Euro-Chinese consensus on accessory cavitated uterine malformation*,†
Rattachement africain : cn, it, es, gb, be, hk, gr. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background: Accessory cavitated uterine malformations (ACUMs) are a rare obstructive uterine anomaly that remains poorly understood, posing challenges for clinical management. The aetiopathogenesis is hypothesised to involve the duplication and persistence of ductal Müllerian tissue usually near the round ligament attachment, potentially related to gubernaculum dysfunction. ACUM is specifically classified by Acién's system, though rare variants necessitate continued international research to refine classification frameworks. Objectives: This consensus aims to develop good clinical practice recommendations for the pathophysiology, terminology, clinical presentation, diagnosis, and treatment of ACUM. Methods: A working group consisted of Chinese and European experts, after approval from the European Society for Gynaecological Endoscopy, developed recommendations based on the best available evidence and experts' opinion. Results: Patients with ACUM present with typical symptoms such as dysmenorrhea and dyspareunia, and atypical symptoms, including gastrointestinal and generalised pelvic pain. Diagnostic criteria include isolated cavitated lesions in the anterolateral myometrium near the round ligament, lined by endometrial tissue and filled with haemorrhagic fluid, surrounded by a myometrial mantle with concentric orientation of myometrial fibres, and typically associated with a normal uterine cavity. Diagnosis is most accurately made through ultrasound and magnetic resonance imaging. Surgical excision of the ACUM is considered the definitive treatment offering near-complete symptom resolution, and minimally invasive approach should be preferred when possible. The timing of surgery and the interval before attempting pregnancy remain unclear. The mode of delivery post-surgery is individualised based on the degree of myometrial involvement. Conclusions: The current consensus summarises the existing evidence on ACUM providing good clinical practice recommendations for their management. Existing gaps in the understanding and management of ACUMs, highlight the need for further research to guide clinical decision-making. What is New?: Good clinical practice recommendations for ACUM aiming to understand and optimise their management.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Euro-Chinese consensus on accessory cavitated uterine malformation*,†
- Date Crossref
- 11/06/2025
- Éditeur
- Galenos Yayinevi
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Chinese Academy of Medical Sciences & Peking Union Medical College pays non établi dans la noticeUniversité ou école supérieure
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Peking Union Medical College Hospital Department of Obstetrics and Gynecology pays non établi dans la noticeÉtablissement de santé
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University of Naples Federico II pays non établi dans la noticeUniversité ou école supérieure
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Universitat de Miguel Hernández d'Elx pays non établi dans la noticeUniversité ou école supérieure
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University College Hospital pays non établi dans la noticeÉtablissement de santé
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University College London Hospitals NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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University College London pays non établi dans la noticeUniversité ou école supérieure
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KU Leuven pays non établi dans la noticeUniversité ou école supérieure
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Queen Mary Hospital pays non établi dans la noticeÉtablissement de santé
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University of Hong Kong Department of Obstetrics and Gynecology pays non établi dans la noticeUniversité ou école supérieure
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Central South University Department of Gynecology pays non établi dans la noticeUniversité ou école supérieure
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Third Xiangya Hospital pays non établi dans la noticeÉtablissement de santé
Chinese Academy of Medical Sciences & Peking Union Medical College, Department of Obstetrics and Gynecology — Peking Union Medical College Hospital et University of Naples Federico II, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.