Benign gynaecological lesions and tumours
Table of contents
Extract
- Besides bimanual pelvic examination, the Pap smear, endometrial biopsy and ultrasound examination are important investigations performed in primary care.
- A significant share of benign gynaecological tumours and lesions are asymptomatic and detected incidentally on clinical examination.
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Linked evidence summaries
- Uterine artery embolization (UAE) and myomectomy are effective for symptomatic uterine fibroids. However, uterine artery embolization has higher reintervention rates.A
- In women with uterine fibroids, preoperative GnRH analoges or selective progesterone-receptor modulators like ulipristal acetate may reduce uterine and fibroid volume, blood loss and postoperative morbidity and increase preoperative haemoglobin levels compared with no treatment, although at the cost of adverse events.C
- Levonorgestrel-releasing intrauterine system is effective for endometrial hyperplasia and appears to be more effective than non-intrauterine progestogens.A
Search terms
Biopsy, Body of the uterus, CA-125, CA-125 antigen, CA125, CIN, Cervical Intraepithelial Neoplasia, Cervical dysplasia, Cervical polyps, Cervical polyps, Cervical tumor, Cervical tumour, Cervix, Choriocarcinoma, Condyloma, Condylomata Acuminata, Corpus uteri, Cyclic progestin, D25*, D26*, D27*, D28*, Endometrial Hyperplasia, Endometrial biopsy, Endometrial polyps, Endometrium biopsy, External genitalia, External genitals, Fallopian tube, Female external genitals, Follicular cyst, Follow-up, Gartner cyst, Gartner's cyst, Gynaecological abnormalities, Gynaecological abnormality, Gynaecological change, Gynaecological changes, Gynaecological lesion, Gynaecological lesions, Gynaecological neoplasms, Gynaecological tumour, Gynaecological tumours, Gynaecology, Gynecological lesion, Gynecological tumor, Gynecological tumors, Gynecology, HCG, Hysterectomy, Lichen Sclerosus et Atrophicus, Lichen planus, Lichen ruber planus, Lichen sclerosus, Medroxyprogesterone acetate, Myoma, N85.0, Nabothian cyst, Nabothian cyst, Ovarian Cysts, Ovarian Neoplasms, Ovarian tumors, Ovarian tumour, Ovarian tumours, Ovaries, Ovary, PAP smear, Papanicolaou smear, Placenta, Salpinx cancer, Submucosal myoma, Submucous myoma, Trachelectomy, Transvaginal echography, Transvaginal ultrasound, Trophoblastic disease, Tumor, Tumour, Uterine body, Uterine cancer, Uterine cervix, Uterine polyps, Uterine tube, Uterus, VIN, Vagina, Vulva, adenomatous hyperplasia, atypic hyperplasia, corpus luteum cyst, dysplasia, myoma, submucotic, postmenopausal bleeding, progestins, cyclic