复旦大学附属妇产科医院：《妇产科学》课程教学资源（PPT课件讲稿）Leiomyomas of uterus

子宫肌瘤 Leiomyomas of uterus 复旦大学妇产科医院 徐丛剑

子宫肌瘤 Leiomyomas of uterus 复旦大学妇产科医院 徐丛剑

Leiom yomas of uterus Commonest tumors 25% of women 20% of female 30y do have fibroid Also called as" fibroids Estrogen responsive, regress after castration or menopause Often rapid increase during pregnancy or during oral contraceptive use, and regress after menopause Whorls of smooth muscle. well demarcated Asymptomatic, bleeding or Press on bladder Abortion, malpresentation etc

Leiomyomas of uterus • Commonest tumors 25% of women，20% of female > 30y do have fibroid. • Also called as “Fibroids” • Estrogen responsive, regress after castration or menopause. • Often rapid increase during pregnancy or during oral contraceptive use, and regress after menopause • Whorls of smooth muscle, well demarcated • Asymptomatic, bleeding or Press on bladder • Abortion, malpresentation etc

Causes Unknown Hyperestrogenemia? High response to estrogen? heredity

Causes • Unknown. • Hyperestrogenemia？ High response to estrogen? • Heredity

Uterine leiomyoma Cervical Corporeal 10 ●90 ● solita multiple

Uterine leiomyoma Corporeal •90% •multiple Cervical •10% •solitary

Uterine leiomyoma submucus Subserous 15 ●20% onot capsulated Interstitial 659

Uterine leiomyoma submucus •15% •not capsulated Subserous •20% Interstitial •65%

Submucous myoma

Submucous myoma

Leiomyomata Uterus

http://www.obgyn.net Leiomyomata Uterus