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Re: Advice needed for fibroid uterus

From: Dr (anonymous@obgyn.net)
Thu, 29 May 1997 17:08:51 -0500 (CDT)


At Thu, 29 May 1997, S. wrote: >
>I am 52 yrs still having menstruation until this month.I was diagnosed
>fibroid tumor since 6 yrs ago. Ultrasound findings showed a irregular
>anteverted uterus measuring a/p 84 mm.,longit 91 mm. there is a 7 cm
>fibroid in the left side og the uterus.Both ovaries seemed normal, with
>no cyst or follicels,the pod is clear ,no free fluid is seen.I thought
>to wait for my menopause in the hope it will shrink,but it is still not
>coming.Since I feel it has become larger and now I have this feeling of
>pressura on my bladder, I thought to get over with it. My last ultrasound
>exam showed the uterus has enlarged to a/p 119 mm, longit 128 mm.the
>myoma is now 90 mm in diam. bloodflow resistance decreased from 0.592 to
>0.49.
>
>My question:
>1. can a benign fibroid become malignant?
>2. What is the meaning of decreased bloodflow resistance?
>3. What are my options of treatment?
>
>Thank you very much.
>
>Mita Kadarisman

--
Mita,

My answers:

1. A fibroid can't become malignant but it can (exceptionnally) be malignant. 2. decreased bloodflow resistance can mean an enlargement of feeding arteries. It is related to fibroid enlargement 3. The choice treatment is hysterectomy. It can be performed vaginally or abdominally. This choice is your surgeon's. This intervention will allow you to have an hormonal replcement therapy when your menopause comes, without the risk of bleeding.

--
Bernard Cristalli MD CNGOF
Paris - France
http://www.obgyn.net/corresp/cristalli.htm



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