Management of Uterine Leiomyoma at A Tertiary Care Hospital

Introduction: Fibroids or leiomyomas are benign slow growing tumours arising from smooth muscle, usually of the uterus, though it may arise from any of the organ having smooth muscle as its content. They are one of the commonest tumours affecting women of reproductive age group. Only about 30%...

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Bibliographic Details
Main Authors: Archana Sinha, Minu Sharan
Format: Article
Language:English
Published: JCDR Research and Publications Pvt. Ltd. 2015-04-01
Series:International Journal of Anatomy Radiology and Surgery
Subjects:
Online Access:http://www.ijars.net/articles/PDF/2038/2-%2012737_F(P)_PF1(AGAK)_PFA(AK).pdf
Description
Summary:Introduction: Fibroids or leiomyomas are benign slow growing tumours arising from smooth muscle, usually of the uterus, though it may arise from any of the organ having smooth muscle as its content. They are one of the commonest tumours affecting women of reproductive age group. Only about 30% of women diagnosed with fibroid become symptomatic. Aims and Objectives: The aim of our study was to evaluate uterine leiomyomas, their varying presentations and the treatment options available at our centre, a hospital of eastern India. Materials and Methods: This retrospective study was conducted in the Department of Obstretics & Gynaecology, IGIMS Patna, India, during August 2013 to September 2014. Fifty women diagnosed with uterine leiomyoma elsewhere and referred to us, were included in the study group. Patients were managed medically and surgically depending on age, parity ,desire for future pregnancy and severity of symptoms. The diagnosis of fibroid was confirmed post operatively by histopathological examination of the specimen in surgical patients. Conclusion: This study reconfirmed that uterine fibroid though asymptomatic in majority, can be mysterious in its presentations in few patients leading to diagnostic dilemmas. In this study we got some interesting locations like broad ligament fibroid & cervical fibroid confirmed on laparotomy. Also the myriad of treatment options available are very helpful to patients in choosing what would be best for them.
ISSN:2277-8543
2455-6874