[Endometrial osseous metaplasia: clinical presentation and follow-up].
OBJECTIVE
to describe the clinical signs and symptoms of patients with bone metaplasia and to assess the risk factors for changes in these symptoms after removal of the bone fragment.


METHODS
a cross-sectional study was conducted on 16 patients with a diagnosis of bone fragments in the uterine cavity during the period comprising July 2006 to January 2009. The inclusion criterion was the detection of a bone fragment removed from the uterine cavity. The presence of bone tissue in the endometrial cavity was histologically confirmed in all patients. The data of all patients were obtained before and after removal by means of a questionnaire for the evaluation of the effect of removal on the symptoms and for the search of possible factors related to the onset of the disease.


RESULTS
half the patients (8/16) had hemorrhagic symptoms and one third (6/16) were infertile. Removal of the fragments was quite effective in improving the complaints, with the disappearance of symptoms in all cases of hemorrhage and of pelvic pain.


CONCLUSIONS
removal of bone fragments can restore the fertility of selected patients whose infertility is caused by bone metaplasia and is quite effective in leading to improvement in patients with pelvic pain and menorrhage.
Parente
Raphael Câmara Medeiros
RC
Ginecologista do Ministério da Saúde e da Universidade Federal do Rio de Janeiro - UFRJ - Rio de Janeiro (RJ), Brasil. raphaelcmparente@hotmail.com
de Freitas
Vilmon
V
de Moura Neto
Rodrigo Soares
RS
de Oliveira
Marco Aurélio Pinho
MA
Lasmar
Ricardo Bassil
RB
Patriarca
Marisa Teresinha
MT
Canavez
Felipe Simões
FS
D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008679:Metaplasia; D008875:Middle Aged; D009999:Ossification, Heterotopic / Q000175:diagnosis / Q000601:surgery; D014591:Uterine Diseases / Q000175:diagnosis / Q000601:surgery; D055815:Young Adult