扬州大学：《妇产科学》课程教学课件（PPT讲稿）34 子宫平滑肌瘤 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

Leiomyomas of uterusCommonest tumors 25% of women,20% of female>30ydohavefibroid.Also called as “Fibroids"Estrogen responsive, regress after castration or menopause.Often rapid increase during pregnancy or during oralcontraceptive use,andregress aftermenopauseWhorls of smooth muscle,well demarcatedAsymptomatic, bleeding or Press on bladderAbortion, 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

CausesUnknownHyperestrogenemia?High response to estrogen?Heredity

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

Uterine leiomyomaCervicalCorporeal10%.90%·solitaryomultiple

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

Uterine leiomyomasubmucus15%Subserousonotcapsulated.20%Interstitial·65%

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

R

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Submucousmyoma

Submucous myoma

Leiomyomata Uterus5-374284

http://www.obgyn.net Leiomyomata Uterus