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Related to myomata: leiomyomata, leiomyoma, adenomyosis
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Aboulghar, "Uterine myomata and outcome of assisted reproduction," Human Reproduction, vol.
(7) In a prospective study of 81 symptomatic patients, using a gold standard of surgical pathology, SHG demonstrated more discriminating positive and negative likelihood ratios (LR+, LR-) for detecting myomata than did TVS or hysteroscopy.
In one study there was much stronger immunohistochemical staining for bFGF in fibroids than in the myometrium because of the large amount of extracellular matrix in uterine myomata; this finding led the authors to conclude that large quantities of bFGF are stored in the extracellular matrix of these tumors (Mangrulkar et al.
For example, code 58140, which was previously for "myomectomy, excision of myomata of uterus, single or multiple," has been revised to read "myomectomy, excision of fibroid tumor(s) of the uterus, one to four intramural myoma(s), with a total weight of 250 g or less and/or removal of surface myomas; abdominal approach." Code 58145 is used when the approach is vaginal.
Fertility and obstetric outcome after laparoscopic myomectomy of large myomata: a randomized comparison with abdominal myomectomy.