Leiomyoma: Difference between revisions

Jump to navigation Jump to search
No edit summary
m (Robot: Changing Category:Disease state to Category:Disease)
Line 89: Line 89:
{{Soft tissue tumors and sarcomas}}
{{Soft tissue tumors and sarcomas}}
{{SIB}}
{{SIB}}
[[Category:Disease state]]
[[Category:Overview complete]]
[[Category:Gynecology]]
[[Category:Anatomical pathology]]
[[Category:Oncology]]
[[fr:Léiomyome]]
[[fr:Léiomyome]]
[[de:Myom]]
[[de:Myom]]
Line 106: Line 99:
{{WikiDoc Help Menu}}
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}
{{WikiDoc Sources}}
[[Category:Disease]]
[[Category:Overview complete]]
[[Category:Gynecology]]
[[Category:Anatomical pathology]]
[[Category:Oncology]]

Revision as of 21:44, 9 December 2011

For patient information, click here

Template:DiseaseDisorder infobox

WikiDoc Resources for Leiomyoma

Articles

Most recent articles on Leiomyoma

Most cited articles on Leiomyoma

Review articles on Leiomyoma

Articles on Leiomyoma in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Leiomyoma

Images of Leiomyoma

Photos of Leiomyoma

Podcasts & MP3s on Leiomyoma

Videos on Leiomyoma

Evidence Based Medicine

Cochrane Collaboration on Leiomyoma

Bandolier on Leiomyoma

TRIP on Leiomyoma

Clinical Trials

Ongoing Trials on Leiomyoma at Clinical Trials.gov

Trial results on Leiomyoma

Clinical Trials on Leiomyoma at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Leiomyoma

NICE Guidance on Leiomyoma

NHS PRODIGY Guidance

FDA on Leiomyoma

CDC on Leiomyoma

Books

Books on Leiomyoma

News

Leiomyoma in the news

Be alerted to news on Leiomyoma

News trends on Leiomyoma

Commentary

Blogs on Leiomyoma

Definitions

Definitions of Leiomyoma

Patient Resources / Community

Patient resources on Leiomyoma

Discussion groups on Leiomyoma

Patient Handouts on Leiomyoma

Directions to Hospitals Treating Leiomyoma

Risk calculators and risk factors for Leiomyoma

Healthcare Provider Resources

Symptoms of Leiomyoma

Causes & Risk Factors for Leiomyoma

Diagnostic studies for Leiomyoma

Treatment of Leiomyoma

Continuing Medical Education (CME)

CME Programs on Leiomyoma

International

Leiomyoma en Espanol

Leiomyoma en Francais

Business

Leiomyoma in the Marketplace

Patents on Leiomyoma

Experimental / Informatics

List of terms related to Leiomyoma

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

A leiomyoma (plural is 'leiomyomata') is a benign smooth muscle neoplasm that is not premalignant. They can occur in any organ, but the most common forms occur in the uterus, small bowel and the esophagus.

Etymology

  • Greek:
  • Latin:

Uterine leiomyomata

Uterine fibroids are leiomyomata of the uterine smooth muscle. As other leiomyomata, they are benign, but may lead to excessive menstrual bleeding (menorrhagia), often cause anemia and may lead to infertility. Enucleation is removal of fibroids without removing the uterus (hysterectomy), which is also commonly performed. Laser surgery (called myolysis) is increasingly used, and provides a viable alternative to surgery.

Uterine leiomyomas originate in the myometrium and are classified by location:

Estrogen and progesterone usually stimulate their growth, and hormone suppression may hence decrease their size.

  • Differential diagnosis at MR imaging includes adenomyosis, solid adnexal mass, focal myometrial contraction, and uterine leiomyosarcoma.
  • Nondegenerated uterine leiomyomas have a typical appearance at MR imaging: well-circumscribed masses of homogeneously decreased signal intensity compared with that of the outer myometrium on T2-weighted images.
  • Degenerated leiomyomas have variable appearances on T2-weighted images and contrast-enhanced images.

Diagnostic Findings

Esophageal

They are also the most common benign esophageal tumour, though this accounts for less than 1% of esophageal neoplasms. The remainder consists mainly of carcinomas. Although the vast majority of benign esophageal tumors are clinically silent and go undetected, large or strategically located tumors may become symptomatic. [1]

Leiomyoma of Jejunum

Leiomyoma is the most common benign tumor of small bowel. Approximately 50% of cases are found in the jejunum, followed by the ileum in 31% of cases. Almost one half of all lesions are less than 5 centimeters. [2]

Treatment

Diagnosis depends on position of the myomas. Traditional Transabdominal or Transvaginal ultrasonogram can detect large submucosal and transmural myomas. For submucosal myomas saline infusion sonography is the best.

Medical Treatment:

GnRH analogues for 3-6 months are used to reduce the size of the myomas. It usually reduce the size by 60% to 70%. But once the medication is stopped the myomas will grow back.

Surgical Treatment:

Myomectomy is a choice to remove myomas. It is usually done when the client wants to preserve their fertility.

Total Abdominal or Vaginal hysterectomy with Bilateral Salpingo-oophorectomy is the definitive treatment.

Pathological Findings

References

  1. James C. Chou, MD & Frank G. Gress, MD. "Benign Esophageal Tumors". Esophageal Cancer Overview (Cancer of the Esophagus). Retrieved 2007-03-21. Unknown parameter |publsiher= ignored (|publisher= suggested) (help)
  2. By Michael P. Buetow, M.D. "Leiomyoma of Jejunum". Retrieved 2007-03-21. Unknown parameter |publsiher= ignored (|publisher= suggested) (help)

Additional Resources

See also

Template:SIB de:Myom he:מיומה ur:ہمعضلومہ sv:Myom


Template:WikiDoc Sources