Abstract
Objectives: We sought to determine the clinical presentations and ultrasonographic features of uterine fibroids in adult Ghanaians. Methods: Between 1 January 2018 and 31 December 2021, 4279 ultrasound-confirmed cases of uterine fibroids were retrieved. The data obtained, which included age, clinical presentations, and sonographic features were analyzed. A chi-squared test was done to assess for possible associations between the clinical indications, age distribution, and ultrasonographic features of uterine fibroids. Results: The mean age of the patients diagnosed with uterine fibroids was 37.1±11.5 years (range = 16–69 years). Routine checkup (n = 1310, 28.1%), menorrhagia (n = 1104, 23.7%), and lower abdominal mass (n = 801, 17.2%) were the leading clinical indications. Dysmenorrhea, amenorrhea, menorrhagia, and routine checkup were significantly noted in the younger patients (p ≤ 0.001). The majority of the fibroid nodules had smooth regular outline (n = 4125, 96.4%) and were mostly heterogeneous (n = 3282, 76.7%). The echo pattern of the nodules was predominantly hypoechoic (n = 3358, 51.1%) followed by hyperechoic nodules (n = 2554, 38.9%). Degenerative changes accounted for less than one-third of the total fibroid nodules, with the least recorded degenerative change being nodules with cystic areas (n = 55, 5.4%) and the most observed degenerative feature being nodules with rim of calcification and areas of calcified degeneration (n = 965, 94.6%). Almost all the sonographic features were significantly seen in the 30–44 years age category. Conclusions: Sonographically, uterine fibroids were mostly hypoechoic heterogeneous nodules with a smooth regular outline with a predominant occurrence within women in the fourth to fifth decade of life.
Keywords
Publication details
- DOI
- 10.5001/omj.2023.36
- Journal
- Oman Medical Journal
- Publisher
- Oman Medical Specialty Board
- Open access
- Gold open access
Cite this article
APA 7
Edzie, E. K. M., Dzefi-Tettey, K., Brakohiapa, E. K., Abdulai, A. B., Kekessie, K. K., Aidoo, E., Amoah, S., Boadi, E., Kpobi, J. M., Quarshie, F., Edzie, R. A., Kusodzi, H., & Asemah, A. R. (2023). Assessment of the Clinical Presentations and Ultrasonographic Features of Uterine Fibroids in Adult Africans: A Retrospective Study. Oman Medical Journal. https://doi.org/10.5001/omj.2023.36
MLA 9
Edzie, Emmanuel Kobina Mesi, et al. "Assessment of the Clinical Presentations and Ultrasonographic Features of Uterine Fibroids in Adult Africans: A Retrospective Study." Oman Medical Journal, 2023. https://doi.org/10.5001/omj.2023.36.
Chicago (author–date)
Edzie, Emmanuel Kobina Mesi, Klenam Dzefi-Tettey, Edmund Kwakye Brakohiapa, Abubakari Bawah Abdulai, Kafui Kossi Kekessie, Eric Aidoo, Stephen Amoah, Evans Boadi, Joshua Mensah Kpobi, Frank Quarshie, Richard Ato Edzie, Henry Kusodzi, and Abdul Raman Asemah. 2023. "Assessment of the Clinical Presentations and Ultrasonographic Features of Uterine Fibroids in Adult Africans: A Retrospective Study." Oman Medical Journal. https://doi.org/10.5001/omj.2023.36.
Harvard
Edzie, E. K. M., Dzefi-Tettey, K., Brakohiapa, E. K., Abdulai, A. B., Kekessie, K. K., Aidoo, E., Amoah, S., Boadi, E., Kpobi, J. M., Quarshie, F., Edzie, R. A., Kusodzi, H. and Asemah, A. R. (2023) 'Assessment of the Clinical Presentations and Ultrasonographic Features of Uterine Fibroids in Adult Africans: A Retrospective Study', Oman Medical Journal. doi:10.5001/omj.2023.36.
Vancouver
Edzie EKM, Dzefi-Tettey K, Brakohiapa EK, Abdulai AB, Kekessie KK, Aidoo E, et al. Assessment of the Clinical Presentations and Ultrasonographic Features of Uterine Fibroids in Adult Africans: A Retrospective Study. Oman Medical Journal. 2023. doi:10.5001/omj.2023.36
IEEE
E. K. M. Edzie, K. Dzefi-Tettey, E. K. Brakohiapa, A. B. Abdulai, K. K. Kekessie, E. Aidoo, S. Amoah, E. Boadi, J. M. Kpobi, F. Quarshie, R. A. Edzie, H. Kusodzi, and A. R. Asemah, "Assessment of the Clinical Presentations and Ultrasonographic Features of Uterine Fibroids in Adult Africans: A Retrospective Study," Oman Medical Journal, 2023, doi: 10.5001/omj.2023.36.