open access

Vol 92, No 4 (2021)
Research paper
Published online: 2021-02-23
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PALM-COEIN classification system of FIGO vs the classic terminology in patients with abnormal uterine bleeding

Bekir Kahveci1, Mehmet Sukru Budak2, Serhat Ege3, Mehmet Obut3, Ihsan Baglı3, Süleyman Cemil Oğlak3, Mehmet Ali Vardar1
DOI: 10.5603/GP.a2021.0011
·
Pubmed: 33757147
·
Ginekol Pol 2021;92(4):257-261.
Affiliations
  1. Cukurova University, Adana, Turkey
  2. Dicle University, Diyarbakır, Turkey
  3. Health Sciences University, Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkey

open access

Vol 92, No 4 (2021)
ORIGINAL PAPERS Gynecology
Published online: 2021-02-23

Abstract

Objectives: To evaluate the FIGO’s novel classification system versus the classic terminology in patients with abnormal uterine bleeding. Material and methods: A retrospective study was carried out between August 2015 and September 2019 in the Health Sciences University Gazi Yaşargil Training and Research Hospital. The pathology reports of the patients were classified according to the PALM-COEIN method and were compared with classical terminology. The operated patients with fibroids reported in the pathology results were classified as subgroups of fibroids. Results: Evaluation was made of a total of 515 women with abnormal uterine bleeding. According to the classical terminology, 137 (26.6%) patients were defined with hypermenorrhea, 74 (14.4%) with menorrhagia, 57 (11.1%) with metrorrhagia, and 246 (47.8%) with menometrorrhagia. In the PALM-COEIN classification system, polyps were determined in 84 (16.3%) cases, adenomyosis in 228 [diffuse adenomyosis: 196 (38.1%), local adenomyosis: 32 (6.2%)], leiomyoma in 386 [submu-cous: 161 (31.1%), other types: 225 (43.9%)], and malignancy and hyperplasia in 47 (9.1%). Conclusions: The classical terminology for abnormal uterine bleeding is insufficient in terms of etiological pathologies in non-pregnant women of reproductive age. The widespread use of this novel system for the abnormal uterine bleeding classification will provide a more useful communication between physicians and researchers.

Abstract

Objectives: To evaluate the FIGO’s novel classification system versus the classic terminology in patients with abnormal uterine bleeding. Material and methods: A retrospective study was carried out between August 2015 and September 2019 in the Health Sciences University Gazi Yaşargil Training and Research Hospital. The pathology reports of the patients were classified according to the PALM-COEIN method and were compared with classical terminology. The operated patients with fibroids reported in the pathology results were classified as subgroups of fibroids. Results: Evaluation was made of a total of 515 women with abnormal uterine bleeding. According to the classical terminology, 137 (26.6%) patients were defined with hypermenorrhea, 74 (14.4%) with menorrhagia, 57 (11.1%) with metrorrhagia, and 246 (47.8%) with menometrorrhagia. In the PALM-COEIN classification system, polyps were determined in 84 (16.3%) cases, adenomyosis in 228 [diffuse adenomyosis: 196 (38.1%), local adenomyosis: 32 (6.2%)], leiomyoma in 386 [submu-cous: 161 (31.1%), other types: 225 (43.9%)], and malignancy and hyperplasia in 47 (9.1%). Conclusions: The classical terminology for abnormal uterine bleeding is insufficient in terms of etiological pathologies in non-pregnant women of reproductive age. The widespread use of this novel system for the abnormal uterine bleeding classification will provide a more useful communication between physicians and researchers.

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Keywords

abnormal uterine bleeding; menstrual disorders; PALM-COEIN classification; classic terminology

About this article
Title

PALM-COEIN classification system of FIGO vs the classic terminology in patients with abnormal uterine bleeding

Journal

Ginekologia Polska

Issue

Vol 92, No 4 (2021)

Article type

Research paper

Pages

257-261

Published online

2021-02-23

DOI

10.5603/GP.a2021.0011

Pubmed

33757147

Bibliographic record

Ginekol Pol 2021;92(4):257-261.

Keywords

abnormal uterine bleeding
menstrual disorders
PALM-COEIN classification
classic terminology

Authors

Bekir Kahveci
Mehmet Sukru Budak
Serhat Ege
Mehmet Obut
Ihsan Baglı
Süleyman Cemil Oğlak
Mehmet Ali Vardar

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