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This clinicopathological study analyzed 138 uterine myoma cases, finding the 40-49 age group most affected, corporeal myomas most common, and pain/pressure the primary symptom, with adenomyosis and hyaline degeneration as associated conditions.
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This 1982 clinicopathological study analyzed 138 women with uterine myoma who underwent operation and diagnosis at Ewha Womans University Hospital between 1972 and 1979, describing demographic and clinical features and associated pathology. Myomas accounted for 6.1% of major gynecologic operations, were most common in women aged 40–49 years (60.1%), and were predominantly corporeal (90.6%) with the most frequent types being intramural (47.1%) and subserous (22.5%) lesions; common presenting complaints were pain/pressure (69.5%) and abnormal uterine bleeding (52.2%). The study reported infertility in 21% of cases and hemoglobin below 10.0 g% in 21.1%, with adenomyosis present as the most commonly associated condition (19.5%) and the most frequent secondary change being hyaline degeneration (6.5%), while postoperative morbidity occurred in 12.3% with no operative mortality. This paper is centrally about adenomyosis as a commonly associated condition in women with uterine myoma.
Abstract
It is estimated that fully 20% of all women over 35 years of age harbor uterine myoma. This clinicopathological study on the uterine myoma was based upon 138 cases which were operated and diagnosed in the Dept. of Obstetrics and Gynecology, Ewha Womans University Hospital from the beginning of 1972 to the end of 1979. Summaries of the results were as follows: 1. Myoma was 6.1% of the total major gynecological operations. 2. The most frequent age group was 40-49 years(60.1%). There was the most common in case with parity 3 and the mean age of menarche was 16.0 years. 3. Majority of cases were corporeal myoma, 90.6%, whereas cervical myomas were 7.2%. The types of tumor consist of 47.1% of intramural myoma, 22.5% of subserous myoma and 14.5% of submucous myoma. 4. Pain and pressure symptoms were the most common chief complaints(69.5%), whereas abnormal uterine bleeding in 52.2% and palpable mass in 31.9% in orders. 5. Infertility was observed in 21% of all cases(primary infertility; 6.5% and secondary infertility 14.5%). Hemoglobin less than 10.0gm% was seen in 21.1%. 6. Total abdominal hysterectomy was performed in the majority cases(90.6%). There was no mortality due to operation. 7. The most commonly associated condition in myoma was adenomyosis(19.5%) and the most fequent secondary change was hyaline degeneration.(6.5%) 8. Postoperative morbidity was found in 12.3% of all cases and wound infection(4.3%) was the most common morbidity.
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- Ewha Med J
- Volume 5(1); 1982
- Article
Original Article
1982;5(1):17-23.
Published online: July 24, 2015
Department of Obstetrics and Gynecology, College of Medicine, Ewha Womans University, Seoul, Korea.
Corresponding author: Jung-Ja Ahn. Department of Obstetrics and Gynecology, College of Medicine, Ewha Womans University, Seoul, Korea.
Copyright © 1982. Ewha Womans University School of Medicine
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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- It is estimated that fully 20% of all women over 35 years of age harbor uterine myoma. This clinicopathological study on the uterine myoma was based upon 138 cases which were operated and diagnosed in the Dept. of Obstetrics and Gynecology, Ewha Womans University Hospital from the beginning of 1972 to the end of 1979. Summaries of the results were as follows: 1. Myoma was 6.1% of the total major gynecological operations. 2. The most frequent age group was 40-49 years(60.1%). There was the most common in case with parity 3 and the mean age of menarche was 16.0 years. 3. Majority of cases were corporeal myoma, 90.6%, whereas cervical myomas were 7.2%. The types of tumor consist of 47.1% of intramural myoma, 22.5% of subserous myoma and 14.5% of submucous myoma. 4. Pain and pressure symptoms were the most common chief complaints(69.5%), whereas abnormal uterine bleeding in 52.2% and palpable mass in 31.9% in orders. 5. Infertility was observed in 21% of all cases(primary infertility; 6.5% and secondary infertility 14.5%). Hemoglobin less than 10.0gm% was seen in 21.1%. 6. Total abdominal hysterectomy was performed in the majority cases(90.6%). There was no mortality due to operation. 7. The most commonly associated condition in myoma was adenomyosis(19.5%) and the most fequent secondary change was hyaline degeneration.(6.5%) 8. Postoperative morbidity was found in 12.3% of all cases and wound infection(4.3%) was the most common morbidity.
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The Clinicopathological Study on the Uterine Myoma
The Clinicopathological Study on the Uterine Myoma
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