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Fibroids
A clinicopathological study with review, an Indian perspective
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Leiomyoma of uterus forms the most common type of benign tumor of uterus,and also most common pelvic tumor in women.It occurs one in every four or five women of reproductive age.Unfortunately symptomatology continues to be variable, as it depends on number, size and location of tumor,although most leiomyomas are asymptomatic and progress slowly.Due to their wide spectrum of clinical symptoms like menstrual irregularities, pelvic pain, infertility they represent tremendous public health burden on women and economic costs to the society. They assume importance particularly in our country as they are an important cause for anemia.So strategies are needed to prevent the formation,to limit the growth and to treat nonsurgically.Surgery has for long been the main mode of therapy for the myomas.For women who have completed childbearing, hysterectomy forms an attractive option as it eliminates both symptoms and chances of recurrence.For women who wish to retain the uterus for future pregnancies or other reasons myomectomy is known.Recent trend has been towards non-surgical approaches like selective uterine artery embolization,laparoscopy,HIFU.
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