The efficacy of complete blood count parameters in the diagnosis of tubal ectopic pregnancy | Eskicio臒lu

<!DOCTYPE html> <head lang="en"> <meta http-equiv="content-type" content="text/html;charset=UTF-8"/> <meta name="viewport" content="height=device-height,width=device-width,initial-scale=1,user-scalable=no"/> <title>The efficacy of complete blood count parameters in the diagnosis of tubal ectopic pregnancy | Eskicio臒lu | Ginekologia Polska</title> <meta name="description" content=""/> <meta name="gs_meta_revision" content="1.1" /> <meta name="citation_journal_title" content="Ginekologia Polska"/> <meta name="citation_issn" content="2543-6767"/> <meta name="citation_author" content="Fatma Eskicio臒lu"/> <meta name="citation_author_institution" content="Celal Bayar University, School of Medicine, Department of Obstetrics and Gynecology, Manisa, Turkey"/> <meta name="citation_author" content="Alper Tunga 脰zdemir"/> <meta name="citation_author_institution" content="Ege University, Institute of Health Sciences, Department of Stem Cell, Izmir, Turkey"/> <meta name="citation_author" content="G眉l眉zar Arzu Turan"/> <meta name="citation_author_institution" content="艦ifa University, School of Medicine, Department of Obstetrics and Gynecology, Izmir, Turkey"/> <meta name="citation_author" content="Esra Bahar G眉r"/> <meta name="citation_author_institution" content="艦ifa University, School of Medicine, Department of Obstetrics and Gynecology, Izmir, Turkey"/> <meta name="citation_author" content="Esin Kasap"/> <meta name="citation_author_institution" content="艦ifa University, School of Medicine, Department of Obstetrics and Gynecology, Izmir, Turkey"/> <meta name="citation_author" content="Mine Gen莽"/> <meta name="citation_author_institution" content="艦ifa University, School of Medicine, Department of Obstetrics and Gynecology, Izmir, Turkey"/> <meta name="citation_title" content="The efficacy of complete blood count parameters in the diagnosis of tubal ectopic pregnancy"/> <meta name="citation_publication_date" content="2014"/> <meta name="citation_volume" content="85"/> <meta name="citation_issue" content="11"/> <meta name="citation_doi" content="10.17772/gp/1907"/> <meta name="citation_abstract_html_url" content="https://journals.viamedica.pl/ginekologia_polska/article/view/45806"/> <meta name="citation_keywords" xml:lang="en" content="ectopic pregnancy / monocyte / platelet activation / leukocyte count /"/> <meta name="citation_keywords" xml:lang="pl" content="ci膮偶a ektopowa / monocyty / aktywacja p艂ytek krwi / odsetek leukocyt贸w"/> <meta name="citation_pdf_url" content="https://journals.viamedica.pl/ginekologia_polska/article/download/45806/32606"/> <link rel="schema.DC" href="http://purl.org/dc/elements/1.1/" /> <meta name="DC.Creator.PersonalName" content="Fatma Eskicio臒lu"/> <meta name="DC.Creator.PersonalName" content="Alper Tunga 脰zdemir"/> <meta name="DC.Creator.PersonalName" content="G眉l眉zar Arzu Turan"/> <meta name="DC.Creator.PersonalName" content="Esra Bahar G眉r"/> <meta name="DC.Creator.PersonalName" content="Esin Kasap"/> <meta name="DC.Creator.PersonalName" content="Mine Gen莽"/> <meta name="DC.Date.dateSubmitted" scheme="ISO8601" content="2016-04-21"/> <meta name="DC.Date.modified" scheme="ISO8601" content="2016-04-21"/> <meta name="DC.Description" xml:lang="en" content="Objective: Ectopic pregnancy (EP) is the major cause of maternal morbidity and is responsible for maternal mortality in the first trimester. In order to reduce undesirable results, it is necessary to find rapid and accurate, non-surgical diagnostic tests for EP. The goal of the study was to investigate the differences in complete blood count parameters between tubal EPs and healthy pregnancies in be used in the diagnosis of ectopic pregnancy. Study design: White blood cell (WBC), neutrophil, monocyte, lymphocyte, platelet (PLT) counts, mean PLT volume (MPV) and PLT distribution width (PDW) levels in the complete blood count samples have been obtained from subjects with diagnosed tubal EP (n=78; study group) and women with healthy intrauterine gestations (n=79; control group). Statistical comparisons between groups were performed using the t test. Results: PDW levels were found to be significantly higher in the control group than EP (p<0.001). However, no differences between the study and control groups with regard to PLT and MPV levels were observed. WBC levels were found to be significantly higher in the EP group as compared to controls (p<0.001). When leukocyte differentials were compared, monocyte counts in the EP group were significantly higher than in controls (p=0.005). No statistically significant differences in neutrophil and lymphocyte values were observed in either group. Conclusion: PDW as an indicator of PLT activation is lower in tubal EP than intrauterine pregnancy so, possibly, endometrial invasion in the intrauterine pregnancy needs more PLT activation. Monocyte counts are higher in tubal EP, indicating that monocyte activation in the pathophysiology of EP could be effective in the formation of tubal motility and microenvironment regulation."/> <meta name="DC.Description" xml:lang="pl" content="Cel: Ci膮偶a ektopowa (EP) jest g艂贸wn膮 przyczyn膮艣miertelno艣ci matek w pierwszym trymestrze ci膮偶y. Aby zmniejszy膰 niekorzystne wyniki tej choroby, konieczne jest znalezienie szybkiego i w艂a艣ciwego testu nieoperacyjnego s艂u偶膮cego do rozpoznania EP. Celem badania by艂a ocena r贸偶nic w wynikach morfologii pomi臋dzy pacjentkami z ci膮偶膮 ektopow膮 a zdrowymi ci臋偶arnymi. Materia艂 i metoda: W pr贸bkach pe艂nej krwi zbadano nast臋puj膮ce parametry: leukocyty (WBC), neutrofile, monocyty, limfocyty, p艂ytki krwi (PLT), 艣redni膮 obj臋to艣膰 p艂ytki krwi (MPV), szeroko艣膰 rozdzia艂u p艂ytek (PDW) u pacjentek z rozpoznan膮 ci膮偶膮 jajowodow膮 (n=78, grupa badana) oraz u zdrowych ci臋偶arnych (n=79, grupa kontrolna). Analiza statystyczna por贸wnuj膮ca obie grupy zosta艂a wykonana przy pomocy testu t. Wyniki: PDW by艂 istotnie wy偶szy w grupie kontrolnej ni偶 w grupie EP (p<0,001). Jednak nie znaleziono r贸偶nic pomi臋dzy grup膮 badan膮 a kontroln膮 w odniesieniu do PLT i MPV. WBC by艂o istotnie wy偶sze w grupie z EP ni偶 w grupie kontrolnej (p<0,001). Odsetek monocyt贸w by艂 istotnie wy偶szy w grupie EP ni偶 w grupie kontrolnej (p=0,005). Nie obserwowano istotnych r贸偶nic w odniesieniu do neutrofili i limfocyt贸w w obu grupach. Wnioski: PDW jako wska藕nik aktywacji p艂ytek krwi jest ni偶szy w ci膮偶y ektopowej ni偶 w ci膮偶y wewn膮trzmacicznej, gdy偶 prawdopodobnie inwazja ci膮偶y w endometrium wymaga wi臋kszej aktywacji PLT. Odsetek monocyt贸w jest wy偶szy w ci膮偶y jajowodowej co wskazuje na udzia艂 monocyt贸w w procesie patofizjologicznym ci膮偶y ektopowej, w perystaltyce jajowodu i regulacji jego mikro艣rodowiska."/> <meta name="DC.Format" scheme="IMT" content="application/pdf"/> <meta name="DC.Identifier" content="45806"/> <meta name="DC.Identifier.DOI" content="10.17772/gp/1907"/> <meta name="DC.Identifier.URI" content="https://journals.viamedica.pl/ginekologia_polska/article/view/45806"/> <meta name="DC.Language" scheme="ISO639-1" content=""/> <meta name="DC.Rights" content=" By sending the manuscript with figures and charts Authors declare it has been neither published nor submitted for publication elsewhere (excluding abstracts of 250 words or less). Figures or tables that have been published elsewhere must be identified, and written permission of the original copyright owner must be provided. Such responsibility lies entirely with the Authors and PGS and its Publisher will not be liable for violation of anyone鈥檚 copyright or other rights by the authors. If the data presented in the article enable identification of the persons, their written consent to the publication must be enclosed. The author(s) also agree(s), if and when the manuscript is accepted for publication, to automatic and free transfer of copyright to the owner (i.e. PSG) allowing for the publication and distribution of the material submitted in all available forms and fields of exploitation. A聽Transfer of Copyright Form will be sent to the corresponding author at the time of either preliminary or final acceptance. It must be completed and returned to the publisher. The author(s) accept(s) that the manuscript will not be published elsewhere in any language without the written consent of the copyright holder, represented by the Publisher. 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leftColumnDyn"><div class="blockContent"><span></span></div></div></div></div> </div> <div class="col-xl-9 col-lg-8 col-12 mainColumn"> <div class="block mainColumn"><div class="blockContent"><div class="mainContent"> </div></div></div> <div class="blockContent"> <script> var ArticleCitationDataFiles2 = { id: '45806', authors: '[{\"firstName\":\"Fatma\",\"middleName\":\"\",\"lastName\":\"Eskicio\\u011flu\",\"affililiations\":[]},{\"firstName\":\"Alper\",\"middleName\":\"Tunga\",\"lastName\":\"\\u00d6zdemir\",\"affililiations\":[]},{\"firstName\":\"G\\u00fcl\\u00fczar\",\"middleName\":\"Arzu\",\"lastName\":\"Turan\",\"affililiations\":[]},{\"firstName\":\"Esra\",\"middleName\":\"Bahar\",\"lastName\":\"G\\u00fcr\",\"affililiations\":[]},{\"firstName\":\"Esin\",\"middleName\":\"\",\"lastName\":\"Kasap\",\"affililiations\":[]},{\"firstName\":\"Mine\",\"middleName\":\"\",\"lastName\":\"Gen\\u00e7\",\"affililiations\":[]}]', doi: "{}", title: "The efficacy of complete blood count parameters in the diagnosis of tubal ectopic pregnancy", language: "", journal: "Ginekologia Polska", pages: "[\"\"]", keywords: "[\"ectopic pregnancy \\/ monocyte \\/ platelet activation \\/ leukocyte count \\/\"]", abstract: "Objective: Ectopic pregnancy (EP) is the major cause of maternal morbidity and is responsible for maternal mortality in the first trimester. In order to reduce undesirable results, it is necessary to find rapid and accurate, non-surgical diagnostic tests for EP. The goal of the study was to investigate the differences in complete blood count parameters between tubal EPs and healthy pregnancies in be used in the diagnosis of ectopic pregnancy. Study design: White blood cell (WBC), neutrophil, monocyte, lymphocyte, platelet (PLT) counts, mean PLT volume\r\n(MPV) and PLT distribution width (PDW) levels in the complete blood count samples have been obtained from subjects with diagnosed tubal EP (n=78; study group) and women with healthy intrauterine gestations (n=79; control group). Statistical comparisons between groups were performed using the t test. Results: PDW levels were found to be significantly higher in the control group than EP (p", volume: "85", number: "11", year: "2014", datePublished: "", url: "https://journals.viamedica.pl/ginekologia_polska/article/view/45806", doiurl: "https://doi.org/10.17772/gp/1907", issn: "{\"print\":\"0017-0011\",\"online\":\"2543-6767\"}", publisher: "VM Media Group sp. z o.o., Grupa Via Medica", }; </script> <div> <div class="articleLandingPage"> <div class="articleTitle"> <h3>The efficacy of complete blood count parameters in the diagnosis of tubal ectopic pregnancy</h3> </div> <div class="authors"> <span data-id="166760"><span class="author-name">Fatma Eskicio臒lu</span></span>, <span data-id="166761"><span class="author-name">Alper Tunga 脰zdemir</span></span>, <span data-id="166762"><span class="author-name">G眉l眉zar Arzu Turan</span></span>, <span data-id="166763"><span class="author-name">Esra Bahar G眉r</span></span>, <span data-id="166764"><span class="author-name">Esin Kasap</span></span>, <span data-id="166765"><span class="author-name">Mine Gen莽</span></span> </div> <script> $('.authors > [data-id]').each(function() { var $span = $(this); var authorId = $(this).attr("data-id"); var $a = $('<a href="#author-id-' + authorId + '"></a>') .insertBefore($span).append($span); $a.click(function() { var $authorBox = $('<div class="authorBox"></div>'); var $authorName = $('<h4 class="author-name"></h4>').appendTo($authorBox); $authorName.html($span.find(".author-name").html()); if ($span.find(".orcid-link").length) { var $orcid = $span.find(".orcid-link"); $orcid.clone().appendTo($authorBox).append($('<span class="orcid-id">' + $orcid.attr("data-orcid-id") + '</span>')); } $span.find("sup").each(function() { var $affiliation = $(this); $('<div class="author-affiliation">' + $affiliation.attr("title").trim() + '</div>').appendTo($authorBox); }); new _v.tooltips.tooltip($a, $authorBox, {class: 'affiliationInBox', positionParams: {offsetTop: 10}}); return false; }); }); </script> <div class="articleParameters"> <div class="doi"> <span>DOI:</span> 10.17772/gp/1907 </div> <div class="bibRecords"> Ginekol Pol 2014;85(11). </div> </div> <div class="articleAbstract"> <h4>Abstract</h4> <div class="articleAbstractText"> Objective: Ectopic pregnancy (EP) is the major cause of maternal morbidity and is responsible for maternal mortality in the first trimester. In order to reduce undesirable results, it is necessary to find rapid and accurate, non-surgical diagnostic tests for EP. The goal of the study was to investigate the differences in complete blood count parameters between tubal EPs and healthy pregnancies in be used in the diagnosis of ectopic pregnancy. Study design: White blood cell (WBC), neutrophil, monocyte, lymphocyte, platelet (PLT) counts, mean PLT volume (MPV) and PLT distribution width (PDW) levels in the complete blood count samples have been obtained from subjects with diagnosed tubal EP (n=78; study group) and women with healthy intrauterine gestations (n=79; control group). Statistical comparisons between groups were performed using the t test. Results: PDW levels were found to be significantly higher in the control group than EP (p<0.001). However, no differences between the study and control groups with regard to PLT and MPV levels were observed. WBC levels were found to be significantly higher in the EP group as compared to controls (p<0.001). When leukocyte differentials were compared, monocyte counts in the EP group were significantly higher than in controls (p=0.005). No statistically significant differences in neutrophil and lymphocyte values were observed in either group. Conclusion: PDW as an indicator of PLT activation is lower in tubal EP than intrauterine pregnancy so, possibly, endometrial invasion in the intrauterine pregnancy needs more PLT activation. Monocyte counts are higher in tubal EP, indicating that monocyte activation in the pathophysiology of EP could be effective in the formation of tubal motility and microenvironment regulation. <div class='articleKeywords'> <p> <span class="keywordsLabel strong">Keywords: </span> <span class="subject">ectopic pregnancy / monocyte / platelet activation / leukocyte count /</span> </p> </div> </div> </div> <div class="block otherGalleysInline"><div class="blockContent"> <div class="otherGalleys"> <h2>Article available in PDF format</h2> <a class="access icon" data-mini-label="PDF" data-mini-icon="view" href="https://journals.viamedica.pl/ginekologia_polska/article/view/45806/32606" class="file" target="_parent"> View PDF </a> <a class="access icon" data-mini-label="PDF" data-mini-icon="download" href="https://journals.viamedica.pl/ginekologia_polska/article/download/45806/32606" class="file" target="_parent"> Download PDF file </a> </div> </div></div> </div><script> $(function() { // Top fixed box: (function() { var $topBoxElements = $('.articleGalleys a, .suppFilesContainer, .corrFilesContainer, .aDFHeader, .toc-mobile'); new _v.topSwimBox($topBoxElements, $('.dummyBox .blockContent')); })(); }); </script> </div> <script type="text/javascript" src="https://journals.viamedica.pl/plugins/generic/vLayout/public/js-0458/article/_exportCitations.js"></script> <script> (function() { $('.corresponding-address-container').each(function() { var $corresp = $(this); if ($corresp.text().trim()) { var $cloned = $corresp .clone() .attr("class", "corresponding-address-box") ; var $boldLabels = $cloned.clone().html(''); $cloned.find("> *").each(function() { var $line = $(this); if ($line.text().trim()) { var html = '<p>' + $line.text().replace(/^([^:]+?\:)/, "<strong>$1</strong>") + '</p>'; } $boldLabels.append($(html)); }); $boldLabels.insertAfter('.articleLandingPage .articleAbstract'); return false; } }); $('.head-info-container').each(function() { var $headInfo = $(this).clone(); var $p = $headInfo.find("p"); if (!$p.length) { var $newP = $('<p class="head-info-dummy"></p>'); $newP.html($headInfo.html()); $headInfo .html('') .append($newP) ; $p = $headInfo.find("p"); } $p.each(function() { var $par = $(this); var parHtml = $par.html().replace(/<br[ /]*>/g, '</p><p>'); $par.html(parHtml); }); $headInfo.find("p").each(function() { if ($(this).html().trim() === '') { $(this).remove(); } }); $('<div class="headInfoContainer"></div>') .append($($headInfo.html())) .insertBefore($('.articleTitle')) ; }); })(); </script> <style> @media screen and (max-width: 991px) { .block.leftColumn > .blockContent > .block:not(.vEmpty) { margin-bottom: 0px; } } </style> <div> <script> window.dataLayer = window.dataLayer || []; function gtag() { dataLayer.push(arguments); } if(localStorage.getItem('consentMode') === null) { gtag('consent', 'default', { 'functionality_storage': 'denied', 'security_storage': 'denied', 'ad_user_data': 'denied', 'ad_personalization': 'denied', 'ad_storage': 'denied', 'analytics_storage': 'denied', }); } else { gtag('consent', 'default', JSON.parse(localStorage.getItem('consentMode'))); } document.addEventListener('DOMContentLoaded', function() { const banner = document.getElementById('cookie-consent-banner') const btnRejectAll = document.getElementsByClassName('cookie-btn-reject-all'); const btnAcceptSome = document.getElementById('btn-accept-some-modal'); const btnAcceptAll = document.querySelectorAll('.' + 'cookie-btn-accept-all'); const moreInfoLink = document.getElementById('btn-accept-some'); const moreInfoContent = document.getElementById('cookies-modal'); const consentModeFromStorage = localStorage.getItem('consentMode'); if (!consentModeFromStorage) { banner.style.display = 'block'; } //Changing checkboxes by class name var checkboxes = document.querySelectorAll('.analytics-cookie-input, .preferences-cookie-input, .marketing-cookie-input'); checkboxes.forEach(function(checkbox) { checkbox.addEventListener('change', function() { var className = checkbox.className; var isChecked = checkbox.checked; var checkboxesWithSameClass = document.querySelectorAll('.' + className); checkboxesWithSameClass.forEach(function(checkbox) { checkbox.checked = isChecked; }); }); }); let cookieConsent = { functionality: true, analytics: false, marketing: false, preferences: false }; function hideBanner() { banner.style.display = 'none'; } function hideModal() { moreInfoContent.style.display = 'none'; } function setConsent() { const consentMode = { 'functionality_storage': cookieConsent.functionality ? 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