Published Paper Details:

BACKGROUND: Leiomyoma of the uterus forms the most common type of benign tumour of the uterus and also most common pelvic tumour in women. The symptomatology continues to be variable. Surgery has for long been the main mode of therapy for the myomas. For women who wish to retain their uterus for future pregnancies or other reasons myomectomy is known. OBJECTIVE: To analyse the clinico pathological spectrum in cases of Leiomyoma of the uterus in MVJ Medical College & Research Hospital to know the pattern of presentation, pathological co relation with type of fibroid and endometrial and ovarian changes. MATERIALS AND METHODS: A clinical study of 200 cases of fibroid uterus was made in Department of Obstetrics and Gynaecology, MVJ Medical College & Research Hospital, Hoskote. The cases were selected by random allocation and detailed examination, clinical examination and investigations were made. RESULTS: Leiomyomas are most commonly seen in the women of child bearing age, most commonly occurring in the 3rd decade (58%) and in multiparous women (91%). Among the fibroids, 97% were in the body & 3% were cervical region. The intramural fibroids were the commonest variety comprising about 63% of the cases. The histopathological pattern showed proliferative endometrial in 69%, secretary changes in 10%, endometrial hyperplasia in 5% cases, cystic glandular hypertrophy in 3%, atrophic endometrium in 7% cases. Associated findings were adenomyosis in 13%, chronic cervicitis in 82%, endometriosis in 3% and PID in 7% of the cases. CONCLUSION: Leiomyoma is the most common uterine tumour seen in gynaecological practice. Menstrual disturbances are the commonest symptom of which menorrhagia is the most common presentation. Most of these tumours are intramural in location. Proper diagnosis and timely management are essential to avoid complications of these tumours.