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The optimal pharmacological treatment of fibroids

May 16th 2014 at 3:16 AM

Doctor’s often small fibroids in asymptomatic patients only watch. If it is for a woman "suddenly" as 5 cm fibroid, it does not mean that during the year grew from 0 to 5 cm, but a year ago was smaller and / or less noticeable.

Fibroids below 3 cm are very difficult to detect examination (especially in obese women or in the case of the reclining of the uterus) and 2 cm below the sometimes difficult to detect and vaginal ultrasound. Because the optimal pharmacological treatment of fibroids does not exist, the timing of surgical treatment or other interventions appropriate to the time when the patient there will be difficulties and / or fibroid grows and / or already planning pregnancy.

It is really a "mere" fibroid? In 90% of cases, histology, i.e. microscopic examination after myomectomy or hysterectomy confirmed fibroids or "leiomyoma-usual". In some cases, they are atypical, but the vast majority still benign findings: cellular leiomyomas with or without atypia and with greater or lesser number of cell division (called mitosis). Only rarely have these so-called findings of uncertain biological behavior, i.e. a certain course of conduct in the future as malignancy. In these cases, it is undoubtedly necessary to remove the entire uterus is the only safe alternative. Fortunately, there are rare uterine sarcomas - leiomyosarcoma based like fibroids from the uterine muscle or the endometrial stromal sarcomas arising from the endometrium.

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