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Myoma
DONE BY :-

AHMED MHD AL-DHLAWIY
Contents…
SOEPEL
Anatomy of yterus
Definition

Myoma
Pathophysiology

Risk factors
Causes
Symptoms
Diagnosis
Treatment
SOEPLE…
Subject:
A middle age female patient came to the hospital with severe pelvic
pain and abnormal vaginal bleeding.

History:
A 53 year old age have 11 childeren two of them dilevered cesarion.
Hyperglycemic and have s history of asthama. and Have history of
removed gall bladder before 5 years.
Con’t…
Pain anylasis:
1.

Site: in the pelvic.

2.

Onset: suddenly.

3.

Character: sharp.

4.

Radiation: to back.

5.

Associated factors: during walking.

6.

Time/duration: start before 3 Months.

7.

Exaggerated and relieving factors: ---

8.

Severity: severe.
SOEPLE…
Object: Abdominal Examination.
Evaluation “DD”: Metastatic disease, Endometriosis.
Plan: Ultasound, MRI and histopathology.
Elaboration: Hysterectomy.
Learning goal: leiomyoma ( Uterine fabroid ).
Anatomy…
Mayoma
It is a benign neoplasm of the muscular wall of
the uterus composed primarily of smooth muscle.
Sign and symptoms…
Prolonged Heavy menstrual bleeding.
Pelvic pressure or pain.
Enlargement of lower abdomen.
Frequent urination.
Difficulty emptying bladder.
Constipation.

Backache or leg pains.
Risk factors…
Age. especially during the 30s and 40s. After menopause the fibroids
usually shrink.
Family history. If a woman's mother had fibroids, her risk of having
them is about three times higher than average.
Ethnic origin. African-American women are more likely to develop
fibroids than white women.
Obesity. the risk is two to three times greater than average.

Eating habits. Eating a lot of red meat (e.g., beef). Eating plenty of
green vegetables seems to protect women from developing fibroids.
Causes…
Hormonal
Genetic
Diagnosis…
Ultrasound
Magnetic resonance imaging (MRI)
X-ray
Cat scan (CT)
Laparoscopy
Hysteroscopy

Histopathology
Treatment…
Medication:

Mild pain

ibuprofen or acetaminophen

heavey bleeding during period
supplement
(GnRHa)

shrink fibrosis.

iron
Treatment Con’t…
Surgery:
Myolysis
Myomectomy
Hystrectomy

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