Oncology and Fibroids
Fibroid causes all the following except (AIPG 2007)
a. Symptoms of fibroid are:
i. Menorrhagia, polymenorrhea and metrorrhagia
ii. Infertility, recurrent abortions
iv. Abdominal lump
v. Pressure symptoms
vi. Vaginal discharge
vii. Around 50% women are asymptomatic.
b. Important points:
i. These are benign neoplasms occurring in 5-20% of women in reproductive age group.
ii. Oestrogen dependance on growth is most imp etiological factor, so rare before puberty and after menopause.
iii. Calcification begins at periphery whereas degeneration begins in central portion.
iv. Distribution of myoma in body of uterus isintramural (75%), submucous (15%) and subserous (10%).
v. Red degeneration is seen in 2nd half of pregnancy and needs conservative management.
vi. Sarcomatous change is seen in 0.5% of all myomas. It occurs in post-menopausal women and charecterised by sudden growth, pain and post-menopausal bleeding.
vii. Endometrial ca is associated with fibromyomas in women over 40 yrs of age in 3% cases.