Subserous uterine fibroids. Is it dangerous?
One of the varieties of benign tumors subserous fibroids of the uterus. This kind of fibroid develops on the outside of the uterus and grows toward the pelvic cavity.
Looks like subserous fibroids?
Usually this node. It may have a wide base, maybe as a reason to have a thin stem, through which the tumor feeds on. Nodes can be many, and may be a single node. A single node with subserous uterine fibroids are usually covered by a capsule which separates it from the surrounding tissue. The node sizes can be small (a few millimeters) or quite significant (up to 10 cm), there are also larger, but this is rare.
What is the subserous fibroids?
The variety of tumors is one of the most innocuous, so to say. This is because it is located on the outside of the uterus grows into the abdominal cavity. Subserous fibroids does not increase the uterus, it almost does not affect the menstrual function. Pregnancy usually occurs normally. The problem with reproductive function can occur if the tumor is near one of the fallopian tubes and squeezes her. However, the presence of tumors can cause a miscarriage.
Subserous fibroids of small size may not manifest itself for a very long time. When the node reaches significant size, it starts to exert pressure on neighbouring organs, it can affect their work.
The symptoms that arise when a large subserous myoma:
- Problems with bowel movement,
- Rapid, labored or painful urination,
- The development of hemorrhoids,
Nature of pain:
- Discomfort in the abdomen,
- Aching pain in the suprapubic region,
- Aching pain in the lumbar region,
- Abdominal pain during physical exertion or prolonged walking,
- Sharp cramping pain.
The pain occurs periodically, most often associated with periods of growth of fibroids. How much pain are expressed, depends not only on size but also on the location and "behavior" of the tumor. For example, fusion of fibroids with the peritoneum causes pain. Pain occurs when torsion legs myoma. In this case, the disturbed nutrition of the tumor, which can develop necrosis, which leads to peritonitis, and this is a direct danger to life.
Interstitial subserous myoma of the uterus
Interstitial myoma is a myoma located in the thickness of the wall of the uterus. But often the fibroids are mixed. Then their symptoms can overlap or complement each other.
Interstitial subserous myoma of the uterus behaves somewhat differently than the subserous. First, the location of the tumors in the muscular layer of the uterus leads to the increase of the body, and hence to violation of its functions. Themselves nodes can reach 25 cm in diameter, and even more.
- More abundant and prolonged menstrual period than usual
- The feeling of heaviness and discomfort in the abdomen,
- Frequent urination,
- Dysfunction of bowel, bladder, or rectum,
- The increase in size of the abdomen,
- The inferior Vena cava syndrome: shortness of breath and heart rate in the supine position (on the very large size of the tumor).
All these symptoms are due mainly to the pressure on organs and blood vessels, which exerts the tumor. More abundant of bleeding in the critical days are the result of violations of the contractile function of the uterus due to the presence of a tumor in the muscular layer. This may result in anemia.
What is dangerous subserous fibroids?
The danger is in twisting the legs and tissue death of fibroids due to malnutrition. Collapsing the tumor in the abdominal cavity requires immediate intervention of the surgeon. Alsodangerous rupture of the fibroids, which could be the result of excessive growth. In this case there is not only acute pain but also bleeding which can be difficult to stop.
Treatment of fibroids
Subserous fibroids of small sizes are not always treated, more often simply kept under ultrasound control (every three months). If necessary, carry out conservative treatment subserous uterine fibroids by using hormones progestins, which inhibit tumor growth, reduce its size and help to restore the menstrual function.
In those cases where the myoma is on a stalk, when it prevents pregnancy or the work of neighbouring authorities, shows the operation to remove fibroids. In the case of multiple myomas carry out a radical surgery to remove the entire uterus. Of course, if you assign such an operation takes into account many factors, including the presence of children in the patient, her age.