Pathomorphological features of the endometrium in patients with abnormal uterine bleeding in the presence of uterine leiomyoma

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Abstract

Hypothesis/Aims of study. One of the problems discussed in the field of obstetrics and gynecology is the combined pathology of the reproductive system. Among the female reproductive system disorders associated with uterine leiomyoma, endometrial pathology prevails in the form of local inflammatory, receptor and hormonal changes. The aim of this study was to evaluate the structural features of the endometrium and its receptivity in patients with uterine leiomyoma, depending on its histological type and localization.

Study design, materials and methods. We examined 128 women with leiomyoma manifesting abnormal uterine bleeding, using clinical, instrumental and morphological methods.

Results. Combined pathological changes in the endometrium are more characteristic of submucous leiomyoma compared to intramural and subserous leiomyomas. The proliferative activity of endometrial cells in submucous leiomyoma is two or more times higher than in intramural and subserous leiomyoma. In submucous leiomyoma, cell proliferation occurs significantly more often than in other locations of myomatous nodes.

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About the authors

Zoya S. Rumyantseva

Medical Academy named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University

Email: zoyarum@inbox.ru
ORCID iD: 0000-0002-1711-021X
SPIN-code: 3480-3514

MD, PhD, Assistant Professor, Acting Head of the Department of Obstetrics, Gynecology, and Perinatology No. 1, the First Medical Faculty

Russian Federation, Simferopol

Anna N. Sulima

Medical Academy named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University

Author for correspondence.
Email: gsulima@yandex.ru
ORCID iD: 0000-0002-2671-6985
SPIN-code: 2232-0458

MD, PhD, DSci (Medicine), Professor. The Department of Obstetrics, Gynecology, and Perinatology No. 1, the First Medical Faculty

Russian Federation, Simferopol

Nadezhda I. Volotskaya

Medical Academy named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University

Email: volotskaya.miss@yandex.ru
ORCID iD: 0000-0003-2304-659X
SPIN-code: 8174-9478

Resident. The Department of Obstetrics, Gynecology, and Perinatology No. 1, the First Medical Faculty

Russian Federation, Simferopol

Evgenia Yu. Zyablitskaya

Medical Academy named after S. I. Georgievsky (structural unit) “V. I. Vernadsky Crimean Federal University"

Email: evgu79@mail.ru
ORCID iD: 0000-0001-8216-4196
SPIN-code: 2267-3643

MD, PhD, DSci (Medicine), Leading Researcher, Head of the Central Research Laboratory

Russian Federation, Simferopol

Sergey S. Anikin

Medical Academy named after S. I. Georgievsky (structural unit) “V. I. Vernadsky Crimean Federal University"

Email: ssssanikin@rambler.ru
ORCID iD: 0000-0001-8142-2173
SPIN-code: 5379-0703

MD, PhD, Assistant Professor. The Department of Obstetrics, Gynecology, and Perinatology No. 1, the First Medical Faculty

Russian Federation, Simferopol

Ilya S. Glazkov

Simferopol Clinical Maternity Hospital No. 2

Email: glazkovobstetrics@yandex.ru
ORCID iD: 0000-0002-7432-5161
SPIN-code: 4444-9078

MD, PhD, DSci (Medicine), Professor, Head

Russian Federation, Simferopol

Aishe A. Keshvedinova

Medical Academy named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University

Email: aishe1998@mail.ru
ORCID iD: 0000-0002-0045-2715
SPIN-code: 1577-0901

Student

Russian Federation, Simferopol

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Reproductive disorders in the study groups

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3. Fig. 2. Histological examination of the endometrium in patients of group A: a — endometrial hyperplasia without atypia (H&E, ×300); b — estrogen expression in the endometrial polyp (IHC, ×300); c — a single Ki-67-positive cell in the stroma of the endometrial polyp (arrow) (IHC, ×300); d — pronounced expression of progesterone receptors in endometrial hyperplasia without atypia (H&E, ×300)

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4. Fig. 3. Histological examination of the endometrium in patients of group B: a — Ki-67 expression in a patient with subserous, but more than 50% intramural leiomyoma localization (arrow) (IHC, ×300); b —estrogen receptor expression (IHC, ×300); c —progesterone receptor expression (IHC, ×300)

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Copyright (c) 2021 Rumyantseva Z.S., Sulima A.N., Volotskaya N.I., Zyablitskaya E.Y., Anikin S.S., Glazkov I.S., Keshvedinova A.A.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 66759 от 08.08.2016 г. 
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия Эл № 77 - 6389
от 15.07.2002 г.



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