TRACT THEY OCCUR IN 2030 OF WOMEN ABOVE THE AGE OF 30 YEARS UTERINE FIBROID THEY ARE ABOUT 39 TIMES MORE COMMON IN THE BLACK THAN IN THE WHITES THEY ARE USUALLY MULTIPLE AND OF VARIOUS SIZES 90 OF THEM CEASE TO GROW AND EVEN REGRESS AFTER ID: 917994
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UTERINE FIBROID IS ALSO KNOWN AS MYOMA OR LEIOMYOMA. IT IS THE COMMONEST TUMOUR OF THE FEMALE GENITAL TRACTTHEY OCCUR IN 20-30% OF WOMEN ABOVE THE AGE OF 30 YEARS
UTERINE FIBROID
Slide2THEY ARE ABOUT 3-9 TIMES MORE COMMON IN THE BLACK THAN IN THE WHITESTHEY ARE USUALLY MULTIPLE AND OF VARIOUS SIZES 90% OF THEM CEASE TO GROW AND EVEN REGRESS AFTER MENOPAUSE
Slide3AETIOLOGY AETIOLOGY IS UNKNOWNFIBROID HAVE A FAMILIAL TENDENCY AND TEND TO OCCUR IN NULLIPAROUS OR RELATIVE STERILE WOMEN.
Slide4TYPES OF FIBROIDSTHEY ARE CLASSIFIED ACCORDING TO THEIR LOCATION IN THE UTERUSSUBSEROUS FIBROIDS ARE LOCATED BENEATH THE PERITONEAL COVERING OF THE UTERUSSUBMUCOUS FIBROIDS ARE LOCATED BENEATH THE ENDOMETRIUM: THEY MAY GROW OUT INTO THE CAVITY AS POLYPS.
INTRAMURAL FIBROIDS ARE LOCATED WITHIN THE UTERINE MUSCLE. THE MAY CAUSE THE UTERUS TO BE MARKEDLY ENLARGED.
CERVICAL FIBROIDS ARE LOCATED IN THE CERVIX
Slide5PATHOLOGICAL CHANGES IN FIBROIDSTHEY ARE POORLY SUPPLIED WITH BLOOD VESSELS AND MAY OUTGROW THE BLOOD SUPPLY AND THIS MAY RESULTS IN DIFFERENT
Slide6TYPES OF DEGENERATIONSHYALINE DEGENERATIONS: THIS IS FORMED IN LARGE FIBROIDS, THE CENTRE AREA UNDERGO NECROSIS DUE TO INADEQUATE BLOOD SUPPLY.
CYSTIC DEGENERATION:
THIS MAY FOLLOW HYALINE DEGENERATION AND BROKEN DOWN TISSUE FORM FLUID WITH CYSTIC SPACES.
CALCAREOUS DEGENERATION
: CALAFICATION FOLLOWING CALCIUM DEPOSITS. THIS OFTEN FOUND IN POST-MENOPAUSAL WOMEN.
RED DEGENERATION:
THIS IS CAUSE BY ACUTE INTERFERENCE WITH BLOOD SUPPLY DUE TO THROMBOSIS. THE TUMOUR SWELLS AND BECOME RED IN COLOUR. IT OCCURS MOSTLY IN THE MID-PREGNANCY OR THE PURERPERIUM.
Slide7MALIGNANT DEGENERATION: THIS IS INFORM OF SARCOMAS, WHICH IS VERY RARE. OTHER CHANGES: TORSION OF PEDUINCULATED FIBROID, INFECTIONS AND NECROSIS . FIBROIDS MAY BE IMPACTED IN THE POUCH OF DAUGLAS CAUSING
URINARY
RETENTION AND CONSTIPATION.
Slide8CLINICAL FEATURES OF FIBROIDSTHIS DEPEND ON THE SIZE, LOCATION IN THE UTERUS ABOUT 25% OF WOMEN WILL EXHIBIT ONE OF THE FOLLOWING SYMPTOMS OR COMPLICATIONS
Slide9MENORRHAGIAPRESSURE SYMPTOMS PAIN WHEN THERE IS RED DEGENERATION, IN PREGNANCY OR TORTION OF A PEDUNCULATED FIBROID .UTERINE FIBROIDS AND INFERTILITY: THEY ARE OFTEN FOUND IN WOMEN WHO ARE INFERTILITY ABOUT 40% OF WOMEN HAVING THEIR INFERTILITY RESTORED AFTER TREATMENT OF
FIBROIDS
Slide10DIAGNOSIS CLINICAL PALPATION OF HARD MASSULTRASONOGRAPHY- DEFINITIVE DIAGNOSEX-RAY MAY SHOW CALCIFIED FIBROIDS
HYSTEROSALPMGOGRAM
MAY REVEALED
Slide11TREATMENTSMEDICAL – ZOLADEX OR DANAZOL SURGICAL- MYOMECTOMIES: WOMEN NOT COMPLETE HER FAMILY, HYSTERECTOMY
FOR OLDER WOMEN AND THOSE WHO HAVE COMPLETED THE NUMBER OF CHILDREN
WANTED
Slide12ALTERNATIVE TREATMENTS OF FIBROIDS INCLUDE UTERINE ARTERY EMBOLIZATION (UAE).
Slide13PHOTO
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