Experience in managing Myomas: A case series

Abstract

Leiomyomas or fibroids are the most common benign pelvic tumors in females that grow monoclonally from the smooth muscle cells of the uterus. Such tumors occur in nearly half of women over the age of 35 years, with increased prevalence during the reproductive phase due to hormone-stimulated growth. At 50 years of age, 80% of African and almost 70% of Caucasian women have fibroids. Following are 8 such case scenerios of fibroids uterus having different presentations, at RL Jalappa Hospital. The first 4 cases belong to the perimenopausal age group and the last 4 cases are the atypical fibroids presenting along with pregnancy. The various treatment modalities are opted as per the patient symptoms and situation. Uterine leiomyoma can present with various symptoms of which menstrual irregularities is most common. The management modality is purely based on the patient’s symptoms. Cesarean myomectomy decision is a challenge and will depend on the site and size of the myoma.