A Clinical Analysis of Uterine Myoma

Jung, J K; Ko, M S; Jung, B W; Lee, H H; Choi, H J; Shin, S K

Abstract

From January 1992 to December 1996, 1371 cases of major gynecologic surgery were performed at Mokpo St. Columban`s Hospital. Among these, 282 cases were uterine myoma confirmed histopathologically. A clinicopathologic study on these 282 cases were carried out to understand the clinical characteristics of uterine myoma. The results were as follows. 1. Myoma was observed most frequently in the age group of 40 to 49 years, and the mean age was 43.7 years. 2. The parity was 3.6 in average. The infertility was observed in 17 cases (6.0%), in which the primary infertility was 3.2% and secondary 3.1% respectively. 3. The most frequent chief complaint was pain which was observed in 231 case (81.3%), abnormal bleeding in 207 cases (30.9%). Transfusion was taken in 42 cases (14.9%). 4. The mean value of preoperative hemoglobin was 11.2g% and the anemia (Hb < 10.0g%) was observed in 87 cases (30.9%). Transfusion was taken in 42 cases (14.9%). 5. The corporeal myoma was wbserved in 266 cases (94.3%), cervical area in 7 cases (2.5%), intraligamentary in 5 cases (1.8%), combined in 4 cases (1.4%) respectively. The intramural type was observed in 157 cases (55.7%), subserous in 46 cases (16.3%), mixed type in 44 cases (15.6%), submucous in 35 cases (12.4%) respectively. 6. The mean weight of the uterine myoma after myomectomy and uterus after hysterectomy was 347.3g. In 11 cases (3.9%), the weight was below 100g. 7. The secondary change in myoma was found in 26 cases (9.2%) and the most common change was hyaline degeneration (5.7%). 8. The most common associated condition was chronic cervicitis, which was observed in 141 cases (50.0%). 9. Hypermenorrhea was observed in 165 cases (58.6%) and there was a significant correlation between the presence of hypermenorrhea and the type of myoma, but no correlation with the weight of myoma. 10. Dysmenorrhea was observed in 108 cases (38.3%) and there was no sighificant correlations between the dysmenorrhea and the weight of myoma, and type of myoma. But, there was significant correlations between the dysmenorrhea and adenomyosis. 11. Total abdominal hysterectomy was performed in 184 cases (65.2%), total abdominal hysterectomy with unilateral adnexectomy in 45 cases (16.0%), total abdominal hysterectomy with both adnexectomy in 23 cases (2.8%), subtotal hysterectomy in 5 cases (1.8%) respectively. 12. The postoperative complications were found in 50 cases (17.7%) and the most common complication of these was infection of wound seen in 36 cases (12.8%). 13. The mean period of hospitalization was 8 days, and the period less than 10days was observed in 249 cases (88.3%).