Medicine an Surgery notes

Apr 24th, 2015
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UTERINE MYOMASAn Overview of Development, ClinicalFeatures, and Management R2 1/30INDEX Clinical Manifestations Growth Patterns Therapy1. MyomectomyHysteroscopic MyomectomyLaparoscopic MyomectomyUterine Artery EmbolizationHormone Therapy- Progestins- GnRHa2/30CHARACTERISTICS The most common solid pelvic tumors in women- occurring in 20~40% of women during theirreproductive years Benign tumors that originate from smooth muscle cellsof the uterus Consists of uterine smooth muscle tissue as well asfibrous tissues Size : seedlings ~ large tumors3/30CHARACTERISTICS Types1) intramural- found within the myometrium2) subserous- externally extending to the serosa3) submucous- internally impinging on the uterine cavity4) pedunculated5) extend through the internal os of the cervix4/30CHARACTERISTICS Estrogen-dependent tumors- associated with exposure to circulating estrogen- decrease in size during menopause- maximum growth: when estrogen secretion is maximal, spurt ingrowth in the decade before menopause(anovulatory cycles with unopposed circulationestrogen)- occasionally grow during pregnancy(caused by estrogen)5/30CLINICAL MANIFESTATION1. Most patients with uterine myomas are symptom-free2. Excessive menstrual bleeding- the only symptom produced by myomas- obstructive effect on uterine vasculature proxim

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