A Clinicopathological Correlation of International Federation of Gynecology and Obstetrics's PALM–COEIN Classification of Abnormal Uterine Bleeding: Indian Scenario

作者：Kanika Singh, Charu Agarwal, Mukta Pujani, Sujata Raychaudhuri, Nimisha Sharma, Varsha Chauhan, Raina Chawla, Rashmi Ahuja, Mitasha Singh · 发表于：Journal of Mid-life Health · 年份：2019 · DOI：10.4103/jmh.jmh_128_18 · 被引用次数：22 · 研究领域：Uterine Myomas and Treatments、Gynecological conditions and treatments、Endometriosis Research and Treatment

Background: Abnormal uterine bleeding (AUB) is a common problem affecting the women of reproductive age group and may also have a significant impact on their physical, social, and emotional aspects directly affecting their quality of life. The International Federation of Gynecology and Obstetrics (FIGO) devised a universally acceptable system of nomenclature and classification, namely PALM–COEIN classification of AUB in the year 2011. The objective of the present study was to analyze the structural (PALM) and functional (COEIN) component of FIGO system in the Indian scenario. Materials and Methods: Three hundred patients with complaints of AUB were taken. A clinical diagnosis according to PALM–COEIN system was made after thorough history and clinical examination. Additional investigations if required were done, and endometrial sampling or hysterectomy was done whichever indicated. A histological diagnosis was made, and each case was allocated a category according to PALM–COEIN classification. A clinicopathological correlation was done in the hysterectomy cases for structural causes (PALM). Results: Leiomyoma (30%) was the most common cause of AUB closely followed by adenomyosis (29.66%) overall. The clinicopathological correlation in hysterectomy cases was good with concordance rate of 85.03%. The concordance between clinical and pathological diagnoses for AUB-L, AUB-A, AUB-M, and AUB-A, L was statistically significant with P < 05 in positive cases. However, additional findin...