Jul 28, 2008

What are the performance of the uterus mast and how to diagnosis

Clinical performance



The main symptoms of excessive menstrual continued for a few days extension; some performance for the cycle shortened to 20 days about the number of days of continuous and no significant change or extend the period of performance for the period but the small amount

Patients with more maternal and for the majority of production for more than three hours long illness, was more bloodshed in anemia Maung gynaecological examinations of uterine uniform increase for the six weeks of pregnancy in general size of a small number of more than eight weeks of pregnancy size more resilient texture can be slightly increased bilateral ovarian Multiple follicular cysts

The disease is the basic pathological changes in the uterine muscle and smooth muscle cells in the vessel wall

(A) general view: uterine muscle hypertrophy in a uniform increase of 2.5 ~ 3.2 cm cut off-white or pink hardness increase was woven-fiber bundle with 1 / 3 in the muscle or blood vessels eminence normal endometrial thickening This shows that sometimes the merger of small leiomyoma (diameter of less than 1 cm) or endometrial polyps

(B) examination: Image inconsistencies have seen the following form: ① simply smooth muscle cells and mast were observed normal myometrium with the same vessel wall collagen fibers hyperplasia no significant change; ② myometrium, collagen Fiber hyperplasia formation of uterine fibrosis; ③ muscle within the vessel wall changes: arteriovenous significant expansion in new blood vessels around the success of the mission fibroelastosis

Diagnosis

More and more women menstruation and increasing consistency of uterine or endometrial thickening of the normal individual was polypoid but a small number of pathological examination revealed that the majority of normal proliferation can be diagnosed as hypertrophy of the uterus and uterine fibroids should pay attention to identifying in particular for a single nuclear muscle wall Or mucous membrane under the Palace of uniform who are often difficult to increase hypertrophy of the uterus and through consultation scratching differential intrauterine exploration and B-examination can help the diagnosis but there are still a few cases in laparotomy, in order confirmed

In addition attention should be paid with adenomyosis endometrial cancer and other diseases identified

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