Uterine Leiomyoma: Clinical Profile At Civil Hospital, Ahmedabad
Uterine Leiomyoma: Clinical Profile At Civil Hospital, Ahmedabad
DOI:
https://doi.org/10.70284/njirm.v3i4.2069Keywords:
Fibroid, Leiomyoma, MenorrhagiaAbstract
Introduction: Fibroid is the commonest tumor of the reproductive tract. This study was carried out to observe the frequency of fibroids in relation to age, parity, type and method of diagnosis along with clinical manifestations. Material & Method: The material comprised of 100 specimens of lesions of uterus received from patients admitted in Civil Hospital, Ahmedabad. Among these 37 patients presenting with fibroid uterus were included in the study. All details of the case consisting of age & parity, clinical history, relevant investigations, gross features and microscopic features were noted. Observations: Out of the 100 cases, clinical diagnosis of leiomyoma was made in 30 cases and on confirmatory diagnosis by histopathological analysis leiomyoma was observed in 37 cases. Most cases were found in late reproductive and perimenopausal years (89.19%). Majority was multiparous (81.08%) and 5.41% were nulliparous. Menorrhagia was commonest (40.54%), pain was second common symptom (27.02%). Leiomyomas were multiple in 59.46% and commonest variety was intramural (67.57%). Conclusion: Leiomyomas are found frequently in late reproductive and perimenopausal years. Multiparous patients are found to have fibroids more frequently than nulliparous. Most leiomyoma were intramural. Menorrhagia was the commonest clinical feature observed in leiomyoma cases.
References
2. Benangiano G, Cronje H, Kivinen ST. BeZoladex (goserelin acetate) and anemic patient: results of a multicentre fibroid study. Fertility and sterility Amer J 1996; 66:223-8
3. Rein MS, Barbieri RL, Friedman AJ. Progesterone: A critical role in pathogenesis of uterine myomas. Am J Obst Gynecol 1995; 172(1)14-8.
4. Smith SK. Regulation of fibroid growth: time for a rethink? Br J Obst Gynaecol 1993; 100:977-8.
5. Mayer DP, Shipilov V. Ultrasonography and Magnetic resonance imaging of uterine fibroids. Clin North America 1995; 22:667-703
6. Dinaro FG, Bratta F, Romano F, Caradonna P. The diagnosis of benign uterine pathology using transvaginal endohysterosnography. In: Clinical Experiences in Obstetrics Gynecology 33rd edition. 1996.pp103-07
7. Bernard JP, Lecuru F, Darles C, Robin F, Taurelle R. Saline contrast sonohysterography as first-line investigation for women with uterine bleeding. Utrasound in Obstet Gynecol 1997:10:121-5.
8. Reddy DB and Malathy PM. fibromyoma uterus. J of obstet & gynecol of India. 1963; 13: page 54.
9. Masani KM. New growths of cervix and uterus. Fibromyomata. In: ATextbook of Gynecology. 8thEdition. Bombay; PopularPrakashan: 1982. P. 355-357.
10. Maureen A.Killacky and Robert S.Neuwirth.Evaluation and Management of the Pelvic Mass: A Review of 540 cases Vol.71, No.3 .March 1988.
11. Shakira Perveen, Subhana Tayyab. A clinicopathological review of elective abdominal hysterectomy. Journal of surgery Pakistan (international) 13 (1) January - march 2008.
12. Howkins and Bourne. New growth of the uterus: connective tissue tumors. In: Padubidri VG and Shirish N Daftray Editors Shaw’ Textbook of Gynecology. 10th edition, New delhi; Churchill Livingstone: 1989; pages 399-427.
13. Howkins and Bourne. New growth of the uterus: Connective tissuetumors. In: Shaw’s Textbook of Gynecology. 9th Ed. Bombay; B.I.Publications Pvt Ltd: 1985. P. 564-605.
14. Chhabra S, Meenakshi Jaiswal. Vaginal management of uterocervical myomas. J of Obstet & Gynecol of India. 1996; 46: 260-263.
15. Pinto Rosari Y. uterine fibromyomas. J of Obstet & Gynecol of India. 1968; 18: pages 101-107.
16. Layla S Abdullah. Hysterectomy: A clinicopathologic Correlation Bahrain Medical Bulletin, June 2006. Vol. 28, No.2:293-346