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Abstract:
STUDY OBJECTIVE:To identify the clinical presentation, diagnostic evaluation, operative or medical management, and postoperative recurrence of umbilical endometriosis. DESIGN:A retrospective national survey. SETTING:Obstetrics and Gynecology and Plastic Surgery Departments at a teaching hospital in Japan. PATIENTS:Patients with umbilical endometriosis or malignant transformation. INTERVENTIONS:A national survey was conducted to identify and evaluate cases of umbilical endometriosis or malignant transformation documented between 2006 and 2016. MEASUREMENTS AND MAIN RESULTS:The following were evaluated for each patient: age at diagnosis, body mass index, medical history, presence of extragenital endometriosis, surgical history, symptoms, imaging modalities, surgical therapy, hormonal therapy, follow-up period, postoperative recurrence, and time to recurrence. Ninety-six patients were identified with pathologically diagnosed benign umbilical endometriosis. The patients frequently had swelling (86.5%), pain (81.3%), or bleeding (44.8%) in the umbilicus. Sensitivity was 87.1% for physical examination, 76.5% for transabdominal ultrasonography, 75.6% for computed tomography, and 81.8% for magnetic resonance imaging. The cumulative recurrence rate was 1.34% at 6 months, 6.35% at 12 months, and 6.35% at 60 months after surgery. Importantly, there was no recurrence after wide resection including of the peritoneum (0 of 37 cases). The efficacy of dienogest (an oral progestin), gonadotropin-releasing hormone agonists, and oral contraceptives was 91.7%, 81.8%, and 57.1%, respectively. Finally, 2 cases of malignant transformation were identified. CONCLUSION:There was a low recurrence rate following surgery, and hormonal treatment is an option, although the current findings suggest surgical therapy as the first choice of treatment for umbilical endometriosis.
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最新影响因子:4.314 | 期刊ISSN:1553-4650 | CiteScore:2.11 |
出版周期:Bimonthly | 是否OA:YES | 出版年份:2005 |
期刊官方网址:http://www.jmig.org/
自引率:12.50% | 研究方向:医学-妇产科学 |
出版地区:UNITED STATES |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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Published by Elsevier Science. ISSN: 1553-4650. The Journal of Minimally Invasive Gynecology is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field. Formerly known as The Journal of the American Association of Gynecologic Laparoscopists (1074-3804).
由爱思唯尔科学出版。国际标准书号:1553-4650。 《微创妇科杂志》是一个国际临床论坛,旨在交流和传播与妇科内窥镜和其他微创手术相关的思想、发现和技术。该杂志提供了妇科手术领域最聪明的人的研究、临床意见和病例报告,是权威的消息来源,向执业医师通报这一新兴领域的最新前沿发展。以前被称为美国妇科腹腔镜医师协会杂志(1074-3804)。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
OBSTETRICS & GYNECOLOGY (妇产科学) 2区 |
13/82 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
164 | 136 | 28 |
引文计数(2018)
文献(2015-2017)
1568次引用
744篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Obstetrics and Gynecology
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研究方向:妇科
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研究方向:妇科
审稿时间: 2个月内 接受率: 比较困难(25%命中)
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研究方向:妇产科
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研究方向:妇产科
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Journal of Minimally Invasive Gynecology 投稿经验
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