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%