Submucous uterine myoma

The uterus is a hollow organ reminiscent ofsize and shape of a small pear. Myoma is called benign neoplasm, which grows from the muscle of the organ. Depending on the nodes, tumors may differ in location. Neoplasms can be found in the muscles of the uterus, and also grow on the outer surface of the organ. In the first case, the tumor is called interstitial, in the second - subserous. There is also a submucous uterine myoma. In this case, the nodular formations partially protrude into the uterine cavity.

To the main and most frequently manifestedsigns of the emergence of a submucosal neoplasm include uterine bleeding. With this, the condition is also accompanied by prolonged and abundant menstruation leading to anemia. Often, submucous uterine myoma is accompanied by infertility. This is due to the fact that the nodal neoplasms play the role of a spiral.

Diagnosis of the disease is performed using ultrasound. The study is performed using transvaginal or transabdominal sensors.

In addition, diagnostic activities includealso intrauterine echography (hysterosonography). This study is carried out in cases of heavy bleeding with the simultaneous administration of saline in the body cavity. This provokes the expansion of its lumen and allows more accurate visualization of nodular neoplasm and obtain information about the size of its intramural component.

In some cases,hydro sonography. The usual vaginal sensor and contrast medium are used. This diagnostic method allows to determine the localization of the neoplasm, to reveal deformation in the uterine cavity, and also to differentiate the nodular neoplasm with the endometrial polyp.

Today, in diagnosing, three-dimensional echography is used. During the research, doctors receive complete and objective information about the developing disease.

To perform perinodular and intradular blood flow studies in the neoplasm, the Doppler method is used. This event allows us to identify the growth of nodes and their structural changes.

Relatively recently, the diagnosis"Submucous myoma of the uterus" entailed the removal of the organ. However, today it is possible to use modern hysteroscopic equipment that allows to perform the interventions, saving it and removing only the nodular neoplasm. Not all hospitals are equipped with the necessary equipment today. In many of them, when diagnosing the disease "submucous uterine fibroids", treatment involves the only option - removal of the organ.

Hysteroresectoscopy is carried out by introducinga special tool - a hysteroresectoscope. It is injected through the vagina, then along the cervical canal into the body cavity. Hysteroresectoscope combines an electrocoagulating stimulator and a video camera. This removes each submucous node in the uterus layer by layer.

It should be noted that nodular neoplasms can be localized in different ways and have varying degrees of location in the organ and size.

As practice shows, in most cases, after hysteroresectoscopy, clinical recovery begins.

With the complex development of the disease, when the dimensionsnodular neoplasms more than three centimeters or a larger nodal site is located in the muscle, preoperative hormone therapy may be prescribed before surgery.

Submucous myoma of the uterus is characterized by rapid development. At the same time, the risk of malignancy is high.