STUDY OF CLINICAL PRESENTATION AND SOCIO-DEMOGRAPHIC PROFILE OF PATIENT WITH FIBROID PRESENTING IN A TERTIARY CARE HOSPITAL OF SAURASHTRA REGION

Dr. Nalini Anand, Dr. Dhara Patel

Abstract


Background: Uterine fibroids or simply myomas are benign monoclonal tumors of smooth muscle cells of myometrium. This study was
conducted in women belonging to poor socio-economic class to find out clinical presentation, prevalence of uterine fibroids, their knowledge about
health services and to develop modalities to improve awareness and early reporting to prevent morbidity and improve quality of life.
Methods: This prospective study was done in Guru Gobind Singh General Government hospital attached to Shri M P Shah Medical college,
Jamnagar, Gujarat from July 2017 to June 2018 for the period of 1 year.Socio-demographic profile, detailed menstrual history, reason for attending
hospital and previous treatment taken prior to the hospital visit were recorded. Women with pregnancy with fibroids were excluded from the study.
Clinical, local and ultra-sonographic examination was done for the morphology of the fibroids. Comparison was done with histological picture for
accuracy in clinical and sonographic diagnosis.
Results: Out of 346 women who presented with uterine fibroids, menorrhagia or with abdomino pelvic mass, 248 patients were registered for this
study. Rest of 98 patients were excluded due to refusal for surgery, coexisting fibroid with Adenomyosis. Of 76 patients who had uterine fibroids:
66% had menorrhagia with severe anemia, 23% needed blood transfusion, 2 were nulliparous women. Menorrhagia was the commonest menstrual
pattern seen in 58.8% women. Asymptomatic fibroids with huge abdomino pelvic mass was seen in 26 women (34.2%). The size was 12-28 weeks.
The mean age was 46 years. Abdominal hysterectomy was done in 68 women (89.47%), polypectomy in 4 and myomectomy in 4 nulliparous
women.
Conclusions: Further research is needed to find out biological factors causing fibroids including diet, stress, environmental and racial influences.
Routine screening, early detection, increase awareness by early reporting to the hospital will reduces morbidity and improves quality of life
socioeconomically.


Keywords


Abdominal pelvic mass, Anaemia, Menorrhagia, Uterine fibroids, myoma.

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References


Shaheen S, Naheed T, Sadaf F, Rahim R; Menorrhagia due to fibroids and its management. JSOGP. 2013;3(4):231-5.

Mauro T, Matuso H, Samoto T, Shimomura Y, Kurachi O, Gao Z, et al. Effects of progesterone on uterine leiomyoma growth and apoptosis. Steroids 2000;65:585‐92.

Bailliere’s clinical obstetrics and gynaecology volume 12, Department of Obstetrics & Gynaecology, University of Edinburgh, Centre for Reproductive Biology.

Okogbo FO, Ezechi OC, Loto OM, Ezeobi PM: Uterine Leiomyomata in South Western Nigeria: a clinical study of presentations and management outcome. Afr Health Sci 2011, 11: 271-278.

Garg R. Two uncommon presentation of cervical fibroids. People’s J Sci Res. 2012;5(2).

Sajjad M, Iltaf S, Qayyum S. Pathological findings in hysterectomy specimens of patients presenting with menorrhagia in different age groups. Ann Pak Inst Med Sci 2011;7(3):160-2.


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