Advanced fibroid study: paying homage to John Sampson

John L. Yovich, Yovich JL, Philip K Rowlands, Philip Rowlands, Rowlands PK, Sunthra Lingam, Lingam Amara Swapna, Mark Sillender, Sillender M, Shanthi Srinivasan
Reproductive BioMedicine Online · 2019 · vol. 39(2) , pp. 183–186 · doi:10.1016/j.rbmo.2019.04.013 · PMID:31204258 · W2940609558
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⚙ AI-generated summary by claude@2026-06, 2026-06-12 ⓘ

This paper reviews advancements in uterine fibroid research, acknowledging the foundational contributions of John Sampson to the field.

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Abstract

A recent article supports our longstanding view that all intramural fibroids can cause disturbance of uterine function. This may be reflected in the symptom of menorrhagia or fertility-related issues, as well as pregnancy losses at all gestational stages. However, it was disappointing that there was no reference to either the mechanism by which fibroids disturb uterine function nor to the gynaecologist who described this more than 100 years ago, namely John Sampson. In fact, Sampson's findings about the unique venous drainage mechanism from the endometrium explains how menstrual loss is contained in normal physiology, but which can be excessive when the protective 'anaemic' zone is disturbed. Two more recent and pertinent observations include the hysteroscopic findings of Osamu Sugimoto, who showed in the 1970s that the endometrium overlying submucous fibroids is actually atrophic, hence the oft-cited reason of hyperplastic or excessive endometrium cannot be the cause of the associated menorrhagia. Furthermore, recent imaging techniques describe an additional 'junctional zone' adjacent to the endometrium in cases of fibroids and adenomyosis. We believe this all adds up to disturbed venous drainage as described by Sampson and needs to immediately enter the educational training of medical students, doctors and gynaecologists worldwide.

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MeSH descriptors

Gynecology Leiomyoma Female Gynecology History, 20th Century Humans Hysteroscopy Leiomyoma Leiomyoma Leiomyoma Uterine Diseases Uterine Diseases Uterus Uterus Uterus

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