Cukurova University, Adana, Turkey.
Dicle University, Diyarbakır, Turkey.
Ginekol Pol. 2021;92(4):257-261. doi: 10.5603/GP.a2021.0011. Epub 2021 Mar 23.
To evaluate the FIGO's novel classification system versus the classic terminology in patients with abnormal uterine bleeding.
A retrospective study was carried out between August 2015 and September 2019 in the Health Sciences University Gazi Yaşargil Training and Research Hospital. The pathology reports of the patients were classified according to the PALM-COEIN method and were compared with classical terminology. The operated patients with fibroids reported in the pathology results were classified as subgroups of fibroids.
Evaluation was made of a total of 515 women with abnormal uterine bleeding. According to the classical terminology, 137 (26.6%) patients were defined with hypermenorrhea, 74 (14.4%) with menorrhagia, 57 (11.1%) with metrorrhagia, and 246 (47.8%) with menometrorrhagia. In the PALM-COEIN classification system, polyps were determined in 84 (16.3%) cases, adenomyosis in 228 [diffuse adenomyosis: 196 (38.1%), local adenomyosis: 32 (6.2%)], leiomyoma in 386 [submu-cous: 161 (31.1%), other types: 225 (43.9%)], and malignancy and hyperplasia in 47 (9.1%).
The classical terminology for abnormal uterine bleeding is insufficient in terms of etiological pathologies in non-pregnant women of reproductive age. The widespread use of this novel system for the abnormal uterine bleeding classification will provide a more useful communication between physicians and researchers.
评估FIGO 新分类系统与异常子宫出血患者经典术语的差异。
本回顾性研究于 2015 年 8 月至 2019 年 9 月在加济大学医学院附属医院进行。根据 PALM-COEIN 方法对患者的病理报告进行分类，并与经典术语进行比较。病理结果报告的子宫肌瘤患者被归类为子宫肌瘤亚组。
共评估了 515 例异常子宫出血患者。根据经典术语，137 例（26.6%）患者被定义为月经过多，74 例（14.4%）为经量过多，57 例（11.1%）为不规则子宫出血，246 例（47.8%）为经期延长。在 PALM-COEIN 分类系统中，84 例（16.3%）为息肉，228 例（38.1%为弥漫性子宫腺肌病，6.2%为局限性子宫腺肌病）为子宫腺肌病，386 例（31.1%为黏膜下肌瘤，43.9%为其他类型肌瘤）为子宫肌瘤，47 例（9.1%）为恶性肿瘤和增生。
经典术语在非妊娠育龄妇女异常子宫出血的病因学方面不够充分。广泛使用这种新的异常子宫出血分类系统将为医生和研究人员之间提供更有用的沟通。
