By Togas Tulandi
Indicating a turning element for the longer term remedy of uterine fibroids, this research compares and contrasts traditional surgical remedies with the fast emergence of uterine artery embolization as a substitute and not more invasive strategy. Uterine fibroids, universal benign tumors of the uterus and pelvis, are the one commonest reason behind surgical procedure in ladies except childbirth. the quantity presents a really complete account of the epidemiology, pathology, analysis and administration of uterine fibroids.
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Additional resources for Uterine Fibroids: Embolization and other Treatments
Cystic Degeneration. Sagittal T2-weighted magnetic resonance image shows a large leiomyoma arising from the ventral myometrium (arrows). The areas of high signal within represent cystic degeneration. (Reprinted with permission from Wiley-Liss, New York. See Ref. 4c). 1'16 The low signal is generated by the more compact smooth muscle cells and compressed venous structures. 722 The differentiation of a leiomyoma from an adenomyoma, however, poses a greater challenge. 10c). MRI is highly accurate in differentiating submucosal leiomyomas from endometrial polyps by establishing the myometrial origin of the mass.
25. 26. leiomyoma: MR appearance. / Comp Ass Tomogr 18: 9258. Togashi K, Ozasa H, Konishi I, Itoh H, Nishimura K, Fujisawa I, Noma S, Sagoh T, Minami S, Yamashita K, Nakano Y, Konishi I & Mori T (1989). Enlarged Uterus: differentiation between adenomyosis and leiomyoma with MR imaging. Radiology 171:531-4. Hricak H, Finck S, Honda G & Goranson H (1992). MR imaging in the evaluation of benign uterine masses: value of gadopentetate dimeglumine-enhanced Tl-weighted images. Am J Roentgenol 158:1043-50.
The engorged vessels then result in thin atrophic endometrium that overlies a submucous myoma, which can contribute to heavy bleeding. The risk of malignant transformation of benign leiomyomas remains extremely rare. 29% of myomas have been reported to undergo malignant change. 15 Leiomyomatosis peritonealis disseminata is an unusual entity characterized by multiple small nodules composed of benign smooth muscle cells, fibroblasts, and myofibroblasts as well as decidual cells. They can implant both on the peritoneal surface of the abdomen and travel through the lymphatics.