Abstract

Uterine Leiomyomas are most common benign lesions of the female genital tract 20% in the reproductive age group. It is a sex steroid responsive tumour originating as clonal expansion of individual myometrial cells. Translocation between chromosome 12 and 14 are more likely in large myomas. Deletions of long arm of chromosome 7 are found in small tumors. The symptoms are location dependant. 20 -50% are symptomatic. 75% are intramural fibroids, 15% submucous .Symptoms like Menorrhagia 80%, dysmenorrhoea, pelvic pressure symptoms, infertility, abdominal distension, pelvic pain and rarely undergo sarcomatous degeneration, torsion, capsular rupture. Isthmic fibroids are uncommon, produce symptoms early. Here is a rare case and unusual case of isthmic fibroid without any symptoms. Hence this rare case is reported.

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