Various Presentation of Myomas

Layla A.Al- Amir ,Abdul Ghany Al- dabbagh
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Keywords : Various Presentation ,Myomas
Medical Journal of Babylon  8:1 , 2014 doi:1812-156X-8-1
Published :2011

Abstract

A retrograde personal study of 12000 girls and women were attended the private clinic, gynecology clinic and infertility clinic in Babylon from 1978 to 2009 was made . The age group varied from 21 to72 years. It involved all stages of life ,before marriage ,late marriage ,during or without pregnancy and after menopause. The main symptoms were abdominal distension ,dull ache, menstrual disorders mainly bleeding ,infertility. During pregnancy pain and miscarriage. In my experience and follow up of the cases recurrence of the tumors occurred once or many time , patients succeed to get pregnancy after removal of the tumor but malignant change or transformation were minimum or negligible while on the whole the tumors were mostly benign in nature. All surgical complication treated and assisted by the surgeon.

Introduction

Uterine fibroid are the most common benign tumors of the female genital tract in their 30 s and 40s. It grow up during reproductive life up to 30%.[2] 77% of women could have fibroid with out knowing it .[3] Rare cases were reported of girls in pre pubertal age had small fibroids.[ 4] At least 25% of women in the united states have clinically symptomatic fibroids .[5] Other names of fibroids. Leiomyomata , myoma and fibromyoma .mostly they are solid, multiple masses or mass with slow growing .while, pale firm rubbery mass distinct from neighboring tissues .some time stony hard ( calcified).[5] Size varies from tiny pin point to a very big one .[6] The largest reported fibroid ever recorded weighed in at 140 pounds (63.5 kilograms) A uterine fibroid weighed 74 pounds has been reported.[ 7] .In my study the largest wt. 12 Kg. The incidence increase with age until menopause. Uterine fibroids are the most frequent Indication for hysterectomy in premenopausal women, so it is amajor public health issue.[8] In the united states 600,000 hysterectomise performed annually 200,000 of them are due to fibroids.[9]

Materials and methods

A study of 12000 girls and women was
done in Babylon over period of 29 years
from march 1978 till march 2009 .
The place of collection :

1- Private clinic .

2- Gynecology clinic in Hilla teaching
hospital and Babylon maternity hospital.

3- Family planning and birth control
clinic.

4- Infertility clinic.

5- At the time of operations other
conditions
The age group started from 21 to 72
years from different cities and
occupation.


Results

· From the 12000 girls and women with myomas over a period of 29 years ,some patient treated by reassurance ,wait and see and follow up. · Surgical treatment either by myomectomy or hysterectomy mostly abdominal. · Before surgery correction of anemia ,medical and surgical consultation is essential. · Consent from signature of patient ,husband or close relative for laparotomy, myomectomy or hysterectomy if massive bleeding or complications occurred . · All tumors should send for histopathological study. · Some operation were very major and difficult because of vascularity or deeply situation of the tumor and hugesized · Intestinal obstruction and adhesion were done by an efficient surgeon prof. Abdul Ghany AL-dabbagh . · Thanks god no death reported. 12 of tumors were malignant only 10 provered malignant ,all other were benign.

Discussions

N/A

Conclusions

· From the 12000 girls and women with myomas over a period of 29 years ,some patient treated by reassurance ,wait and see and follow up. · Surgical treatment either by myomectomy or hysterectomy mostly abdominal. · Before surgery correction of anemia ,medical and surgical consultation is essential. · Consent from signature of patient ,husband or close relative for laparotomy, myomectomy or hysterectomy if massive bleeding or complications occurred . · All tumors should send for histopathological study. · Some operation were very major and difficult because of vascularity or deeply situation of the tumor and hugesized · Intestinal obstruction and adhesion were done by an efficient surgeon prof. Abdul Ghany AL-dabbagh . · Thanks god no death reported. 12 of tumors were malignant only 10 provered malignant ,all other were benign.

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