Myoma of uterus and ovary must not cut?

The most common gynecologic tumors

To date, around the world who also said it's not clear exactly what percentage of uterine fibroids, has to say on textbooks in women of childbearing age, about 1/4 of people suffering from uterine fibroids.

The ratio of 1/4 is definitely look at the "door" of the tumor. Medical statistics from digital multi is symptomatic patients who came to see a doctor or go to the check can be identified, and those who do not have symptoms, check also find no out of uterine fibroids may all "fall through".

Because the vast majority of uterine Leiomyoma symptoms in patients with no consciousness, hand-made gynaecological examinations, buried in two cm thick muscle small tumors simply touch it.

Even if you do, b-scan, ultrasound, CT, etc. check less than 1 cm diameter small myoma do not see. Laboratory tests on blood and urine is useless. Anyway, very small, very early diagnosis of uterine fibroids are hard to come out, are ignored. Someone said I was used to make the diagnosis of pathological section, it will be overlooked. Because even the successive slices, two tablets in the middle of a gap. So 1995 kramor thinks: "75 percent of uterine fibroids are long!" 3/4 the ratio a little scary, but if you put the small myoma also, said that more than half of all women of childbearing age have uterine fibroids, the possibility is very great.

Uterine malignancy and very low

Uterine fibroids are too few and far between, but in General can also coexist peacefully with it, because it does not cause symptoms, but also become malignant tumor of the probability is very low.

Generally less than 1%, Professor may be lower than langjinghe thousandths. Therefore, uterine Leiomyoma patients don't always worried afraid of malignancy. Psychological factors on incidence is very important. Uterine malignancy has not called cancer, uterine muscle tumor should be called.

Although the uterine muscle tumor, but due to a rare early diagnosis, and easy to complete the transfer, surgery, chemotherapy, radiotherapy and are not too sensitive, so the relapse after treatment rate is high, the five-year survival rate of only about half.

Therefore, if you are postmenopausal uterine contraction, but not only, or middle-aged women who grew up with volume increases too fast, prompt, check out myoma and benign evil as soon as possible, don't miss the best therapeutic opportunity.

Most cases can coexist peacefully with uterine fibroids

Uterine myoma, if small is also accounted for the vast majority have no symptoms, does not affect health and procreation.

There are no symptoms, b: myoma long parts.

Parts have two layers of meaning. One is that long. Only 5% of myoma long in the mouth of the Palace, 95% of all long in human body. The second is that the level of depth of myoma long. 2/3 are long in the uterine wall (muscle), 1/4 is a process in the outside surface is called subserous myoma, 1/10 is the process in the uterine cavity, called submucous myoma. This increase of submucous myoma of uterus, causing vascular congestion area, the surface is also easy to ulcer, infection, which may cause menstrual symptoms, mainly through the volume, after a long period. Submucous myoma if raised too much, you can also, prolapse of uterus fell into the vagina, which may cause more severe bleeding and infection.

Uterine fibroids usually does not cause pain, unless the occurrence necrosis, myoma of internal bleeding, red-like degeneration.

But if myoma is not local, but seems too large, you can also produce compression of the bladder and rectum.

But the probability of the above symptoms are not great, especially the General size of myoma.

So have uterine fibroids don't have to carry the burden of thinking, in most cases you can live with it.

To surgery may not necessarily have to hysterectomy

Of this magical organ is incredible and extremely, we know it's still relatively surface, skin deep.

For example, in the spirit of the endocrine, neural aspects ... What is the role of all, there are unknown. Master Lin qiaozhi doctor repeatedly stressed and warned us that in this womb may not be taken lightly because the uterus after it! use merely to menstruation, pregnancy, baby.

On having myoma and wish to have a child who can consider surgery, just dug out and leave the uterine myoma.

This, of course, healthful. Dug out of the uterus myoma, must leave a wound on the junction of scar in pregnancy and childbirth, there is the possibility of rupture. So when you want to dig myoma less blade cutting, but should use the knife back or finger line pure split, to minimise injury in muscle cells. Myoma is multiple. Myoma expert Bonnie doctor in the surgery there was once a patient digging out over more than a uterine fibroids! 258. The uterus is digging into Internet! Concord veteran director even lijuan Professor once excavated over hundreds of myoma.

In fact, myoma is unable to complete, thorough digging clean, because the newly formed small myoma is touched, the naked eye can not see, myomectomy and long myoma of relapse rate at 10% ~ 60%.

Laparoscopic removal of myoma can also be, but do not like open so detailed.

Hysteroscopic resection of submucous or uterine Leiomyoma. With fine of myoma do are simple and safe. Generally do not advocate eliminating cesarean section at the same time, but I also myoma of doing something, think it can do bigger size, the smaller will keep it. Do easy bleeding.

Advantages and disadvantages compared to remove the uterus myoma, retention, for women, physiological, mental, or benefits.

Cut the uterine cervix may not:

At the bottom of the uterine cervix with a, a uterus.

Cervical surrounded many ligament, vascular, neurological, fallopian tube, cervical length myoma of only 5%, at an early age often do myoma surgery is some cervical and endometrial piece cut off. Reason is to avoid later long cervical stump carcinoma is to avoid surgery and the rest of the cervix on cervical cancer. Stump carcinoma is a headache, because doing the surgery and radiotherapy are more difficult. Patient heard after leaving the cervix may be long "flowering" cancer resection, generally to the cervix.

In fact, stump carcinoma incidence of approximately 1% of the residual to one thousandth of the cervix.

If you multiply the uterusThe incidence of cervical cancer, cancer of the cervix stump incidence in women's crowd is number one. For a long stump Carcinoma of the cervix of how many million people are cut off, this "waste" is too excessive, the unconscionable.

To prevent stump Carcinoma, one should insist on the right do Pap smear before questioning the established General cancer cells, the second should adhere to the following two years for a Pap smear, the third is for cervical inflammation heavy cases, should not be the preserve of the cervix.

If the circumstances allow for cervical, endometrial, retain the benefits can be many: surgery than hysterectomy summary, bleeding, trauma, infection is small, no Postoperative wound in the vagina, vaginal, cervical length tubes are still sexual secretions, quality is better than hysterectomy, the suspension of non-destructive of the cervix, uterine ligament Vaginal Prolapse Surgery to reduce the possibility of small, less interference range, postoperative recovery fast ...

Cut cervical also have new methods

Because the cervix is a place where cancer may be long, though it long cancer probability is very small.

If the cervix is more obvious inflammation, inflammation but a stimulating long cancer factors. This means that you really want to cut off the cervix, and not willing to take those shortcomings mentioned above, now also has a new way. New invention of a surgical approach, is in cervical fascia (coat) some cervical cut off, it was in the "wall around the cervix" digging the cervix, also called sheath removal. This will make possible long cancer cervical Meniere cut off, away with the long stump Carcinoma of concern, but the cervical tissue surrounding the were preserved, nor was the injury of vagina. This preserves the benefits of the cervix is not cut, but also eliminates left long cervical canal is afraid of cancer. Very wonderful.

Ovarian must not cut

This question and must not cut cervical similar, is a difficult problem.

The ovary is essential for a woman, of course, even after removal of the uterus, period and have children of problem does not exist, but the ovary is a secretory organ, it is the hormone secreted by the woman kept woman's morphology, function, and so has a decisive importance. Even if the patient has over 40 years of age, to the extent of ovarian fast recession, is slowly declining, given people an adaptation process. Removal of ovaries, overnight, a female hormone that may suddenly disappear. While other organs can also be compensatory and production point of female hormones, it's a drop in the bucket. So when you cut the uterus, ovaries do not easily cut.

To keep the ovary, facing a future will not issue of ovarian cancer.

Residual ovary cancer of probability it is said that Minister is a thousandth of a percent, very small. And it is said that residual ovary probability of long cancer than not doing hysterectomy surgery for ovarian also lower, it would be rare. But this is always a lump.

But the problem in practice less controversial (small than cut cervical dispute).

30 years of age, of course, you should retain the ovary. Forties General to take a good look, see, touch, cut off to a poor-quality, preserving a good. Epithelial ovarian found suspicious lesions, gave it to dig out. About fifty, removal of ovaries, postoperative to low-dose estrogen, let her slowly adapt to adapt.

Hysterectomy, ovaries, often occur after surgery for ovarian insufficiency, menopausal coming early on, and symptoms of heavier.

Patients ask the doctor, the doctor said: does not move the ovary? Ah, incredible! this is objective and existent. We think: ovarian blood supply from two aspects, one is from the uterus, and the other is from the outer side of ovarian artery. Hysterectomy, from the uterus to blood supply is definitely broken. Ovarian artery blood theoretically can still. The problem is enough supply. Also be much affected by point operation. Some people report estrogen after 1/3.

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(Practice editing: xiujie)