Classification of myoma node
uterine fibroids – the classification of myoma node
Types of myomatous
Uterine fibroids – a benign tumor that consists of smooth muscle cells and connective tissue elements. It can be solitary, but more often are multiple nodes. More common in women 30 to 40 years of age.
Tumor growth was initially based on the myometrium, then localization can be limited to purely muscular layer of the uterus (intramural sites) or as a result of further growth will form submucous (propagating in the submucosal layer of the uterus) or subserous (increasing towards the abdominal cavity) sites.
Types of myomatous
According to the classification, which is based on the size, location and number of myomatous nodes, are the following types:
I. One or multiple intramural or subserous nodes smaller than 3 cm, while submucous nodes are missing.
II. Same thing, but at the same sites from 3 to 6 cm
III. Same size units in a 6 cm
IV. Suspected or proven presence of submucous node in an existing unit or multiple intramural or subserous nodes of any size.
In addition to localization in the body of the uterus, fibroids can be detected in the cervix, the fallopian tubes, round and rectouterine ligaments, vagina, vulva, gastro-intestinal tract.
Clinic of the disease depends on the size, number and location of the myoma nodules. For intramuscular and submucosal localization characteristic gipermenstrualny syndrome and acyclic bleeding, which are then often the cause of anemia.
Uterine fibroids on ultrasound
Submucous fibroids, which serve far into the uterine cavity, may provoke the emergence of cramping pain. Interstitial and subserous fibroids grow slowly are often accompanied by aching pain in the abdomen, pulling character. With the rapid growth of such tumor localization (increasing the size of fibroids for a year for 4 or more weeks gestation), pain becomes a significant expression.
If the size of myoma nodes corresponding to 10-12 weeks gestation or more, mezhsvyazochnoy, subperitoneal or cervical localization can be disrupted function of neighboring organs. Due to compression of the bladder tumor occurrence frequent urination. Clamping the urethra triggers uterine retention. Possible compression of the ureter, it causes the development of hydroureter, hydronephrosis, and in the future, and pyelonephritis. Large myoma nodes posterior wall of the uterus can cause constipation.
There are small uterine fibroids, which are accidental finding during routine inspections.
Due to the fact that the size, number and location of myoma nodes define the tactics of the patients and the subsequent forecast, the survey should be carried out most carefully, using the most advanced diagnostic and treatment approach should be individualized and complex.
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