Benign uterine fibroids Many people may not know much about the symptoms of benign uterine fibroids. Please let the experts introduce them. 1. Hyaline degeneration: Due to the rapid growth of fibroids, the relative lack of blood supply causes edema in the softened tissue, and the vortex structure disappears, replaced by a uniform transparent sample. The huge examination is easily confused with sarcoma degeneration. There is no cell structure under the light microscope, and the lesion part is a structureless uniform eosin red area. 2. Cystic degeneration: Due to the further development of hyaline degeneration, insufficient blood supply on the basis of hyaline degeneration causes the tissue in the degenerated area to liquefy, forming a cystic cavity containing frozen or transparent liquid, and the entire tumor is as soft as a cyst. 3. Ischemia and necrosis: caused by tumor pedicle torsion or severe infection, the center of the tumor is far away from the blood supply and is most likely to undergo necrosis. The tissue is grayish yellow, soft and brittle, and small cavities may also form. 4. Pelvic infection: Submucosal fibroids are often seen in vaginal protrusion, blood obstruction, necrosis, and infection. A small number of patients suffer from pelvic infection, which often involves uterine fibroids. 5. Fatty degeneration: usually occurs in the late stage of hyaline degeneration or after necrosis, and may also be adipose tissue formed by the interstitialization of myoma. It is soft and easily diagnosed as sarcoma. The muscle cells under the light microscope have air bubbles and the fat is positively stained. 6. Red degeneration: This is a special type of tumor necrosis, which is more common in single larger intramural myomas and often occurs during pregnancy or the postpartum period. It may be related to local tissue ischemia, infarction, congestion, and thrombosis, leading to local tissue bleeding and hemolysis, causing blood to infiltrate the tumor. The myoma appears red to the naked eye, like raw beef, and completely loses its original whorl structure. 7. Calcification: The incidence is low, mainly seen in postmenopausal women or chronic myomas such as thin pedicle myomas with insufficient blood supply. If the calcium blue deposits are scattered and sparse, they cannot be identified, but there is a sense of sand when the tumor is cut; when the lesion is extensive, hard stones will form. The calcified area is dark blue under microscopic examination, forming layered deposits of different sizes and shapes. It can be developed by X-ray. |
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