[
    {
        "id": "osp-2570",
        "type": "article-journal",
        "title": "Assessment of the Clinical Presentations and Ultrasonographic Features of Uterine Fibroids in Adult Africans: A Retrospective Study",
        "author": [
            {
                "family": "Edzie",
                "given": "Emmanuel Kobina Mesi"
            },
            {
                "family": "Dzefi-Tettey",
                "given": "Klenam"
            },
            {
                "family": "Brakohiapa",
                "given": "Edmund Kwakye"
            },
            {
                "family": "Abdulai",
                "given": "Abubakari Bawah"
            },
            {
                "family": "Kekessie",
                "given": "Kafui Kossi"
            },
            {
                "family": "Aidoo",
                "given": "Eric"
            },
            {
                "family": "Amoah",
                "given": "Stephen"
            },
            {
                "family": "Boadi",
                "given": "Evans"
            },
            {
                "family": "Kpobi",
                "given": "Joshua Mensah"
            },
            {
                "family": "Quarshie",
                "given": "Frank"
            },
            {
                "family": "Edzie",
                "given": "Richard Ato"
            },
            {
                "family": "Kusodzi",
                "given": "Henry"
            },
            {
                "family": "Asemah",
                "given": "Abdul Raman"
            }
        ],
        "URL": "https://omanscience.com/en/articles/assessment-of-the-clinical-presentations-and-ultrasonographic-features-of-uterine-fibroids-in-adult-africans-a-retrospective-study",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2023
                ]
            ]
        },
        "container-title": "Oman Medical Journal",
        "DOI": "10.5001/omj.2023.36",
        "publisher": "Oman Medical Specialty Board",
        "ISSN": "1999-768X",
        "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."
    }
]