LeiomyomaMy sister has benn diagnosed to have utrine fibroid, named leiomyoma,
her symptoms are as follows,
bleeding of dark colour,having clots with little pain, pelvic pain, leucorrhoea whitish, sometime clots,aggravates after menses,
back pain , can not sit on foot for long,pulsating headache, if worried, numbness of hands,
constipation, stool after 2 days, flatus rumble in abdomen ,and passing the flatus give relief,
salivation during sleep not often,
desire to drink cold water,
likes open air,
food desire, tea, and rice .
cramps in legs at night, and when these occur she has to stand .
please help .
showbuckhy on 2006-01-22
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21. Aggravation & Amelioration
Dr. Deoshlok sharma
♥ deoshlok last decade
know your disease
Uterine leiomyomas, commonly known as fibroids, are well-circumscribed, non-cancerous tumors arising from the myometrium (smooth muscle layer) of the uterus. In addition to smooth muscle, leiomyomas are also composed of extracellular matrix (i.e., collagen, proteoglycan, fibronectin). Other names for these tumors include fibromyomas, fibromas, myofibromas, and myomas.
Leiomyomas are the most common solid pelvic tumor in women, causing symptoms in approximately 25% of reproductive age women. However, with careful pathologic inspection of the uterus, the overall prevalence of leiomyomas increases to over 70%, because leiomyomas can be present but not symptomatic in many women. The average affected uterus has six to seven fibroids.
Leiomyomas are usually detected in women in their 30's and 40's and will shrink after menopause in the absence of post-menopausal estrogen replacement therapy. They are two to five times more prevalent in black women than white women. Risk for developing leiomyomas is also higher in women who are heavy for their height and is lower in women who are smokers and in women who have given birth. Although the high estrogen levels in oral contraceptive pills has led some clinicians to advise women with leiomyomas to avoid using them, there is good epidemiologic evidence to suggest that oral contraceptive use decreases the risk of leiomyomas.
Leiomyomas are classified by their location in the uterus. Subserosal leiomyomas are located just under the uterine serosa and may be pedunculated (attached to the corpus by a narrow stalk) or sessile (broad-based). Intramural leiomyomas are found predominantly within the thick myometrium but may distort the uterine cavity or cause an irregular external uterine contour. Submucous leiomyomas are located just under the uterine mucosa (endometrium) and, like subserosal leiomyomas, may be either pedunculated or sessile. Tumors in subserosal and intramural locations comprise the majority (95%) of all leiomyomas; submucous leiomyomas make up the remaining 5%.
Although this classification scheme is widely used by clinicians, it suffers from the limitation that few leiomyomas are actually a single "pure" type. Most leiomyomas span more than one anatomic location and, therefore, are hybrids (e.g., a predominantly intramural leiomyoma with a submucous component). Other types of leiomyomas include "parasitic" myomas, which receive their blood supply from structures other than the uterus (e.g., the omentum), and seedling myomas, which have a diameter of less than or equal to four millimeters.
Transformation of uterine leiomyomas (benign) to uterine leiomyosarcomas (malignant smooth muscle tumors of the uterus) is extremely rare, and, in fact, many researchers and clinicians believe this type of transformation never occurs. However, without pathologic examination of the uterus, this determination is not possible. Uterine leiomyosarcomas are found in approximately 0.1% of women with leiomyomas and are reported to be more frequently associated with large or rapidly growing fibroids. Therefore, surgical intervention may be undertaken in women with these types of tumors to rule out leiomyosarcoma, a rare but medically important lesion.
♥ deoshlok last decade
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