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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1991-2-27
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pubmed:abstractText |
Forty-two women with symptomatic uterine myomas, candidates for myomectomy or hysterectomy, were randomized to 6 months' treatment with buserelin 1200 micrograms/day intranasally (n = 22) or immediate surgery (n = 20). After buserelin treatment or operation the patients were followed for at least 12 months. Buserelin was well tolerated, the uterine volume fell from 465 +/- 168 to 273 +/- 88 cm3, and hemoglobin values normalized in all anemic patients. Rapid myoma regrowth was observed in all patients in the buserelin group after treatment withdrawal. Pregnancy occurred during follow-up in one of five buserelin-treated myomectomy candidates. Menorrhagia recurred in eight of 15 buserelin-treated hysterectomy candidates, and a hysterectomy was required but no transfusion was needed. Two women entered natural menopause and were considered cured. In the surgery group all operations were uneventful: three women conceived after myomectomy, whereas four of the patients that underwent hysterectomy required transfusions. Thus buserelin treatment appears to be indicated for infertile patients when surgery is contra-indicated or could cause adhesions, and for hysterectomy candidates in perimenopausal age and/or with secondary anemia.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0301-2115
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
4
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pubmed:volume |
38
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
53-7
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1899079-Administration, Intranasal,
pubmed-meshheading:1899079-Adult,
pubmed-meshheading:1899079-Analysis of Variance,
pubmed-meshheading:1899079-Buserelin,
pubmed-meshheading:1899079-Female,
pubmed-meshheading:1899079-Follow-Up Studies,
pubmed-meshheading:1899079-Gonadotropin-Releasing Hormone,
pubmed-meshheading:1899079-Humans,
pubmed-meshheading:1899079-Hysterectomy,
pubmed-meshheading:1899079-Leiomyoma,
pubmed-meshheading:1899079-Middle Aged,
pubmed-meshheading:1899079-Uterine Neoplasms
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pubmed:year |
1991
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pubmed:articleTitle |
Intranasal buserelin versus surgery in the treatment of uterine leiomyomata: long-term follow-up.
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pubmed:affiliation |
First Department of Obstetrics and Gynecology, University of Milan, Italy.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
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