Thyroid and mammary glands abnormal in women with pelvic masses

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Objective: The purpose of this study was evaluating the role of dishormonal diseases of the thyroid and mamma in patients with pelvic masses and adenomyosis to developing the treatment strategy for this patient population.

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Objective: The purpose of this study was evaluating the role of dishormonal diseases of the thyroid and mamma in patients with pelvic masses and adenomyosis to developing the treatment strategy for this patient population.

Material and methods: A total of 230 women were examined, 193 of these in the main group and 37 controls. Pathological changes in the thyroid and mamma were detected in 137 (70,9%) patients in the main group and in 6 (16,2%) controls.

Results: The highest sensitivity and specificity for detecting pelvic masses were achieved by transvaginal sonography (100 and 91%, respectively).

The findings indicate that patients with pelvic masses should be referred to the group at a high rise of dishormonal pathology of the thyroid and mamma, which confirms the theory on the universal origin of pathological changes in all target organs and on the synchronous developments of benign hyperplastic processes.

Conclusion: We recommend a routine follow-up with transvaginal sonography in women with pelvic masses. Thyroid and mammary glands sonography should be used for developing the treatment strategy for this patient population.

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T. Iashvili

Medical Academy of Tbilisi

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格鲁吉亚, Tbilisi

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