Fibroid - BY BY Mohammad A. Emam Prof. of Obstetrics and...

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BY BY Mohammad A. Emam Prof. of Obstetrics and Gynecology Mansoura Faculty of Medicine Mansoura integrated fertility center (MIFC) Egypt
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Epidemiology Epidemiology The commonest of all pelvic T. The commonest of all pelvic T. (1/3). (1/3). 20% of female > 30y do have 20% of female > 30y do have fibroid. fibroid. Childbearing life. Childbearing life. often enlarge during pregnancy   or  during oral contraceptive use, and regress after  menopause  
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Uterus Uterus deprived deprived from a baby from a baby consoles consoles itself with a itself with a fibroid. fibroid. M.Emam
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Causes Causes Unknown. Hyperestrogenemia. Infertility ?! Mechanical stress (lat wall + fundus).
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Pathology Pathology NIE: NIE: -Site - shape - size. - Consistency - cut section - capsule - Number - varieties.
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  Varieties of leiomyoma uterine cervical. Corporeal   extrauterine Round lig brood lig Recto-vog. Sept utero - sacral  Leiomyomotosis tunica M extension from Myoma 
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Uterine leiomyoma Corporeal 98% multiple    Cervical 1-2% solitary   
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M.Emam
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M.Emam
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Corporeal leiomyoma submucus 24% not capsulated  Subserous 18% Interstitial 58% 
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M.Emam
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M.Emam
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M.Emam
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Cervical leiomyoma Supravaginal cervix true (ant - post - central - combined) false (intralig - retraperit- not capsulated) Portiovaginalis small sessile polypoid
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CONSISTENCY CONSISTENCY Firm Firm Harder Harder (hyaline degeneration). (hyaline degeneration). Soft Soft (pregnancy-cystic degeneration). (pregnancy-cystic degeneration). Stony hard (Calcification) Stony hard (Calcification)
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Leiomyomata Uterus
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CUT SECTION Well demarcated Well demarcated surrounding muscle. surrounding muscle. whorly (intermingling muscle whorly (intermingling muscle fibers and fibrous tissue). fibers and fibrous tissue).
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Fibroid - BY BY Mohammad A. Emam Prof. of Obstetrics and...

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