Uterine leiomyomata: a five year clinicopathological review in Zaria, Nigeria

A. Mohammed, Mohammed Sani Shehu, Saad Ahmed, AA Mayun, IU Tiffin, G Alkali, AL Abubakar
In: Nigerian Journal of Surgical Research · 2006 · vol. 7(1) · doi:10.4314/njsr.v7i1.12281 · W2083876099
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This five-year clinicopathological review of 209 uterine leiomyomata cases in Nigeria found that adenomyosis co-existed in 36.8% of patients, alongside common presentations of lower abdominal swelling and menorrhagia.

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This retrospective study analyzed 209 cases of uterine leiomyomata in Zaria, Nigeria, between 1996 and 2000 to determine clinicopathological characteristics. The majority of patients were in their third or fourth decade, with lower abdominal swelling being the most frequent complaint, followed by menorrhagia and infertility. Hyaline degeneration was the predominant histological finding, and adenomyosis co-existed in 36.8% of the cases where parity data was available. Relevance to endometriosis: Adenomyosis is explicitly mentioned as a co-existing lesion in over one-third of the fibroid cases, linking it to the corpus scope, though the paper primarily focuses on uterine leiomyomata.

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Abstract

Background: Uterine Leiomyomata (uterine fibroids) are common gynaecologic conditions affecting mainly women in the reproductive age group. Fibroids are associated with many other distressing gynaecologic conditions like menorrhagia, infertility, lower abdominal swelling and discomfort. Methods: This is a retrospective clinicopathological analysis uterine leiomyomata a five-year period (1996 – 2000). The information required was retrieved from histology bench books and request cards. Results: 209 cases were analysed, 62.7% from myomectomy 37.3% following hysterectomy. Younger patients opted for myomectomy possibly in other to allow them complete their family sizes. Uterine fibroids were commoner in the third to fourth decade of life.The nulliparous women to had a higher incidence of uterine fibroid (60.6%) in 71 cases analysed whose parity were known. Lower abdominal swelling is the commonest presenting complaint (48.8%), followed by menorrhagia and infertility accounting for 35.4% and 30.6% respectively. Hyaline degeneration was the commonest degenerative change observed (57.9%). Three cases (1.4%) had necrosis. Nineteen cases were observed to be associated with other co-existing lesions, of which 52.6% occur with fibroid polyps. Adenomyosis accounted for 36.8% and one case each of metastatic carcinoma and interligamentary fibroids. Adequate clinical information and brief surgical procedure on request cards were lacking in most cases. Conclusion: Uterine fibroids are common conditions affecting women in their reproductive age group, which corresponds with economically viable age group. This condition is associated with significant morbity and attention needs to be focused on it. Keywords: uterine fibroids, parity, gynaecologic Nigerian Journal of Surgical Research Vol. 7(1&2) 2005: 206-208
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Abstract

Methods: This is a retrospective clinicopathological analysis uterine leiomyomata a five-year period (1996 – 2000). The information required was retrieved from histology bench books and request cards.

Results

209 cases were analysed, 62.7% from myomectomy 37.3% following hysterectomy. Younger patients opted for myomectomy possibly in other to allow them complete their family sizes. Uterine fibroids were commoner in the third to fourth decade of life.The nulliparous women to had a higher incidence of uterine fibroid (60.6%) in 71 cases analysed whose parity were known. Lower abdominal swelling is the commonest presenting complaint (48.8%), followed by menorrhagia and infertility accounting for 35.4% and 30.6% respectively. Hyaline degeneration was the commonest degenerative change observed (57.9%). Three cases (1.4%) had necrosis. Nineteen cases were observed to be associated with other co-existing lesions, of which 52.6% occur with fibroid polyps. Adenomyosis accounted for 36.8% and one case each of metastatic carcinoma and interligamentary fibroids. Adequate clinical information and brief surgical procedure on request cards were lacking in most cases.

Conclusion

Uterine fibroids are common conditions affecting women in their reproductive age group, which corresponds with economically viable age group. This condition is associated with significant morbity and attention needs to be focused on it.

Keywords

uterine fibroids, parity, gynaecologic Nigerian Journal of Surgical Research Vol. 7(1&2) 2005: 206-208

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adenomyosisinfertility

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