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Table 1 Myomscore

From: An evaluation of a Myomscore in the preoperative assessment of uterus myomatosus: a new diagnostic standard? The experience at the Mathilden Hospital in Herford, Germany

Age

< 49

1

> 49

2

Bleeding history

Regular or heavy menstrual bleeding

1

Irregular

2

Growth history

“Static“

1

“Fast“ or growth during therapy

2

Myoma size

< 5 cm

1

> 5 cm

2

Echogenicity

Ordered

1

Bizarre

2

Borders

Sharp

1

Fuzzy

2

Elastosonography

Hard

1

Soft

2

Doppler power mode

Peripheral circular circulation patterns

1

Diffuse, disordered circulation

2

Resistant index

RI > 0.4

1

RI < 0.4

2

LDH

1.2 x reference

Lower

1

Higher

2

Score

Score up to 12 points: morcellation possible (after consultation and explanation of a residual risk).

13 points or higher: surgery with oncological caution. Risk counselling!