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Fig 1.

The description of our new ultrasound grading system for CSP.

Grade I CSP represented the depth of CSP embedded in less than one-half thickness of the lower anterior corpus. Grade II CSP implied CSP occupied more than one-half thickness of the lower anterior corpus. In grade III CSP, the GS bulged out the overlying myometrium and uterine serosa. In grade IV CSP, the GS became an amorphous tumor with rich vascularity at the cesarean scar.

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Fig 1 Expand

Table 1.

Demographic characteristics (n = 109).

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Table 1 Expand

Fig 2.

Outcome and complications in surgical patients with different grading of CSP (n = 78).

TCR: Transcervical resection by hysteroscopy; LSC: Laparoscopic hysterotomy; BT: Blood transfusion; BL: Blood loss; Laparotomy: hysterotomy via mini-laparotomy or conventional laparotomy; UAE: uterine artery embolization.

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Fig 2 Expand

Table 2.

Linear regression analysis for the invasiveness of surgery and the ultrasound grading.

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Table 2 Expand

Fig 3.

Outcome and complications of the patients receiving chemotherapy (n = 31).

Foley: uterine tamponade by Foley catheter. BT: blood transfusion; TCR: transcervical resection by hysteroscopy; Laparotomy: hysterotomy via mini-laparotomy or conventional laparotomy. UAE: uterine artery embolization. BL: blood loss.

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Fig 3 Expand

Table 3.

The result of methotrexate treatment in different ultrasound gradings.

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Table 3 Expand

Table 4.

Comparisons of demographic characteristics for successful and failed treatments of methotrexate injection.

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Table 4 Expand