Evidence map›Paper›PMID 39237926›Full record

ReviewBMC women's health2024

Submucosal cystic adenomyosis: a report of five cases and review of the literature.

Sang Guo, Chaobin Liu, Yan Lin, JianFang Zhu, Zhenna Wang, Zhenhong Wang

Abstract readReviewCase Reports
In one paragraph

Review in BMC women's health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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.

Sang GuoFujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, No.18, Daoshan Rd., Gulou Dist, Fuzhou City, Fujian Province, China.ORCID http://orcid.org/0000-0003-0733-0486
Chaobin LiuFujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, No.18, Daoshan Rd., Gulou Dist, Fuzhou City, Fujian Province, China.ORCID http://orcid.org/0000-0002-5059-9993
Yan LinFujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, No.18, Daoshan Rd., Gulou Dist, Fuzhou City, Fujian Province, China.
JianFang ZhuFujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, No.18, Daoshan Rd., Gulou Dist, Fuzhou City, Fujian Province, China.
Zhenna Wang *Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, No.18, Daoshan Rd., Gulou Dist, Fuzhou City, Fujian Province, China. wangzhenna@fjmu.edu.cn.ORCID http://orcid.org/0009-0009-6932-1551
Zhenhong Wang *Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, No.18, Daoshan Rd., Gulou Dist, Fuzhou City, Fujian Province, China. zhen@fjmu.edu.cn.ORCID http://orcid.org/0009-0004-2366-208X

Funding

Fujian provincial health technology project 2023QNA058Joint Funds for the innovation of science and Technology, Fujian province 2021Y9187
6 · The paper itself

Abstract

aimTo investigate the clinical characteristics, diagnosis, and clinical treatment of submucosal cystic adenomyosis.

methodsThe clinical data of five cases of patients with submucosal cystic adenomyosis in our hospital from January 2020 to June 2023 were retrospectively analyzed.

resultsThe average age of the patients was 37.8 ± 4.5 years old, three of them experienced prolonged menstruation and heavy menstrual bleeding. All patients had a history of abnormal uterine bleeding and mild to moderate dysmenorrhea, with a VAS score of 2.8 ± 1.6. The average Carbohydrate antigen 125 (CA125) value was 29.9 ± 23.6U/ml. Two out of the five patients (40%) had CA125 values above the upper limit of normal. The nodules had a diameter of 3.2 ± 1.3 cm and a cavity size of 1.3 ± 0.7 cm. Color ultrasound revealed hypo or iso or anechoic echoic cysts, and blood flow signals were detected. The magnetic resonance imaging (MRI) findings varied among each patient. All the patients underwent hysteroscopy and resection of uterine cavity-occupying lesions, and no recurrence was observed.

conclusionsThe clinical features of submucosal cystic adenomyosis include abnormal uterine bleeding and menstrual changes, and the degree of dysmenorrhea is generally not severe. The diagnostic utility of CA125 in submucosal cystic adenomyosis may be limited. The three-dimensional ultrasound and MRI are valuable preoperative examination methods currently. Hysteroscopy can not only diagnose submucosal cystic adenomyosis, but also treat it, and preserve the fertility function of the patient.

Indexed as

AdenomyosisCA-125 AntigenAdultCystsDysmenorrheaFemaleHumansHysteroscopyMagnetic Resonance ImagingMembrane ProteinsMenorrhagiaMiddle AgedRetrospective StudiesCA-125 AntigenMembrane ProteinsMUC16 protein, humanAbnormal uterine bleedingAdenomyosisDysmenorrheaHysteroscopySubmucosal cystic adenomyosis

Identifiers

PMID39237926
PMCPMC11375844

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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.