The decision of myomectomy is not usually taken by OBG specialist for uterine fibroids during pregnancy because of its complications which may become hazardous at times. This is why it is generally delayed until after delivery. The current case was a large, asymptomatic subserous uterine myoma diagnosed during pregnancy by ultrasound and successfully managed by antepartum myomectomy retaining t...

Adenocarcinoma arising from adenomyosis uteri is rare. Herein, we reported a patient with papillary serous carcinoma arising from adenomyosis. The patient was a 61-year-old woman who received tamoxifen for treatment of her breast cancer over the past five years. In hysterectomy specimen taken for investigating her uncontrolled bleeding with suspicion of uterine myoma, multiple adenomyotic foci ...

Vaginal myomectomy is an uncommon but advantageous approach for large interstitial uterine fibroids. Myomectomy is performed via laparotomy and laparoscopy; however, in selected cases, vaginal myomectomy has been proven to be a safe and an effective surgical procedure. We report the case of a 38-year-old para one woman with complaints of chronic lower abdominal pain. Preoperative workup reveale...

Since myomectomy throughout cesarean delivery may lead to hemorrhage and uterinal atony, it is not recommended. But, myomectomy has been reported during cesarean section in recent studies. We presented a patient with large intramural myoma who was diagnosed at 34 weeks of pregnancy and operated with an unavoidable cesarean-combined myomectomy. A 33-year-old unpursued primigravida was referred t...

Endometrial stromal sarcoma (ESS) is very rare malignant tumor that constitutes approximately 10 % of all uterine sarcomas but only 0.2 % of all uterine malignancies [1]. ESS can be mistaken for leiomyoma because clinical presentation mimics each other and often needs HPE to establish correct diagnosis [2, 3]. In this article, we report a case of ESS in a young unmarried female of 23 years, whi...

Violation of the extracellular matrix components synthesis regulation contributes to formation and growth uterine fbroids (MM). Changes collagen metabolism in connective tissue may be associated with polymorphism metalloproteinase (MMP) genes. Aim study was analyze association regulatory regions genes MMP2 (rs243865), MMP3 (rs3025058), MMP9 (rs3918242) development myoma, its histological form, ...

This study aimed to describe the long-term outcomes of patients with menorrhagia treated with microwave endometrial ablation (frequency, 2.45 GHz), as well as to identify factors associated with recurrence or re-surgery. This retrospective cohort study was conducted from 2007 to 2015 at Shimane University Hospital in Japan. Patients with severe menorrhagia and a desire to preserve their uterus ...

JAFMC Bangladesh. Vol 6, No 2 (December) 2010 18 JAFMC Bangladesh. Vol 6, No 2 (December) 2010 19 JAFMC Bangladesh. Vol 6, No 2 (December) 2010 20 Abstract Many a times the clinical and per operative diagnosis does not correlate with histopathological diagnosis. Aim of this study was to compare the clinical, peroperative and histopathological findings of different cases of fibroid uterus, dysfu...

Myoma is the most common benign neoplasm that can occur in the female reproductive system, most frequently seen in women in their 50s. Although the majority of myomas are asymptomatic, some patients have symptoms and/or signs of varying degrees. Typical myoma-related symptoms or signs include: (1) menstrual disturbances like menorrhagia, dysmenorrhea and intermenstrual bleeding, (2) pelvic pain...