What Are the Different Alternative Treatments for Fibroids?

Malignant uterine fibroids will change according to the changes in the general conditions of the patient, such as nutrition, anemia, heart function, urinary system status, etc., which are related to the duration of the disease and the amount of bleeding or other complications. The following editors invited experts to give us a detailed introduction. ^[1]

Malignant uterine fibroids

Overview of Malignant Uterine Fibroids

Malignant uterine fibroids symptoms

1. Irregular vaginal bleeding, bleeding can occur at any time, except those who are treated with hormones. Vaginal bleeding, similar to menstruation, in postmenopausal women undergoing hormone replacement therapy may indicate the possibility of uterine cancer. Therefore, if you have any abnormal vaginal bleeding or heavy bleeding, you should go to the hospital for treatment as soon as possible.

2. The vaginal points are pink, brown, watery or sticky, and have a strange smell.

3. Pelvic examination revealed an enlarged uterus.

4, weight loss, weakness, lower abdomen, back and legs pain. This happens when the cancer has metastasized or spread.

5. Infertility and miscarriage are symptoms of malignant uterine fibroids. 30% of uterine fibroids are infertile. Infertility may be the cause of the visit, and uterine fibroids were found during the examination. The causes of infertility caused by uterine fibroids are many, see the section on uterine fibroids combined with pregnancy.

6. Anemia. Anemia can occur if chronic bleeding is not treated in time. Before liberation, the majority of working women had anemia due to forced life, despite persistent uterine bleeding and inability to seek treatment. A brief introduction of uterine fibroids in the early days of liberation: 45.25% of patients with hemoglobin in 5-10 grams. And hemoglobin below 5 grams accounted for 12.4%, mostly submucosal fibroids. Severe anemia (below 5 grams) can cause anemia heart disease and myocardial degeneration.

7. Hypertension. Some patients with malignant uterine fibroids are associated with hypertension. Some people who have fibroids with hypertension (except those with a history of hypertension) mostly return to normal after removing fibroids, which may be related to lifting ureteral compression.

8, signs of fibroids less than 3 months of pregnancy in the large uterus, generally not easily accessible through the abdomen.

9. Changes in the general condition of the patient, such as nutrition, anemia, cardiac function, and urinary system status, are related to the duration of the disease and the amount of bleeding or other complications.

Malignant uterine fibroids

NO1, uterine bleeding

Uterine bleeding is the most common symptom of uterine fibroids. Clinical manifestations can include menstrual bleeding, periodic bleeding, increased menstrual flow, often accompanied by prolonged menstruation, this type of bleeding is most common; frequent menstruation, shortened menstrual cycle, increased menstrual flow; irregular bleeding, menstrual loss of normal cycle Sexual, long-lasting, and sometimes dripping constantly, more common in submucosal fibroids.

NO2, abdominal mass

The uterus is located deep in the pelvic cavity, and when the fibroids begin, there is no lump in the abdomen. When the uterine fibroids gradually increase, making the uterus more than 3 months of pregnancy size, or subserosal fibroids located at the bottom of the uterus are easier to reach from the abdomen. The mass is located in the middle of the lower abdomen. It is solid, movable but not active, without tenderness, and slow growth. If the patient has a thick abdominal wall, an enlarged uterus, or a pelvic cavity that is even 4 to 5 months pregnant, it is still difficult for the patient to find .

NO3, vaginal discharge

Submucosal fibroids or cervical submucosal fibroids can cause increased vaginal discharge. Once the tumor is infected, there can be a large amount of pus-like leucorrhea, if there is ulceration, necrosis, bleeding, there may be bloody or purulent foul vaginal discharge.

NO4, compression symptoms

Uterine fibroids can cause compression of surrounding organs. Anterior wall uterine fibroids can cause bladder irritation symptoms, such as frequent urination and urgency; when cervical fibroids grow to a considerable size, they can also cause bladder compression and cause discomfort in the upper part of the pubic bone, frequent urination, urine retention or overflow Incontinence. ^[2]

1. Irregular vaginal bleeding: This is a common symptom of malignant uterine fibroids, and bleeding can occur at any time, except for those who are treated with hormones. Vaginal bleeding, similar to menstruation, in postmenopausal women undergoing hormone replacement therapy may indicate the possibility of uterine cancer.

2. Abdominal mass: The lower abdominal mass is often the main complaint of patients with uterine fibroids, which can be as high as 69.6%. Sometimes it may be the only symptom of fibroids. This is often the case for intermural fibroids that grow into the abdominal cavity and do not affect the endometrium, especially at the base of the uterus or pedicled subserosal fibroids.

3. Weight loss, weakness, pain in the lower abdomen, back, and legs. These symptoms generally appear in the middle and advanced stages, and tumor cells have generally metastasized or spread at this time.

Malignant uterine fibroids not only cause the hazards described above, but also cause severe consequences of infertility in 30% of patients. Therefore, malignant uterine fibroids are more dangerous than uterine fibroids and need to be paid more attention. German WOLF hysteroscopy laparoscopic minimally invasive technology has a high gold content, and the surgical treatment of this disease has very little trauma, very little pain, and quicker recovery, bringing the gospel to countless patients with malignant uterine fibroids.

Harm 4. Infection and purulent uterine fibroid infection. The consequences of twisting multiple tumor pedicles or acute endometritis. Blood-borne infections are extremely rare. Infection can sometimes be purulent, with a few cases forming abscesses in tumor tissue. Intestinal adhesions occur after twisting the subserosal fibroid pedicle, which can be infected by intestinal bacteria. Inflammated fibroids adhere to uterine appendages, causing purulent inflammation.

Harm 5. Twisting subserosal fibroids can twist in the pedicle, causing acute abdominal pain. If the tumor pedicle is severely twisted, if it is not performed immediately or cannot be turned back on its own, free fibroids may be formed due to the twist of the tumor pedicle, as described above. Twisted fibroids can also drive the entire uterus, causing axial uterine torsion. The part of the uterine torsion is mostly near the inner mouth of the cervical canal, but this rarely occurs, mostly due to the large subserosal fibroids attached to the bottom of the uterus and the cervical canal being more slender. Symptoms, signs, and ovarian cystoma pedicle twisting are almost just hard masses.

Harm 6. Uterine fibroids with uterine body cancer and uterine fibroids with uterine body cancer account for 2, which is much higher than uterine fibroids with cervical cancer. Therefore, patients with menopausal uterine fibroids have persistent uterine bleeding, and should be wary of the presence of endometrial cancer at the same time. Before determining treatment, a curettage should be performed. ^[3]

Malignant uterine fibroids

[1] Fibroids growing in the ligamentum ligament can benefit from the stretch and distortion of the fallopian tube on its surface, squeezing the lumen, affecting its patency, or dislocation of the ovary, widening the distance between the ovary and the fallopian tube, preventing the fallopian tube End picking function.

[2] Uterine fibroids can make uterine contraction frequency, amplitude and duration higher than normal baseline, and interfere with fertilized egg implantation or abortion after implantation. When fibroids are associated with periosteal proliferative disease, it means that the ovaries do not ovulate, fibroids cause uterine bleeding, cause infections, and block the fallopian tubes, which can cause infertility.

[3] Larger uterine fibroids can deform the uterine cavity, which is not conducive to sperm passage, fertilized egg implantation, and fetal development.

[4] Uterine fibroids growing in the cervix can compress the cervical canal. Obstructing the passage or changing the orientation of the cervix, keeping it away from the semen pool in the posterior fornix, is not conducive to sperm entering the cervix.

[5] Submucosal uterine fibroids growing in the uterine cavity are like a spherical intrauterine device placed in the uterine cavity, which prevents fertility. Endometrial ischemia, necrosis, and atrophy on the surface of the uterine cavity are also not conducive to implantation of fertilized eggs.

[6] Fibroids growing near the uterine horn can compress the fallopian tube openings and cause obstruction.

Complications of malignant uterine fibroids

1, cause infection: uterine fibroids cause pelvic congestion, infection occurs, when uterine fibroids infection can form an abscess, which is suppurative. Inflammed uterine fibroids can adhere to the uterine appendages and cause purulent inflammation.

2. Infertility or abortion: When a female friend has uterine fibroids, the most serious harm is to cause female friends to have an abortion and infertility. In particular, fibroid tissue that grows in the uterine horn can press the entrance of the fallopian tube, cause deformation of the uterine cavity, prevent the fertilized egg from implanting smoothly, cause miscarriage, and infertility in severe cases.

3. Secondary anemia: As a female friend suffers from uterine fibroids, she suddenly causes an increase in menstrual flow. This will cause female friends to have secondary anemia for a long time, which will seriously cause female anemia heart disease.

4. Malignant lesions: Although uterine fibroids are benign tumors, a few female friends will still develop malignant lesions, so they must be treated in time. ^[4]

Malignant Uterine Fibroids Treatment

At present, the main treatment methods for malignant uterine fibroids are surgical treatments, such as: hysterectomy (including total and half incisions), uterine fibroids removal, and resection is generally suitable for uterine uterine size> 3 months of pregnancy Although the symptoms are not large, or the fibroids grow rapidly, malignant people cannot be ruled out; and the removal is mainly applicable to women under 35 years old, unmarried and unfertile.

With the widespread use of minimally invasive surgery in the clinic, most uterine fibroid surgery can be completed with the help of laparoscopy and hysteroscopy. Minimally invasive surgery turned the original tens of centimeter incision into two or three 0.5-1cm holes in the abdomen, turning the scars on the belly into faint marks, which alleviated a lot of pain to the patient's physical and mental Caused by torture. In addition to surgery, malignant uterine fibroids need to be treated with drugs.

1. Look forward to therapy. Generally, fibroids are less than 8 weeks of pregnancy, no obvious symptoms, no complications and no fibroid degeneration, or women with menopausal women with a uterus smaller than 12 weeks of pregnancy, normal menstruation and no symptoms of compression, can take anticipatory therapy and temporarily observe. Persistence of re-examination every 3-6 months, that is, regular follow-up observations in clinical and imaging aspects, generally in postmenopausal fibroids can gradually shrink. However, it should be noted that a few patients with postmenopausal uterine fibroids do not shrink but increase, so follow-up should be strengthened. During the follow-up period, patients with enlarged fibroids and rapid growth, submucosal fibroids or suspected fibroid degeneration, or those with obvious symptoms and anemia should be considered for surgical treatment.

2. Fibroid removal. It is mainly suitable for patients under 45 years old, especially under 40 years old, who want to retain fertility. Whether under the serosa, between the muscle walls, or even the submucosal fibroids, fibroids can be removed to preserve the uterus. Submucosal fibroids can be removed by hysteroscopic surgery. Patients undergoing hysteroscopic surgery have less pain, recover quickly after surgery, and can even undergo surgery in an outpatient setting.

3. Total hysterectomy. Patients with uterine fibroids who are older, have obvious symptoms and do not require further fertility should undergo a total hysterectomy. One or both sides of the normal ovary can be retained to maintain its endocrine function at the age of 50 years. Total hysterectomy can be performed by video laparoscopy, transvaginally or open. Laparoscopic or transvaginal surgery has less trauma to patients, quick recovery, scarring, and short hospital stay, which is the current development trend of gynecological surgery. ^[5]

Malignant uterine fibroids prevention

Uterine fibroids are very harmful, and prevention is the first:

1. If you have too much menstruation, eat more foods rich in iron to prevent iron deficiency anemia

2. Don't take extra estrogen, especially after menopause, so as not to grow uterine fibroids

3. Eat more vegetables and fruits and less spicy food. To prevent excessive fatigue, pay special attention to rest during menstruation.

4, keep the vulva clean and dry, underwear should be wide. If there is too much leucorrhea, you should wash the vulva at any time.

5. Avoid getting pregnant again. Women with uterine fibroids have poor uterine recovery after an abortion and often cause prolonged bleeding or chronic genital inflammation.

6. After the diagnosis of uterine fibroids, you should go to the hospital for inspection once a month. If the fibroids grow slowly or have not increased, they can be reviewed once every six months; if the increase is obvious, surgical treatment should be considered to avoid severe bleeding or compression of abdominal organs. This is a way to prevent uterine fibroids ^[6]