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All Journal Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)
Riyan H. Kurniawan
Faculty of Medicine University of Indonesia/ Gatot Soebroto Central Army Hospital Jakarta
Health Professions Medicine & Pharmacology Public Health

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Diagnostic Approach of Abnormal Uterine Bleeding Kurniawan, Riyan H.
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To introduce and apply PALM-COEIN classification system as standard diagnostic approach of AUB to investigate the etiology. Method: Three cases will be discussed. First, Mrs, 45 yo, P3 with AUB due to suspected adenomiosis, performed total hysterectomy with histopathology result leiomyoma. Second case. Mrs, 43 yo, P3 with AUB due to suspected adenomiosis, performed total hysterectomy with histopathology result adenomyoma. Third case, Mrs, 48 yo, P3 with AUB due to suspected adenomiosis, performed total hysterectomy and bilateral salpingoophorectomy with PA result adenomyosis. Result: AUB diagnostic approach with PALM-COEIN performed to look for etiology and prevent mistake of etiology of AUB, such as cancer that must be consider on AUB patient above 40 years old. Conclusion: This PALM-COEIN classification should become standard diagnostic approach to investigate the etiology. [Indones J Obstet Gynecol 2014; 2: 106-109] Keywords: abnormal uterine bleeding
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