Documenti di Didattica
Documenti di Professioni
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Benign Tumors
Benign Tumors
Endometrial Polyps
Sessile or pedunculated
projection of endometrium
Localized overgrowth of
endometrial glands and stroma
Single or multiple, most polyps
arise from fundus
Asymtomatic, bleeding
Tip may be necrotic and
inflamed or squamous
metaplasia
Removed by curettage or via
hysteroscopy
Benign Tumors
Uterine Leiomyoma
- General Consideration
Tumor of myometrium
Well-circumscribed, noncapsulated
Smooth muscle and fibrous
connective tissue
Myoma, fibromyoma, fibroma,
fibroid
The most common pelvic tumor
Intramural, submucous, subserous,
parasitic, intraligamentous
Benign Tumors
Uterine Leiomyoma
- Degeneration
Resulting from alteration
in the blood supply of
myoma
Hyaline, myxomatous,
calcific, cystic, fatty, red
or carneous, necrotic,
sarcomatous
May produce symptoms
and signs that require
treatment
May be confused with
sarcoma
Benign Tumors
Uterine Leiomyoma
- Symptoms
Abnormal uterine bleeding
Excess or prolonged menses, spotting
Pressure
On bladder: urinary frequency, urgency
On rectum: constipation
On ureter: hydroureter, hydronephrosis
Pain
Dysmenorrhea,
Pelvic heaviness or bearing down
Benign Tumors
Uterine Leiomyoma
- Myoma In Pregnancy
Infertility, abortion,
preterm labor, preterm
rupture of membrane
Red degeneration,
increased pressure
symptoms
Fetal malpresentation,
mechanical dystocia
Diminished uterine
contractility, postpartum
hemorrhage
Benign Tumors
Uterine Leiomyoma
- Diagnosis And Treatment
Diagnosis
Pelvic examination
Ultrasonography
Treatment
Observation
Asymptomatic, small, postmenopausal
Medical
Symptoms treatment
Reduce estrogen level
GnRH analogues
Surgery
Myomectomy, hysterectomy
Age, parity, future reproductive plans
Tumor embolization, RF, FUS
Benign Tumors
Endometrioma Of Ovary
Small, superficial
blue-black implants
Large hemorrhagic
cyst (chocolate cyst)
Pelvic pain,
dyspareunia, infertility
Medical or surgical
treatment
Benign Tumors