Benign and malignant pathology of the uterus.
The diagnosis of a uterine myoma size and location can be very precise when a 3D sonograph and knowledge are available. The majority of fibroids are asymptomatic, and expectant management is recommended. In young patients, fibroids cause infertility and in middle-aged women, abnormal uterine bleedings. Laparoscopic myomectomy is the preferred way of surgery for IM and SS fibroids, versus hysteroscopy for SM fibroids. In both cases, the size, number of fibroids and the surgeon's experience determine the limitations of the MIGS. Medical treatments provide only temporary tumor reduction and symptom alleviation. Leiomyosarcoma risk is higher in older women usually carrying fibroids larger than 8 cm. There are no other pathognomonic parameters ruling out a sarcoma. In case of suspected fibroid malignancy, the best treatment option is laparotomy and total hysterectomy. Myomectomy complications can be reduced when MIGS is performed by a surgeon with proper training and experience.
['Tanos|V|V|', 'Berry|K E|KE|']
D062788:Adenomyosis D000367:Age Factors D005260:Female D013509:Gynecologic Surgical Procedures D006728:Hormones D006801:Humans D021621:Imaging, Three-Dimensional D007247:Infertility, Female D007889:Leiomyoma D007890:Leiomyosarcoma D008279:Magnetic Resonance Imaging D011446:Prospective Studies D012189:Retrospective Studies D012307:Risk Factors D014463:Ultrasonography D014594:Uterine Neoplasms
Laparoscopic myomectomy Hysteroscopic myomectomy Imaging Myoma and infertility Uterine fibroid Uterine sarcoma