Abstract
Introduction: Leiomyomas are usually asymptomatic. Symptoms may be seen depending on their size, location and hormonal effects. It is the most common uterine tumour seen in gynaecological practice. Knowledge of clinical features and histopathological changes are helpful. Methods: The present cross-sectional study included 109 cases of uterine fibroid. Clinical details and findings of histopathological examination were noted. Results: Most of the patients belonged to the age group of 50-60 years. Menstrual irregularities were seen in 71.6% of cases. 39.4% suffered from abdominal pain and infertility was seen in 11.9% cases. In 70.6% of cases, proliferative endometrium was found. Secretory endometrium was seen in 13.8% and atrophic in 10.1%. Most of the cases had intramural fibroid (58.7%). It was subserosal in 19.3% cases and submucosal in 4.6%. Hyaline degeneration was seen in 20.2% cases, cystic degeneration in 4.6% and myxoid degeneration in 3.7%. 67.9% of cases did not show any degeneration. Conclusion: Hyaline degeneration, myxoid degeneration and cystic degeneration are the commonly seen secondary changes. Proper diagnosis and timely management are essential for the management of these tumours.
Highlights
Symptoms may be seen depending on their size, location and hormonal effects. It is the most common uterine tumour seen in gynaecological practice
Menstrual irregularities were seen in 71.6% of cases. 39.4% suffered from abdominal pain and infertility was seen in 11.9% cases
These constitute 510% of all these tumours [1]. These are known as uterine leiomyomata, Uterine leiomyomas or uterine myomas and are benign growth of uterine smooth muscles which are accompanied by connective tissue
Summary
Uterine fibroids are one of the common benign tumours of uterus seen in women of reproductive age group. These constitute 510% of all these tumours [1]. These are known as uterine leiomyomata, Uterine leiomyomas or uterine myomas and are benign growth of uterine smooth muscles which are accompanied by connective tissue. Their predominant occurrence in the reproductive age group is associated with concurrent expression of higher levels of oestrogen receptors and they tend to shrink.
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