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    Fibroid

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    Nirupama Ks
    Uterine fibroids are benign tumors that originate in the uterus. They appear as solid, round nodules on the uterus and microscopically resemble normal uterine cells. Fibroids can be located intramurally, subserosally, or submucosally. Common symptoms include menstrual disturbances, pressure symptoms, pain, and infertility. Risk factors include nulliparity, obesity, family history, and African racial origin. Diagnosis involves examinations like bimanual, ultrasound, MRI, and hysterosalpingography. Treatment options include watchful waiting, medical therapy using hormones, and surgical procedures like myomectomy, embolization, or ablation.

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    Fibroid

    Uploaded by

    Nirupama Ks
    101 views15 pages
    Uterine fibroids are benign tumors that originate in the uterus. They appear as solid, round nodules on the uterus and microscopically resemble normal uterine cells. Fibroids can be located intramurally, subserosally, or submucosally. Common symptoms include menstrual disturbances, pressure symptoms, pain, and infertility. Risk factors include nulliparity, obesity, family history, and African racial origin. Diagnosis involves examinations like bimanual, ultrasound, MRI, and hysterosalpingography. Treatment options include watchful waiting, medical therapy using hormones, and surgical procedures like myomectomy, embolization, or ablation.

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    Uterine fibroids are benign tumors that originate in the uterus. They appear as solid, round nodules on the uterus and microscopically resemble normal uterine cells. Fibroids can be located intramurally, subserosally, or submucosally. Common symptoms include menstrual disturbances, pressure symptoms, pain, and infertility. Risk factors include nulliparity, obesity, family history, and African racial origin. Diagnosis involves examinations like bimanual, ultrasound, MRI, and hysterosalpingography. Treatment options include watchful waiting, medical therapy using hormones, and surgical procedures like myomectomy, embolization, or ablation.

    Copyright:

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    Download as PPTX, PDF, TXT or read online from Scribd
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    101 views15 pages

    Fibroid

    Uploaded by

    Nirupama Ks
    Uterine fibroids are benign tumors that originate in the uterus. They appear as solid, round nodules on the uterus and microscopically resemble normal uterine cells. Fibroids can be located intramurally, subserosally, or submucosally. Common symptoms include menstrual disturbances, pressure symptoms, pain, and infertility. Risk factors include nulliparity, obesity, family history, and African racial origin. Diagnosis involves examinations like bimanual, ultrasound, MRI, and hysterosalpingography. Treatment options include watchful waiting, medical therapy using hormones, and surgical procedures like myomectomy, embolization, or ablation.

    Copyright:

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    Download as PPTX, PDF, TXT or read online from Scribd
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    UTERINE FIBROID

    A uterine fibroid (also uterine leiomyoma, myoma, fibromyoma, leiofibromyoma,

    fibroleiomyoma, and fibroma) is a benign tumour that originates from the myometrium and the accompanying connective tissue of the uterus.

    PATHOLOGY
    Leiomyomas grossly appear as round, well

    circumscribed (but not encapsulated), solid nodules


    that are white or tan, and show whorled appearance

    on histological section
    Microscopically, tumor cells resemble normal cells (elongated, spindle-shaped, with a cigar-shaped nucleus) and form bundles with different directions (whorled).

    LOCATION
    Intramural fibroids Subserosal fibroids Submucosal fibroids Cervical fibroids

    SYMPTOMS
    Menstrual disturbance Pressure symptoms Pain: Sub- fertility Obstetric complications Abdominal discomfort or bloating Back ache

    PREDISPOSING FACTORS
    Nulliparity Obesity Family history African racial origin

    TYPES OF FIBROID DEGENERATION


    Atrophy Red degeneration Hyaline degeneration Calcareous degeneration

    Sacromatous changes
    Calcification of fibroid

    DIAGNOSIS
    Bimanual examination gynaecologic USG Magnetic resonance imaging hysterosalpingography

    TREATMENT
    Asymptomatic treatment. periodically most cases of fibroids are managed by "watchful waiting" fibroids Patients do are not require

    reevaluated

    Medical therapy
    Gonadotrophin releasing hormone analogues Leuprolide (lupron) 3.75 mg IM

    progesterone antagonists

    Exogenous progestins
    Medroxyprogesterone (PROVERA) acetate

    5 to 10 mg po once/day
    Megestrol( Megace) acetate 10 to 20 mg po

    once/day given 10 to 14 days each menstrual


    cycle can limit heavy bleeding

    Depot medroxyprogesterone (provera) acetate


    150 mg IM q 3 mo

    Antiprogestins Selective estrogen receptor modulators Danazol, an androgenic agonist NSAIDs

    SURGERY
    myomectomy

    hysterosccopic myomectomy
    laparoscopic myomectomy laprotomic myomectomy Robotic Myomectomy with da Vinci Surgical Robot

    UTERINE FIBROID EMBOLIZATION MYOMA COAGULATION RADIOFREQUENCY ABLATION HIGH INTENSITY FOCUSED ULTRASOUND

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