Fibroid
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the most common benign uterine tumour, a simple approach to understand fibroid, pathology, diagnosis, modes of treatment
Fibroid
- 1. Fibroid
- 2. Definition :
- 3. Etiology :
- 6. Histogenesis
- 9. Pathology ... ... N ...... SSSS ...... CCC ...... M ...
- 10. type II
- 18. (B) Vascular
- 20. (3) Inflammatory
- 26. 6) Pressure symptoms Frequency, retensionof urine, incontinence,constipation(even obstipation? =IO), rarely hydronephrosis if compressing ureter ( in Cx fibroid). Large tumors may cause palpitation, orthopnia, dyspepsis. 7) Pregnancycomplications reccurent abortion in submucus ( space occupying ) in 40 % and after removal 20 %...
- 28. - Bimanual examination
- 29. Complications of fibrold : 1.Pathological (2ry) changesof fibroid. 2.Pregnancy complications. 3.Ruptureof surface vein causinginternalhge. 4.Impaction (incarceration): with cervical or posterior wall fibroid. 5.Pressure effects.(onbladder...., urethra......,ureter.....rectum....)
- 30. 6.Prolapse, chronicinversion, cervical elongation & obstruction. 7.Infertility (13 cases) & anemia. 8.Pseudo-meig's syndrome and polycythemia . 9.Elongation and stretch of thetube in broad ligament fibroid. 10.Anemia incase of bleeding. 11.Tortion uterus :very rare, in case of very large fundal subserous fibroid.
- 32. Investigations :
- 34. Treatment of Fibroids ....... Depends on :
- 35. (1) Expectant ttt ( observation) :
- 36. (2) Medical ttt : ...creats a state of hyperestrogenemia deprive the tumor from stimulus
- 39. (3) Surgical ttt : mainstay treatment or standard line
- 42. Hysterectomy
- 43. Hysterectomy
- 44. (4) Uterine Artery Embolization (UAE).
- 47. Relative Coagulopathy Renalimpairment Desire for futurefertility Uterine size >2024 weeks Prior salpingectomy or salpingo-oophorectomy Prior pelvic radiation Concurrent GnRH agonistuse Pedunculated:subserosal or submucousleiomyoma Large hydrosalpinx Severe contrast allergy