Uterine flesh tumour is not benign!Ten years of neglect, she “lost” her uterus

2022-05-09 0 By

Uterine fibroids are a common disease in women and usually occur between the ages of 30 and 50.When you have classics quantity increase, period prolongs, leucorrhea increase, next abdomen falls bilge, lumbar acerbity backache wait for a symptom, want to be careful, likely meeting is unfortunate in move.Having said that, we also need not smell “tumor” fear, because the vast majority of uterine fibroids are benign.Only, suffer from uterine fibroids generally do not have obvious symptoms, not easy to be found.Ten years old in the absence of review, uterine fibroids increase, benign turn malignant recently, 39 years old married did not have the pony, because of infertility mu name found jiangsu province hospital of traditional Chinese and Western medicine obstetrics and gynecology director, director of doctor Wan Guiping see a doctor.He told me that he found uterine fibroids in his physical examination ten years ago. Since the tumor was small at that time and there was no discomfort, he followed the doctor’s advice for regular review.Later, I was busy with my work and neglected. I found that the uterine posterior wall had a diameter of 5 cm or so low echo nodules before my pregnancy in the past two years, and the uterine fibroids had grown to be as big as peaches. Blood was taken to check tumor markers and they were normal, but it had been infertile.Considering the pony’s recent fibroid enlargement and infertility, Director Wan Guiping suggested that surgery should be done as soon as possible.”This is a common case of patients with uterine fibroids. The risk of the operation of the pony lies in the obvious enlargement of the fibroids in the short term, so it is necessary to guard against the possibility of malignant transformation of the uterine fibroids. Therefore, adequate preventive measures should be taken during the operation, including complete peeling of the fibroids, putting them into protective sleeves and then cutting them out to prevent the fibroids from scattered in the abdominal cavity and causing planting.”Director wan said.After making sufficient preoperative preparation, Director Wan Guiping performed the operation to completely remove the fibroids of the posterior uterine wall of the patient under the endoscope.However, fibroids were found to have obvious degeneration, brittle texture and look like rotten fish meat during the operation. Postoperative pathology indicated uterine smooth muscle malignant tumor, and comprehensive staging surgery was performed for the tumor, followed by postoperative adjuvant radiotherapy and chemotherapy.The pony recovered very smoothly, but unfortunately, because of the high degree of malignancy of the tumor, he failed to retain the uterus and lost the right to be a mother forever.Regular review is key, the treatment should master “golden period” although most uterine flesh tumor is benign, also have denaturation possibility however.Flesh tumour denaturation is flesh tumour loses original typical structure, common denaturation has vitreous appearance change, bursa sex change, red denaturation, calcification and sarcoma appearance change.Once malignant lesions occur, the degree of malignancy is often high, and most of the prognosis is very poor.Leiomyosarcomas account for 2% to 4% of uterine malignancies and 1% of female malignancies.The clinical manifestations are not specific and most of them are found by chance after hysterectomy or myomectomy.Director wan guiping pointed out that the larger the tumor, the higher the possibility of leiomyosarcoma of uterus, especially the tumor larger than 6 or 7cm.All women should have regular physical examinations, regular ultrasound examination, if found significantly increased fibroids, or even irregular vaginal bleeding, abdominal pain, abdominal mass or compression symptoms, need to go to the hospital.Correspondent Yin Shuyue tang Weiwei Yangtse Evening News/Ziniu News reporter Yang Yan proofread Su Yun