Submucous uterine myoma

The uterus is a hollow body reminiscent of the size and shape of a small pear. Myoma is called benign neoplasm, which grows from the muscle of the organ. Depending on the nodes, tumors may differ in location. Neoplasms can be found in the muscles of the uterus, and also grow on the outer surface of the organ. In the first case, the tumor is called interstitial, in the second - sub-serous. There is also a submucous uterine myoma . In this case, the nodular formations partially protrude into the uterine cavity.

The main and most frequently manifested signs of the emergence of submucous neoplasm include uterine bleeding. With this, the condition is also accompanied by prolonged and abundant menstruation leading to anemia. Often, submucous uterine myoma is accompanied by infertility. This is due to the fact that the nodal neoplasms play the role of a spiral.

Diagnosis of the disease is performed using ultrasound. The study is performed using transvaginal or transabdominal sensors.

In addition, diagnostic measures also include intrauterine echography (hysterosonography). This study is carried out in cases of heavy bleeding with the simultaneous administration of saline in the body cavity. This provokes the widening of its lumen and makes it possible to more accurately visualize the nodular neoplasm and obtain information about the size of its intramural component.

In some cases, sonography may also be performed. The usual vaginal sensor and contrast medium are used. This diagnostic method allows to determine the localization of the neoplasm, to detect deformity in the uterine cavity, and to differentiate the nodular neoplasm with the endometrial polyp.

Today, in diagnosing, three-dimensional echography is used. During the research, doctors receive complete and objective information about the developing disease.

To perform perinodular and intradular blood flow studies in the neoplasm, the Doppler method is used. This event allows you to identify the growth of nodes and their structural changes.

Relatively recently, the diagnosis of "submucous myoma of the uterus" entailed the removal of the organ. However, today it is possible to use modern hysteroscopic equipment that allows to perform the interventions, saving it and removing only the nodule neoplasm. Not all hospitals are equipped with the necessary equipment today. In many of them, when diagnosing the disease "submucous uterine fibroids", treatment involves the only option - removal of the organ.

Hysteroresectoscopy is carried out by introducing a special tool - a hysteroresectoscope. It is injected through the vagina, then along the cervical canal into the body cavity. Hysteroresectoscope combines an electrocoagulating stimulator and a video camera. This removes each submucous node in the uterus layer by layer.

It should be noted that nodular neoplasms can be localized in different ways and have a different degree of arrangement in the organ and size.

As practice shows, in most cases, after hysteroresectoscopy, clinical recovery begins.

In case of complex development of the disease, when the size of the nodular neoplasms is more than three centimeters or the larger nodule is located in the muscle, preoperative hormonotherapy may be prescribed before the operation.

Submucous myoma of the uterus is characterized by rapid development. At the same time, the risk of malignancy is high.