Clinical and laboratory characteristics of women with uterine leiomiyoma

The aim of this study was to compare clinical and laboratory findings of women with or without uterine leiomyoma.Study group consisted of 82 women with uterine leiomyoma and the control group comprised 42 healthy women. Women’s age, gravity, parity, blood groups, pattern of menstrual cycles, complaints at presentation, fertility, ultrasonographical findings, surgical operations and thyroid function tests were evaluated.There were no significant differences in blood group distribution, gravity, parity and thyroid function test results between the patients and the control subjects (P>0.05). A significant difference was found in the complaints at presentation between two groups (P<0.001). Mentrual cycles irregularity was more frequently found in the patients compared with the controls (57.3% vs. 42.9%, respectively, P=0.009). Although no infertile woman was found in the control group, 8.5% of patients were found to have infertility. The sensitivity of ultrasonography was found to be 97.6%. Except for the existence of higher infertility rate and the menstrual cycles irregularities, no significant difference was found in the clinical and laboratory findings between women with or without uterine leiomyoma. Therefore, physical examination and imaging methods are remained as the most important diagnostic tools for uterine leiomyoma

Adnexal mass in pregnancy: a case report and review of the literature

Adnexal masses have been more frequently detected after common use of ultrasonography (USG). In this study follow-up and management protocol of an adnexal mass during pregnancy was reviewed in the light literature findings.Adnexial masses during pregnancy are managed according to preliminary diagnosis, pregnancy weeks, symptamotology, USG and examination findings and family’s preference. Due to complication risk of surgical operation in pregnancy, appropriate treatment protocols should be prepared in order to find best approaches. In conclusion, adnexes should be carefully examined with obstetrical USG and indication for surgical operation should be made more carefully