Clinical signs and diagnosis of fibroids from adolescence to menopause

The aim of this review was to provide an updated assessment of the present diagnostic tools and clinical symptoms and signs to evaluate uterine fibroids (UFs) on the basis of current guidelines, recent scientific evidence, and a PubMed and Google Scholar search for peer-reviewed original and review...

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Autores: Mension Coll, Eduard, Carmona Herrera, Francisco, Vannuccini, Silvia, Chapron, Charles
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:dnet:ubarcelona__::5478086fd813f171e014814f5804c5a9
Acceso en línea:https://hdl.handle.net/2445/229177
Access Level:acceso abierto
Palabra clave:Fibromiomes uterins
Diagnòstic
Símptomes
Uterine fibroids
Diagnosis
Symptoms
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spelling Clinical signs and diagnosis of fibroids from adolescence to menopauseMension Coll, EduardCarmona Herrera, FranciscoVannuccini, SilviaChapron, CharlesFibromiomes uterinsDiagnòsticSímptomesUterine fibroidsDiagnosisSymptomsThe aim of this review was to provide an updated assessment of the present diagnostic tools and clinical symptoms and signs to evaluate uterine fibroids (UFs) on the basis of current guidelines, recent scientific evidence, and a PubMed and Google Scholar search for peer-reviewed original and review articles related to clinical signs and diagnosis of UFs. Approximately 50%-75% of UFs are considered nonclinically relevant. When present, the most common symptoms are abnormal uterine bleeding, pelvic pain and/or bulk symptoms, and reproductive failure. Transvaginal ultrasound is recommended as the initial diagnostic modality because of its accessibility and high sensitivity, although magnetic resonance imaging appears to be the most accurate diagnostic tool to date in certain cases. Other emerging techniques, such as saline infusion sonohysterography, elastography, and contrast-enhanced ultrasonography, may contribute to improving diagnostic accuracy in selected cases. Moreover, artificial intelligence has begun to demonstrate its ability as a complementary tool to improve the efficiency of UF diagnosis. Therefore, it is critical to standardize descriptions of transvaginal ultrasound images according to updated classifications and to individualize the use of the different complementary diagnostic tools available to achieve precise uterine mapping that can lead to targeted therapeutic approaches according to the clinical context of each patient.Elsevier B.V.2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/229177Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1016/j.fertnstert.2024.05.003Fertility and Sterility, 2024, vol. 122, num.1, p. 12-19https://doi.org/10.1016/j.fertnstert.2024.05.003cc-by-nc-nd (c) Mension Coll, Eduard et al., 2024http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:dnet:ubarcelona__::5478086fd813f171e014814f5804c5a92026-05-27T06:46:51Z
dc.title.none.fl_str_mv Clinical signs and diagnosis of fibroids from adolescence to menopause
title Clinical signs and diagnosis of fibroids from adolescence to menopause
spellingShingle Clinical signs and diagnosis of fibroids from adolescence to menopause
Mension Coll, Eduard
Fibromiomes uterins
Diagnòstic
Símptomes
Uterine fibroids
Diagnosis
Symptoms
title_short Clinical signs and diagnosis of fibroids from adolescence to menopause
title_full Clinical signs and diagnosis of fibroids from adolescence to menopause
title_fullStr Clinical signs and diagnosis of fibroids from adolescence to menopause
title_full_unstemmed Clinical signs and diagnosis of fibroids from adolescence to menopause
title_sort Clinical signs and diagnosis of fibroids from adolescence to menopause
dc.creator.none.fl_str_mv Mension Coll, Eduard
Carmona Herrera, Francisco
Vannuccini, Silvia
Chapron, Charles
author Mension Coll, Eduard
author_facet Mension Coll, Eduard
Carmona Herrera, Francisco
Vannuccini, Silvia
Chapron, Charles
author_role author
author2 Carmona Herrera, Francisco
Vannuccini, Silvia
Chapron, Charles
author2_role author
author
author
dc.subject.none.fl_str_mv Fibromiomes uterins
Diagnòstic
Símptomes
Uterine fibroids
Diagnosis
Symptoms
topic Fibromiomes uterins
Diagnòstic
Símptomes
Uterine fibroids
Diagnosis
Symptoms
description The aim of this review was to provide an updated assessment of the present diagnostic tools and clinical symptoms and signs to evaluate uterine fibroids (UFs) on the basis of current guidelines, recent scientific evidence, and a PubMed and Google Scholar search for peer-reviewed original and review articles related to clinical signs and diagnosis of UFs. Approximately 50%-75% of UFs are considered nonclinically relevant. When present, the most common symptoms are abnormal uterine bleeding, pelvic pain and/or bulk symptoms, and reproductive failure. Transvaginal ultrasound is recommended as the initial diagnostic modality because of its accessibility and high sensitivity, although magnetic resonance imaging appears to be the most accurate diagnostic tool to date in certain cases. Other emerging techniques, such as saline infusion sonohysterography, elastography, and contrast-enhanced ultrasonography, may contribute to improving diagnostic accuracy in selected cases. Moreover, artificial intelligence has begun to demonstrate its ability as a complementary tool to improve the efficiency of UF diagnosis. Therefore, it is critical to standardize descriptions of transvaginal ultrasound images according to updated classifications and to individualize the use of the different complementary diagnostic tools available to achieve precise uterine mapping that can lead to targeted therapeutic approaches according to the clinical context of each patient.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/229177
url https://hdl.handle.net/2445/229177
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1016/j.fertnstert.2024.05.003
Fertility and Sterility, 2024, vol. 122, num.1, p. 12-19
https://doi.org/10.1016/j.fertnstert.2024.05.003
dc.rights.none.fl_str_mv cc-by-nc-nd (c) Mension Coll, Eduard et al., 2024
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc-nd (c) Mension Coll, Eduard et al., 2024
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier B.V.
publisher.none.fl_str_mv Elsevier B.V.
dc.source.none.fl_str_mv Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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