×
ORGINAL ARTICLE
CLINICAL PROFILE OF CASES WITH LEIOMYOMA
Lalitha S M1,Asha T2,Priyanka A A3
1Senior Resident, Dept. of OBG, Kamineni Institute of Medical Sciences, Narketpally
*2Professor, Dept. of OBG, Kamineni Institute of Medical Sciences, Narketpally
Abstract
Introduction: Uterine leiomyomas are the most common benign tumours in women of
reproductive age group. They are symptomatic in 50% of cases with peak incidence of
symptoms in the 30s and 40s. Presentation is quite variable. Majority of fibroids are
asymptomatic in the early stages and get less clinical attention due to undiagnosed disease,
while symptomatic women complain of pain, abdominopelvic mass, abnormal uterine
bleeding, mainly menorrhagia.
Aims & Objectives: To study the clinical manifestations of
fibroid uterus.
Materials & Methods: This is a hospital based prospective study of 50 leiomyoma cases
during a period of January 2017 to August 2018.After taking consent all cases were enrolled
in the study and a detailed history of presenting complaints and associated symptoms were
noted, along with menstrual history. A thorough general and systemic examination was
performed. Examination assessed the presence or absence of mass on P/A, P/S, P/V
examination. All cases underwent ultrasound to detect and know the position of leiomyoma,
specimens were sent for histopathological examination and analysed.
Materials & Methods:This is a hospital based prospective study of 50 leiomyoma cases
during a period of January 2017 to August 2018.After taking consent all cases were enrolled
in the study and a detailed history of presenting complaints and associated symptoms were
noted, along with menstrual history. A thorough general and systemic examination was
performed. Examination assessed the presence or absence of mass on P/A, P/S, P/V
examination. All cases underwent ultrasound to detect and know the position of leiomyoma,
specimens were sent for histopathological examination and analysed.
Results: Majority of women were in between the age group of 36-45 years. Majority of
women were parous (92%). Most common presenting symptom among the fibroid cases
was menstrual irregularity (86%), Followed by lump in abdomen (50%), Pain was reported in
40% of patients. Among the patients with menstrual disturbances, menorrhagia,
dysmenorrhea, polymenorrhea were common. Cases of fibroid that had a palpable mass
were firm in consistency and mobile.
Conclusion: Thus we conclude that menstrual irregularity was most common presenting
symptom, followed by lump in abdomen and pain abdomen. Menorrhagia, dysmenorrhea,
polymenorrhea were most common type of menstrual abnormality.