WOMENS-HEALTH Messages for May, 1997: Re: Existance of Fibroids

Re: Existance of Fibroids

From: anonymous@obgyn.net
Fri, 16 May 1997 14:53:30 -0500 (CDT)

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At Thu, 10 Apr 1997, D. Ashley Hill, M.D. wrote: >
>At Thu, 10 Apr 1997, C. wrote:
>
>>At 11 weeks I had some bleeding, and an 8 cm fibroid was found by
>>ultrasound. Does this mean that the fibroid is new, and grew to 8 cm in
>>15 weeks? I was told by my ob/gyn that fibroids don't usually grow
>>during pregnancy, and I should not be concerned. I am very concerned
>>about the possiblity of a fast growing fibroid since my mother died of
>>endometrial cancer last year.
>
>You have a couple of issues here, so let's address them one by one.
>First, fibroids *commonly* grow during pregnancy, due to the influence
>of hormones, with progesterone (probably) being the main culprit. It is
>possible that you had a small fibroid that was not detected during your
>pelvic exam that subsequently grew due to the hormonal influence of
>pregnancy. This is very common, and almost always quite benign.
>Sometimes the fibroid can block the cervix, making vaginal delivery
>difficult or impossible, but since most fibroids are at the "top" of the
>uterus, this is unlikely. Sometimes, too, they can "degenerate" due to
>their rapid growth and cause discomfort or even pain. This is treated
>with pain medications.
>
>The other issue is endometrial cancer. Fibroids only very rarely become
>cancerous. Dr. Meigs, a famous Ob/Gyn, reported many years ago that
>the rate of malignant change of fibroids was 0.8%. However, many think
>the rate is even lower. Endometrial cancer, on the other hand, is the
>most common gynecologic cancer and has a different set of risks than
>cancer from fibroids (called sarcoma). So, it is very unlikely that a
>rapidly growing fibroid *during pregnancy* is due to cancer.
>
>As usual, I suggest addressing these concerns with your doctor.
>
>Good luck with your pregnancy!
>
>--
>Ashley Hill
>D. Ashley Hill, M.D.
>Assistant Director, Department of Ob/Gyn
>Florida Hospital Family Practice Residency
>Orlando, FL
>dahmd@gate.net
>

--
I am in search of new information regarding Lieomyosarcoma.  My sister had was the Dr.'s thought to be a large/fast growing fibriod of the uterous.  Sadly it turns out to be Lieomyosarcoma (stage 4).  Chemo treatment of Cisplatinum and Adriamycin are being applied.  Is there any thing else that can be attempted.  Sucha s "pro-durgs" or gene therapy? thank you in addvance. She is in her early forties.

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