Öz
ÖZET
Leiomyomlar düz kas hücrelerinden oluşan en sık benign uterin tümörlerdir. Uterusta sub- mukozal, intramural ve subserozal olabildikleri gibi, servikal, broad ligament içinde ya da pedinküller içinde olabilir. Submukozal myomlar oldukça nadir görülmektedir. Bazı submu- közal myomlar pedinküllü olup servikal kanaldan vajinaya uzanıp kontraksiyonlara sebep olabilirler. Başlıca tedavi yöntemleri histerektomi ve myomektomi olmakla birlikte fertilite isteğine ve myomun büyüklüğüne göre tedavi yöntemi değişebilmektedir. Bu olgu sunu- munda vajene doğmuş pedinküle submüköz yerleşimli leiomyomu olan iki olguyu; abdo- minal ve vaginal yolla yapılan iki farklı tedavi yöntemleri açısından tartışmayı amaçladık.
Anahtar kelimeler: Submukozal; Layomiyom; Tedavi
ABSTRACT
Leiomyomas are most common benign tumor of uterus which are originated from smooth muscle cells.They may be submucosal, intramural or subserosal and also they may be located in the cervix, in the broad ligament or on a pedicle. Submucous myomas are rarely seen and some submucous leiomyomas may become pedunculated and progressively extrude from the uterine cavity to vagina causing contractions. Hysterectomy and myomectomy have been the mainstay of leiomyoma treatment but the treatment option chosen according to the fertility desire and the size of the myoma. In this case report we aimed to discuss two different management options as abdominal or vaginal way of prolabe, pedinculated submucozal myomas of two different cases.
Keywords: Submucousal; Leiomyoma; Therapy
Anahtar Kelimeler
Kaynakça
- Berek JS. Genel Jinekoloji. In Erk A, Demirtürk F, eds. Berek&Novak Jinekoloji. 14. baskı. İstanbul. İstanbul. Nobel Tıp Kitapevleri. 2011. p. 469-71.
- Schorge JO. Ectopic pregnancy. In Schorge JO,Schaffe JI,Halvorson LM,Hoffman BL, Bradshaw KD, Gary Cunningham F, Calver LE. Williams Gynecology. 1st ed. New York. Mc Graw Hill. 2008. p. 198-207.
- Kutlar İ, Bakır K, Ersoy U.[Vulvar myoma] Turkiye Klinikleri J Gynecol Obst 2000;10(3):205-7.
- Ozcan U, Yalcın RH, Cakar A , Gokmen O . The management of prolapsed submucous myoma: a review of 56 cases.Gynecol Obstet Reprod Med. 2000;6(1):60-3.
- Sendag F, Tıras MB. [Leiomyoma,infertility and miscarriage]. Turkiye Klinikleri J Gynecol Obst. 2003;13(3):260-5
- Fritz MA, Disfonksiyonel Uterin Kanamalar. Fritz MA, Sperof L. Klinik Jinekolojik Endokrinoloji ve İnfertilite. 8. baskı. Ankara. Güneş Tıp Kitapevleri; 2014. p. 591-620.
- Bedir R, Güçer H, Ural Ü, [Primary leiomyoma of the ovary: case report]. Turkiye Klinikleri J Gynecol Obst. 2012;22(3):203-6.
- Lefebvre G . The management of uterine leiomyomas.J Obstet Gynecol Can. 2003 ;25(5):396-418
- Aynıoğlu Ö, Çalışkan E, Şimşek T. Leiomyomectomy in a Case of First Trimester Pregnancy with Torsioned Leiomyoma Causing Acute Abdomen: Case Report. Turkiye Klinikleri J Gynecol Obst. 2010;20(4):277-80.
- Murphy J. Notes of a Case of Vaginal Myomectomy Par Morcellement. Br Med J. 1893;11;1(1676):285.
- Golan I, Zachalka N, Lurie S. Vaginal removal of prolapsed pedunculated submucous myoma: a short, simple and definitive procedure with minimal morbidity. Arch Gynecol Obstet.2005;271(1):11-3.
- Rovio PH1, Heinonen PK. Transvaginal myomectomy with screw traction by colpotomy. Arch Gynecol Obstet. 2006;273(4):211-5.
Öz
Leiomyomas are most common benign tumor of uterus which are originated from smooth muscle cells.They may be submucosal, intramural or subserosal and also they may be located in the cervix, in the broad ligament or on a pedicle. Submucous myomas are rarely seen and some submucous leiomyomas may become pedunculated and progressively extrude from the uterine cavity to vagina causing contractions. Hysterectomy and myomectomy have been the mainstay of leiomyoma treatment but the treatment option chosen according to the fertility desire and the size of the myoma. In this case report we aimed to discuss two different management options as abdominal or vaginal way of prolabe, pedinculated submucozal myomas of two different cases
Anahtar Kelimeler
Kaynakça
- Berek JS. Genel Jinekoloji. In Erk A, Demirtürk F, eds. Berek&Novak Jinekoloji. 14. baskı. İstanbul. İstanbul. Nobel Tıp Kitapevleri. 2011. p. 469-71.
- Schorge JO. Ectopic pregnancy. In Schorge JO,Schaffe JI,Halvorson LM,Hoffman BL, Bradshaw KD, Gary Cunningham F, Calver LE. Williams Gynecology. 1st ed. New York. Mc Graw Hill. 2008. p. 198-207.
- Kutlar İ, Bakır K, Ersoy U.[Vulvar myoma] Turkiye Klinikleri J Gynecol Obst 2000;10(3):205-7.
- Ozcan U, Yalcın RH, Cakar A , Gokmen O . The management of prolapsed submucous myoma: a review of 56 cases.Gynecol Obstet Reprod Med. 2000;6(1):60-3.
- Sendag F, Tıras MB. [Leiomyoma,infertility and miscarriage]. Turkiye Klinikleri J Gynecol Obst. 2003;13(3):260-5
- Fritz MA, Disfonksiyonel Uterin Kanamalar. Fritz MA, Sperof L. Klinik Jinekolojik Endokrinoloji ve İnfertilite. 8. baskı. Ankara. Güneş Tıp Kitapevleri; 2014. p. 591-620.
- Bedir R, Güçer H, Ural Ü, [Primary leiomyoma of the ovary: case report]. Turkiye Klinikleri J Gynecol Obst. 2012;22(3):203-6.
- Lefebvre G . The management of uterine leiomyomas.J Obstet Gynecol Can. 2003 ;25(5):396-418
- Aynıoğlu Ö, Çalışkan E, Şimşek T. Leiomyomectomy in a Case of First Trimester Pregnancy with Torsioned Leiomyoma Causing Acute Abdomen: Case Report. Turkiye Klinikleri J Gynecol Obst. 2010;20(4):277-80.
- Murphy J. Notes of a Case of Vaginal Myomectomy Par Morcellement. Br Med J. 1893;11;1(1676):285.
- Golan I, Zachalka N, Lurie S. Vaginal removal of prolapsed pedunculated submucous myoma: a short, simple and definitive procedure with minimal morbidity. Arch Gynecol Obstet.2005;271(1):11-3.
- Rovio PH1, Heinonen PK. Transvaginal myomectomy with screw traction by colpotomy. Arch Gynecol Obstet. 2006;273(4):211-5.
Ayrıntılar
| Bölüm | Olgu Sunumu |
|---|---|
| Yazarlar | |
| Yayımlanma Tarihi | 27 Şubat 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 5 Sayı: 1 |
