| ID | 314 |
|---|---|
| Name | FIBROID (Myoma/Leiomyoma Fibromyoma) |
| Cause | |
| Signs Symptoms | |
| Diagnosis | Differential diagnosis: 1. Adenomyosis 2. Ovarian tumour 3. Tubo-ovarian mass |
| Investigations | |
| Management | |
| Introduction | It is a benign tumour arising from myometrium. It commonly occurs in nulliparous, relatively in fertile women. |
| History | |
| Etiology | |
| Clinical Features | Clinical feature: 1. Asymptomatic-in majority cases. 2. Menstrual disturbance-a. menorrhagia (common) b. dysmenorrhoea c. continuous & irregular bleeding & discharge. 3. Painless mass in lower abdomen. 4. Pressure symptoms-a. seanse of weight b. dyspepsia, constipation c. increased diurnal frequency d. oedema of the leg& vericosity 5. General symptoms- anorexia, palpitation, loss of weight & malaise. Signs- On general exam: Anemia, increased pluse rate & blood pressure. On per abdominal exam: A round, smooth, lobulated, nontender, firm & hard mass in the abdomen, which moves from side to side but not from above downward, & dull on percussion. On per vaginal exam: Cervix moves with movement of mass & mass cannot be separated from the uterus. To confirm diagnosis: Investigation- ultrasonogram |
| Preventions | |
| Treatment | Treatment: A. Conservative treatment- 1. Correction of anemia by hematinics (e.g iron, vitamin) & blood transfusion if required. 2. Palliative treatment- methyl testosterone 5mg sublin-gually twice daily for 2 months to prevent menorrhagia. B. Surgical treatment- 1. Young patient & family incomplete- myomectomy to be done. 2. Older patient (> 40 years) with complete family- hysterectomy should be done. C. Radiotherapy- when operation is contraindicated. |
| Complications | |
| Prognosis | |
| Types | |
| Classification | |
| Observation | |
| Pathology |
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