Typical and atypical clinical presentation of uterine myomas

Journal of the Chinese Medical Association : JCMA
Wen-Hsiang SuPeng-Hui Wang

Abstract

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 unrelated to menstruation, (3) compression symptoms, similar to a sensation of bloatedness, urinary frequency and constipation, (4) subfertility status such as recurrent abortion, preterm labor, dystocia with an increased incidence of Cesarean section, and postpartum hemorrhage, and (5) cosmetic problems due to increased abdominal girth However, there are undoubtedly some clinical presentations secondary to uterine myomas are not so specific, such as: (1) uncommon compression-related symptoms, (2) cardiac symptom and atypical symptoms secondary to vascular involvement or dissemination, (3) abdominal symptoms mimicking pelvic carcinomatosis, (4) dyspnea, (5) pruritus, (6) hiccup or internal bleeding, and (7) vaginal protruding mass or uterine inversion. Familiarization with these symptoms and awareness of other unusual or atypical present...Continue Reading

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Citations

Apr 4, 2014·Journal of the Chinese Medical Association : JCMA·Wen-Ling LeePeng-Hui Wang
Aug 7, 2013·Taiwanese Journal of Obstetrics & Gynecology·Hsiao-Wen TsaiPeng-Hui Wang
Apr 4, 2013·Taiwanese Journal of Obstetrics & Gynecology·Tsung-Min ChangPeng-Hui Wang
Apr 29, 2014·Taiwanese Journal of Obstetrics & Gynecology·Hsiang-Tai Chao, Peng-Hui Wang
Apr 29, 2014·Taiwanese Journal of Obstetrics & Gynecology·Huann-Cheng HorngMing-Shyen Yen
Jan 2, 2013·Taiwanese Journal of Obstetrics & Gynecology·Kuan-Chin WangPeng-Hui Wang
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Jul 18, 2017·Journal of the Chinese Medical Association : JCMA·Kuan-Hao TsuiPeng-Hui Wang
Jan 19, 2021·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Adebayo Damilola AgboolaOladapo Olugbenga Olayemi

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