1. Types of ovarian fibroma
2. causes of fibroids
3. Clinical manifestations
4. Diagnosis and treatment of ovarian fibroma
Among benign ovarian fibroma formations on the proportion accounted for 10%.This is a relatively rare, non-functioning, malosimptomno tumor, often one-sided.Fibroma is the formation of dense connective tissue clear, round or ovoid shapes, sizes, which range from one to twelve centimeters in diameter.Advantageously, fibroma occurs in old age, but can occur in younger women, starting from the time of puberty.
At small sizes, up to three centimeters in diameter, fibroids do not cause complaints and does not interfere with the normal onset and nurturing pregnancy.Often, such fibroids detected by chance during a routine physical examination.
first complete clinical and pathological and morphological picture of fibroma, described the German gynecologist Kivish RA in 1857Education has a smooth or knobby surface, the presence of tumor pseudofield consisten
Since fibroids generally poor in blood vessels, the tumor on the cut has a white or gray-white color and fibrous structure.If education is developing quite a long time, on a section in the center of the tumor lesions are observed ischemia, hemorrhage, necrosis, or degenerative changes of the brown-red hue.Histologically fibroma is composed of spindle-shaped bundles of connective tissue, which are closely intertwined in different directions.
By macroscopic structure distinguish two separate forms of ovarian fibroma:
diffuse fibroids are much more common.Histologically, these two forms differ in a great variety and do not consist of a fibrous substance and cell components in different proportion.Tissue formation usually swollen and often contain cysts.Fibroma - tumor is slow-growing, but if tissue degenerative changes occur, tumor growth can be accelerated.
There are complications of ovarian fibroma - torsion legs, hemorrhage, necrosis, tumor fester, degenerate into a malignant form.
exact causes of the emergence and development of ovarian fibroids are not installed.It is believed that the formation of developing ovarian stroma, but in some cases the fibroid is formed from a fibrous tissue non-specific.One factor is the risk of tumor development premorbid unfavorable background women, which includes endocrine disorders, decreased immune defenses, chronic inflammation of the ovaries and appendages.Fibroids often observed together with a cyst of the ovary and uterine cancer and may have a similar etiology of development.
a long time, all the symptoms of ovarian fibroma may be missing.Small fibroids, up to three centimeters in diameter, occur completely asymptomatic, with preservation of ovarian function.Symptoms of ovarian fibroids begin to appear when the formation reaches a considerable size and starts to put pressure on adjacent pelvic organs.
Gradually appears anemia develops Meigs' syndrome, which is manifested ascites, abdominal distention, frequent pain, palpitations, fatigue, shortness of breath and general weakness.Clinical symptoms of ovarian fibroids occur more often with symptoms of ascites, and in 40% of cases develop poliserozita - exudative fluid collects in the pleural, peritoneal cavity, pericardium bag.Disease severity is determined by the compression of the liquid bodies.
combination of symptoms of fibroids and ovarian full triad Meigs (ascites, anemia, hydrothorax), in some cases indicate ovarian cancer.
For quite a long period of ovarian fibroma runs completely asymptomatic and can be detected by chance during abdominal surgery or ultrasound examination.One of the most important diagnostic sign of fibroids is greater mobility and density of education that distinguish fibroids from the uterus myoma subzeroznogo node.The main role in the differential diagnosis of Meigs syndrome is the presence of a tumor and one-sidedness.
The diagnosis can be based on the clinical manifestations of disease, examination of the gynecologist, laboratory results (blood tests, tumor markers HE4, CA125), instrumental methods (CT, MRI, pelvic ultrasound) and the data of histological examination of the tumor tissue.
gynecological examination is determined by the presence of the back or the side of the uterus rounded education, painless and mobile.If necessary the pleural puncture or puncture the abdominal cavity for cytology obtained transudate.
Conservative treatment of ovarian fibroma is not carried out, because it does not make sense, medical education is not subject to resorption.Treatment of ovarian fibroma only operative.The nature of the access and the full scope of surgical intervention depends entirely on the size of the tumor, patient age, comorbidities and existing state of the uterus and the other ovary.
removal of the tumor with a small amount, usually performed laparoscopically gentle way.Fibro just husks together with the capsule while keeping the generative and menstrual ovarian function.With a large amount of the tumor, ovarian tissue as a result of the constant squeezing and stretching, most often reshaped into a capsule of ovarian cysts and follicles completely atrophied.In this case, treatment of ovarian fibroma is complete removal of the ovaries.After surgery phenomenon hydrothorax and ascites completely disappear.With bilateral lesions of the ovary, always leave at least part of the affected ovary.
Specific prevention of fibroids does not exist.The prognosis after surgical treatment is favorable, the probability of degeneration of fibroids ovarian malignancy in 1% of all cases.After the restorative treatment course is possible to plan pregnancy.To the disease has been detected in time, it is necessary at least once a year, be inspected by a gynecologist and perform a pelvic ultrasound.
This article is available exclusively in the educational purposes and is not research material or professional medical advice.
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