Myomas of the uterus in pregnancy: Ultrasonographic follow-up

Muram, David; Gillieson, M; Walters, Jack H.

doi:10.1016/0002-9378(80)90005-8

Cited by 190 publications

(107 citation statements)

References 3 publications

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“…In the present study, a reduction in myoma size was noted in the 3rd trimester (3rd scan sequence) and this appears to be inconclusive due to the number of subjects who later had abortion. Several studies [17][18][19][20] opined that myoma cell hypertrophies during pregnancy and later shrinks in late pregnancy and this probably explains the observed fibroid growth trend in our study. The cells in small fibroids enlarge during pregnancy and shrink in late pregnancy.…”

Section: Discussionsupporting

confidence: 63%

“…Govan et al 15 classified myomas into types based on their location within the uterus and found that intramural myomas account for about 70% of all the types. Gross and Fleischer 18 found 10% of myomas in their study to be submucous and less than 10% to be cervical, while Tsuda and Gross 1 found the occurrence of subserous myomas to be as high as 20% and retroplacental myomas to be less than 5%. In this study subserous fibroid had the highest incidence amongst other types/location corroborating the findings of Bosev and Dimitrov.…”

Section: Discussionmentioning

confidence: 81%

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Sonographic assessment of pregnancy co-existing with uterine leiomyoma in Owerri, Nigeria

Eze¹,

Odumeru²,

Ochie³

et al. 2013

Afr H. Sci.

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Background: Uterine myomas co-existing with pregnancy could cause obstetric complications. Objectives: To assess sonographically the frequency of occurrence and effect of uterine myomas co-existing with pregnancy. Methods: A longitudinal study was conducted during a period of 23 months. A convenience sample of 816 consecutive consenting pregnant women who met the inclusion criteria was evaluated during routine prenatal ultrasound scan. The women were referred for prenatal sonography. One hundred of the subjects who had myoma co-existing with pregnancy and another 100 subjects without myoma were selected for follow-up. These groups were followed up till delivery and obstetric complications and outcomes were documented. Any changes in size and growth rate of myoma were documented. Results: Subjects with myoma co-existing with pregnancy were 12.3%. This was commoner with increasing maternal age. An increase was observed in myoma mean size from 60mm to 63mm from the 1 st scan sequence to the 2 nd scan sequence and a reduction from 63mm to 59mm in the 3 rd scan sequence. Myoma growth rate was 0.667mm per week. Myomas in pregnancy especially large ones caused more complications during delivery when compared to pregnancies without myomas. Conclusion: Routine sonography is important in pregnancy management of uterine myomas co-existing with pregnancy.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 81%

Sonographic assessment of pregnancy co-existing with uterine leiomyoma in Owerri, Nigeria

Eze¹,

Odumeru²,

Ochie³

et al. 2013

Afr H. Sci.

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show abstract

“…At the clinic visit a transvaginal ultrasound examination was conducted to assess fibroids using the Muram criteria 35 extended to small lesions (0.5 cm in diameter or larger). Study sonographers had extensive experience and extra training for the study to assure consistency in differential diagnoses, [36][37][38][39] measurement, and documentation.…”

Section: Recruitment and Enrollment Proceduresmentioning

confidence: 99%

A Prospective, Ultrasound-Based Study to Evaluate Risk Factors for Uterine Fibroid Incidence and Growth: Methods and Results of Recruitment

Baird

Harmon

Upson

et al. 2015

Journal of Women's Health

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Background: Uterine fibroids are common, benign, smooth-muscle tumors that can cause major morbidity for reproductive-age women, often requiring invasive treatment. Despite this personal and public health burden, no prior study has attempted to periodically screen fibroid-free women with ultrasound to detect incident disease and identify risk factors. Methods: We designed a study to prospectively investigate development of fibroids by enrolling women without a clinical diagnosis of fibroids and screening for fibroids with ultrasound at baseline. Enrollment procedures included extensive questionnaires and specimen collection (blood, urine, vaginal swabs). The cohort is followed at approximately 20-month intervals. At each follow-up there are updates to the questionnaire data, further specimen collection, and an ultrasound examination. We identify incident disease and measure tumor growth. The two exposures of primary interest are vitamin D insufficiency and reproductive tract infections. This manuscript provides a detailed description of the study methods, recruitment results, and participant characteristics. Results: The Study of Environment, Lifestyle and Fibroids enrolled 1,696 African American women aged 23-34 years. ''Family and friends'' was a leading recruitment source. More than 95% of participants contributed all the requested biological specimens at baseline. Study ultrasound examinations revealed undiagnosed fibroids in 378 women (22% of participants). The retention rate for the first follow-up was 87%. Conclusions: Study design aspects likely to be important for long-term studies in young African Americans include personalized recruitment, multiple steps to the enrollment process that rely on the initiative of the participant, and methods for tracing highly mobile study subjects.

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“…Prospective ultrasound studies of myomas throughout pregnancy have shown that there is an increased growth of less than 25%, mainly in the first trimester [41]. It appears that fibroids play a role in infertility, and myomectomy has been shown to improve conception rates, especially when the lesions are submucosal [42,43]. A similar relationship has been shown with miscarriages.…”

Section: Risks Of Luao Recurrence and Complicationsmentioning

confidence: 99%

Clinical experience and fertility outcome after uterine artery occlusion and embolization

Holub

2007

Gynecol Surg

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We evaluated the effects of uterine artery occlusion and embolization on clinical results and pregnancy outcome using information provided by the literature published in the MEDLINE biomedicine database. Uterine artery occlusion has the potential to compromise fibroid growth and its symptoms. There were only a few complications and adverse events associated with laparoscopic uterine artery occlusion (LUAO) and fibroid embolization. LUAO and uterine artery embolization (UAE) procedures are both minimally invasive operating procedures that preserve the uterus and ovarian blood supply and allow achievement of pregnancy in women with symptomatic fibroids. Women who became pregnant after uterine artery occlusion and embolization had increased risk of abortion, pre-term birth, malpresentation, and/or caesarean delivery.

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Myomas of the uterus in pregnancy: Ultrasonographic follow-up

Cited by 190 publications

References 3 publications

Sonographic assessment of pregnancy co-existing with uterine leiomyoma in Owerri, Nigeria

Sonographic assessment of pregnancy co-existing with uterine leiomyoma in Owerri, Nigeria

A Prospective, Ultrasound-Based Study to Evaluate Risk Factors for Uterine Fibroid Incidence and Growth: Methods and Results of Recruitment

Clinical experience and fertility outcome after uterine artery occlusion and embolization

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