An Observational Assessment of the Clinicopathological Relation of the Uterine Leiomyoma

Objective: To analyze the clinico pathological spectrum in cases of Leiomyoma of the uterus. Materials & Method: A clinical study of 130 cases of fibroid uterus was made in the Department of Obstetrics and Gynecology, Darbhanga Medical College & Hospital, Laheriasarai, Darbhanga, Bihar for 1 year. The cases are selected by random allocation. On admission, a detailed history, clinical examination and investigations were made. Diagnosis was confirmed by scanning in all cases. Diagnostic curettage was done to rule out any endometrial pathology especially in elderly patients. Results: The most common benign tumor of the pelvis is Leiomyoma. Intramural fibroids were the commonest variety comprising about 55.3% of the cases. Histopathology report showed proliferative endometrial in 85 cases. Conclusion: Leiomyoma is the most common benign tumor of the pelvis. Presence of proliferative endometrium, adenomyosis and cystic ovaries are all indicative of hyper estrogenic state associated with development of fibroids.