil. romareis@fmrp.usp.br.
Antonio Alberto NogueiraDepartment of Gynecology and Obstetrics - Ribeirao Preto Medical School, University of Sao Paulo, Avenida Bandeirantes, 3900 - 8th floor - Monte Alegre, Ribeirão Preto, SP, Brazil. aanoguei@fmrp.usp.br.
Luiz Gustavo Oliveira BritoDepartment of Gynecology and Obstetrics - Ribeirao Preto Medical School, University of Sao Paulo, Avenida Bandeirantes, 3900 - 8th floor - Monte Alegre, Ribeirão Preto, SP, Brazil. lgobrito@gmail.com.
Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUterine leiomyoma is the most common gynecological tumor in the reproductive years. However, it is extremely rare in adolescence (<1%), with few reports found in the literature. The biological behavior of such tumors in this age group is unknown, as well as the best possible treatment for this population. We aimed to analyze all available reports of uterine leiomyoma in adolescence.

methodsA systematic review was performed at PubMed/MEDLINE and EMBASE. Between 1965 and 2014, 19 reports were found on uterine leiomyoma in patients under 18 years. The following parameters were discussed: age, tumor diameter, symptoms, clinical treatments, surgical treatments, hemodynamic changes.

resultsMean age was 15.35 (14-17) years. Mean tumor diameter was 12.28 cm (3-30) and median diameter was 10 cm. Most patients presented with symptoms (87.5%), including abnormal uterine bleeding (10/18) and pelvic/abdominal pain (6/18). A pelvic mass was the most common finding. Two patients required transfusion due to anemia. One patient underwent abdominal hysterectomy, and the others underwent myomectomy. Mean follow-up was 1 year and 8 months, and only case recurred, after 6 months.

conclusionLeiomyomas' biologic behavior in adolescents may be different from that of older women, but their molecular characteristics still haven't been analyzed. Optimal treatment is still not defined, but myomectomy has several advantages in this population. Leiomyomas must be remembered as an important differential diagnosis of pelvic mass in adolescents.

Indexed as

LeiomyomaUterine NeoplasmsAdolescentDiagnosis, DifferentialDisease ManagementFemaleHumansUterine Myomectomy

Identifiers

PMID25609056
PMCPMC4308853
OpenAlexW2029949139

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.