Jul 24, 2008

A correct understanding of uterine fibroids

Uterine sarcoma is a rare, highly malignant tumor of female genital mutilation. Organization of origin of most of myometrium, the muscle is also within the connective tissue or connective tissue of the endometrium. Uterine sarcoma is found in various parts of the Palace of the Department of common than cervical about 15:1.

Overview:

Uterine sarcoma is a rare, highly malignant tumor of female genital mutilation. Organization of origin of most of myometrium, the muscle is also within the connective tissue or connective tissue of the endometrium. Uterine sarcoma is found in various parts of the Palace of the Department of common than cervical about 15:1. Uterine sarcoma cancer of the uterus 2-5%, good for the age of 50-year-old, and the grape-like cervical sarcoma more common in young girls. No specific because of early symptoms, the diagnosis rate of only 30-39%.

Symptoms of disease:

1. Abnormal vaginal bleeding: The most common symptoms, expressed as vaginal bleeding after menopause or menstrual abnormalities. Accounted for 65.5% -78.2%

2. Abdominal mass: more common in uterine fibroids sarcoma change; mass rapid increase, if sarcoma growth to the vagina, often with a sense of the vagina of outstanding pieces. Often increase the uterus, irregular shape, quality is soft.

3. Abdominal pain: is the more common symptoms. As the rapid growth of the fibroids in patients with abdominal pain or pain.

4. Vaginal discharge increased for serous, bloody or white, have combined for Nongxing infection, the stench;

5. Tumor larger, oppression can stimulate the bladder or rectum in symptoms and oppression of venous leg swelling can occur;

6. Advanced patients may have thinner, anaemia, fever, systemic failure, pelvic mass infiltration Penbi, can not be fixed activities

Diagnosis:

1. Uterine sarcoma non-specific symptoms and signs, clinical performance and other reproductive tract tumors have many similarities, and the incidence rate is low and easily ignored, to improve the preoperative diagnosis rate must be seriously;

2. Postmenopausal women or young girls before and after irregular vaginal bleeding increased with the uterus;

3. Uterine fibroids in the menstrual rapidly increasing, especially in postmenopausal patients with uterine fibroids, should consider the possibility of a change sarcoma;

4. The past had received radiation therapy patients, the uterus suddenly increased, with abnormal vaginal bleeding;

5. Cervical vegetation, blowing up, or hysterectomy were confirmed by pathology, (but blowing up negative can not be ruled out).

Treatment principles:

1. Surgical therapy;

2. Radiotherapy: uterine sarcoma less sensitive to radiation, but the later period of patients before radiotherapy can improve the removal rate of postoperative radiotherapy for the prevention of local recurrence to a certain extent;

3. Chemotherapy.

No comments: