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This week only, I received three specimens from three patients with a huge uterus. The patients ages were : 40, 48 and 51 years of age respectively. To all of them had been performed surgery, due to their abdomen getting bigger and bigger without pregnancy.
Patients complaining of their irregular menstrual cycles, irritability in the abdomen and difficulty in pee and pups and one complaining dyspnea or difficulty in breathing.
What is fibroid tumor of the womb ? Why women got the disease ?
Fibroid tumor of the womb or uterine leiomyomas usually are benign tumors due to active proliferation of fibromyocyte, which massively proliferates and grows as whorled structures, besides haphazard fibers. This development will give very hard consistency of the tumor rather than rubber consistency.
Uterine leiomyomas considered to be benign tumors of the womb. Depends on the location, the tumor would be called : subserous, intramural or submucous leiomyomas. Despite their different locations, all of the uterine leiomyomas are caused by hormonal imbalance between estrogen and progesterone in the patient’s body.Â
Imbalancy between estrogen hormone and progesterone one can also occur with abnormal bleeding that really is a problem for every woman. Abnormal vaginal bleeding must be searched diligently, to find the source of bleeding. In young women, this symptom usually due to infection, polyp, intra-epithelial lesion/dysplasia or the most frightening cause is uterine cervical cancer.
For middle-aged women abnormal bleeding often due to hyperplasia of endometrium which is the inner layer of the womb. When hyperplasia left untreated, will develop cancer of the corpus.Â This partÂ called corpusÂ is the most important part of the womb, where the fetus grows as long as 9 months.
Although most of the fibroid tumor are benign, but some of them, about 2 % could be malignant. If malignant this tumor will be called Uterine Leiomyosarcoma.
Pictures attached with this article are : two enormous wombs with leiomyomas, before and after cut surfaces. One cut surface with rather dark colour was due to necrosis throughout the tumor. Both were benign fibroid tumors.