Source: Health Hangzhou
In recent months, 44 -year -old Ms. Wang (pseudonym) feels inexplicably fat, especially her waist circumference has continued to thicken.The belly bulges like an inflatable ball, and it is 13cm in two months.
The uterus increases obvious, such as 4 months pregnant
I checked the uterine fibroids to relapse
"I don’t have the tumor?" Monday morning, Ms. Wang found the expert clinic of Lin Kaiqing, deputy dean of the Hangzhou Red Cross Hospital with an uneasy mood.
Professor Lin found that Ms. Wang’s uterus increased significantly. If she was 4 months pregnant and the morphology was irregular, the front wall of the uterus could touch a clear mass.
Combining Ms. Wang’s uterine fibroids to eliminate the history of surgery, Professor Lin told her that this is likely to be the recurrence of uterine fibroids."Why don’t you come to the doctor earlier? It grows so big, you need to surgery in time!"
After inquiring in detail, Professor Lin learned that Ms. Wang has extended the menstrual period from the past year, from the original 7 days to 10 days.Listening to the younger sisters around her said that the woman was old, and she would be like this when it was almost the age of men.
Soon the B -ultrasound report confirms Professor Lin’s point of view: multiple low echo nodules can be seen in the uterine muscle layer, the largest about 8*9*8cm size."You see, this mass is equivalent to the size of the newborn head." Professor Lin immediately arranged surgery for Ms. Wang for surgery.
Figure | Professor Lin’s Mother -End Laparoscopic Surgery Surgery
The next day, Deputy Dean Lin Kaiqing took the knife in person, and the operation was under minimally invasive operation.The uterus is significantly enlarged under the laparoscopy, the surface fibroids are protruding, and the blood supply is abundant.According to his rich clinical experience, the characteristics of the patient’s condition, and the discovery of the fibroids and uterine muscle layers of blood vessels during the operation, the patient believes that the patient is a special type of uterine smooth fibroids -smooth fibroids in the vessels.EssenceIt is rare clinically but potentially fatal.
The surgical specimen was immediately sent to frozen pathological examinations during the operation.Professor Lin immediately performed uterine resection under the laparoscopy to completely remove the lesion.Postoperative pathological reports also confirmed this diagnosis.
At present, Ms. Wang has recovered well after surgery and has been discharged smoothly.
Women of childbearing age must be vigilant
Natural tumors will also be very dangerous
Uterine fibroids are the most common benign tumors in women’s reproductive organs. They are also one of the most common tumors in the human body. They are common in women aged 30-50.
Different clinical symptoms are different depending on the size, quantity, and position of fibroids.Most patients are asymptomatic, and some patients may experience menstrual abnormalities, including increased menstrual flow, extension of menstrual periods, shortening cycles, irregular vaginal bleeding, dysmenorrhea, and compression symptoms.The B -ultrasound is the most commonly used and most convenient and effective auxiliary diagnostic method at present.
The smooth fibroids in the vessels are also uterine fibroids. Why is it more dangerous?
Clear fibroids in the vein, also known as intravenous smooth fibroids, smooth fibroids, and vascular derived uterine fibroids. It is a smooth muscle tissue proliferation in the vein blood vessels in the venous blood vessels, or the venous blood vessel wall itself.Tumors suddenly directed to the lumen are a rare, special type of uterine fibroids.
It is benign in organizational, but it has the characteristics of invasion of veins and lymphatic vessels. It often exceeds the uterine range and extends along the edge of the palace, the iliac vein to the lower cavity vein, and even affects the right heart or pulmonary arteries.Three -pointed valve obstruction, pulmonary embolism, etc., has potential fatal.
At present, only a few cases have made the correct diagnosis before surgery, and most cases are confirmed during or postoperative diagnosis.This disease mainly depends on imaging examinations (B-ultrasound, CT, magnetic resonance, PET-CT, etc.) and tissue pathological examinations.
This disease "prefers" women
Pay attention to typical symptoms
According to Professor Lin, the cause of the disease is currently unclear, but the following women are more likely to suffer from smooth fibroids in the venous vein. You need to pay attention:
1. Nursery women are concentrated in 30 to 50 years old.
2. There is a history of fertility.
3. There is a history of uterine fibroids or uterine resection.
If these typical symptoms appear, we must pay more attention to it!
1. The fibroids grow rapidly: irregular vaginal bleeding, multiple menstruation or abdominal mass, some may have pelvic pain, inaccurate pelvic discomfort and compression.
2. The disease invasion of the pelvic cavity external blood vessels: abdominal distension, edema of the lower limbs, ascites, etc., and even causing Buka syndrome.
3. The lesion invades the heart and pulmonary artery: manifested as the symptoms of the right heart congestion, that is, chest tightness, palpitations, dyspnea, syncope, and edema of the lower limbs.
In terms of treatment, surgery is the preferred plan to completely remove all lesions.Surgery cannot completely remove the lesion, or those who cannot surgery or are unwilling to surgery. Preoperative and postoperative assistance antibody treatment can be used as part of the treatment methods to inhibit the growth and recurrence of pension, but the treatment effect is no conclusion.
Professor Lin reminds the majority of female friends: Uterine fibroids are common benign tumors in women. It is recommended that women with fertility periods conduct regular regular gynecological examinations every year.For smaller uterine fibroids and no clinical symptoms, outpatients can be followed up on a regular basis.If the uterine fibroids are large, accompanied by clinical symptoms, or rapid increase in the short term, this part of the patient especially needs to go to the doctor in time, and actively take surgical treatment if necessary.Early discovery, early diagnosis, and early treatment are extremely important for improving symptoms, improving life treatment, and improving prognosis.
At present, the Municipal Red Association Hospital’s gynecological minimally invasive surgery technology is mature, and can carry out surgery such as inotopia, uterine fibroids, adenomia, ovarian cysts, endometriosis, gynecological malignant tumor, and uterine cavity, and uterine cavityUnder -mirror endometrial polyps, submucosal fibroids, uterine scar diverticulum and other surgery.
