Uterine fibroids are a common gynecological disease in women. Uterine fibroids are also divided into benign and malignant. Malignant uterine fibroids are usually caused by untimely treatment of uterine fibroids. I have introduced the clinical manifestations of uterine fibroids before, so today I will introduce the manifestations of malignant uterine fibroids? Let's see the difference between the two. Symptoms of malignant uterine fibroids: 1. Uterine bleeding is a symptom of malignant uterine fibroids, occurring in half or more of the patients. Among them, cyclical bleeding (excessive menstruation, prolonged menstruation or shortened menstrual cycle) accounts for about 2/3; non-cyclical (continuous or irregular) bleeding accounts for 1/3. Abdominal mass. Abdominal mass is usually the main complaint of patients with malignant uterine fibroids, up to 69.6%. Sometimes it may be the only symptom of fibroids. This often occurs in intramural fibroids that do not affect the endometrium, especially in the uterine fundus or under the pedunculated serosa. 2. Pain is a symptom of malignant uterine fibroids. Abdominal pain accounts for about 40%, backache 25%, and dysmenorrhea 45%. There is also lower abdominal swelling or back pain, but the degree is not very serious. The pain is caused by tumor compression of pelvic blood vessels, blood stasis, nerve compression or submucosal fibroids, which can stimulate uterine contraction, and the cervical canal is discharged from the inside and outside of the uterine cavity and becomes wide and painful; or fibroid necrosis infection causes pelvic inflammatory disease, adhesion, traction, etc. 3. Leucorrhea. Increased leucorrhea accounts for 411. .9%. Enlarged uterine cavity, increased endometrial glands, pelvic congestion or inflammation can increase leucorrhea; when submucosal fibroids ulcerate, infect, bleed, or necrotize, a large amount of bloody or purulent leucorrhea will be produced. Compression symptoms. Mainly occurs in cervical fibroids, or subuterine fibroids enlarge, fill the pelvic cavity, and compress surrounding organs. Compression of the bladder, frequent urination or dysuria, urinary retention, etc.; compression of the ureter can cause hydronephrosis and pyelonephritis. Fibroids growing on the posterior wall of the uterus can compress the rectum, causing constipation and even difficulty in defecation. 4. Infertility and miscarriage are symptoms of malignant uterine fibroids. 30% of patients with uterine fibroids are infertile. Infertility may be the cause of treatment, and uterine fibroids are found during examination. There are many reasons for infertility due to uterine fibroids, such as uterine fibroids and pregnancy knots. 5. Anemia. Anemia can occur in patients with long-term bleeding but not treated in time. Before liberation, most working women were in urgent need of life, and although uterine bleeding lasted for a long time, they could not be treated, leading to anemia. In the early days of liberation, data on patients with uterine fibroids: 45% of patients had hemoglobin of 5 to 10 grams, 25% had hemoglobin below 5 grams, and 12% and 4% had submucosal fibroids. Severe anemia (below 5 grams) can lead to anemic heart disease and myocardial degenerative changes. Hypertension. Some patients with malignant uterine fibroids are accompanied by hypertension. According to statistics, most hypertensive patients (except those with a history of hypertension) returned to normal after the removal of fibroids, which may be related to the relief of ureteral compression. |
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