Ovarian fibroma: causes, symptoms, ultrasound diagnosis, treatment

Ovarian Fibroma neoplasm is benign nature. It shows no hormonal activity that distinguishes it among a number of other tumors. Ovarian fibroma is found more frequently after age 40 in women in menopause and after, but now it is often diagnosed at a younger age. It is not common among all benign tumors - it reveals an average of 8% of cases.

The causes of the disease

Gynecologists accurate to find out the reasons and mechanisms that cause fibroids. There are several factors that can give an impetus to the formation of tumors:

• menstrual dysfunction;
• menopause;
• obesity;
• various acute and chronic pathologies ekstragenital'nye;
• infertility;
• decreased immunity.

Attention! Provoke the appearance of fibroids can long-term use of hormonal contraceptives, as well as their abrupt withdrawal without medical advice.

Against the backdrop of withdrawal the body experiences stress, hormonal failure occurs, which is one of the risk factors.

disease symptoms

A long period of fibroids is not an effect, it is often found incidentally during ultrasound examination or examination by a gynecologist. If the tumor is not more than 3 cm, no symptoms, ovary normally performs its functions.

As you increase the size of fibroids, there are signs, called Meigs syndrome. These include:

• anemia;
• ascites;
• pleurisy.

Ascites - the most common symptom, which is caused by a tumor extravasation of fluid into the peritoneal cavity.

Pleurisy is formed as a result of contact with the abdomen of the liquid into the pleural space, it may become infected during the passage.

Fibroma may manifest itself:

• painful sensations;
• shortness of breath;
• general malaise.

When ovarian cancer pain can be given in feet. The severity of symptoms depends on the size of the fibroids, which can compress the adjacent tissue to her.

Diagnostics

The tumor can be diagnosed at the doctor-gynecologist. On palpation revealed a fairly solid education in the ovary with jagged edges, moving under his fingers and painless.

It appointed a number of studies, which includes a complete blood count, and a study on the tumor markers. This is necessary for the differential diagnosis. The important point is histological analysis of tumor tissues, which are extracted with the help of surgery.

Important! It is necessary to exclude malignancy process.

ovarian fibroma on ultrasound

After a gynecological examination is appointed by ultrasound study, which helps in the diagnosis of fibroids. In the study on the screen it is a circular or oval formation, tumor advantageously homogeneous structure and echo-positive.

It happens that there ehonegativnoe inclusion, which say that there are degenerative changes. When carrying out color Doppler for blood flow assessment, blood vessels, for the most part, no, indicating that the avascular tumor. In the picture presented fibroma right ovary:

Comment! Also, when the presence of fluid in the pleural cavity can make a puncture to study the material obtained cells.

Treatment of ovarian fibroma

Conservative treatment brings effect, since the fibrous body in the ovary lacks the ability to dissolve. Surgeons choose tactics of surgical treatment, depending on the factors:

• the woman's age;
• tumor size;
• presence of chronic diseases.

For small amounts of education make laparoscopic surgery and extirpate the tumor, while maintaining reproductive function. At large tumor sizes shown along with its removal ovary.

Menopausal women is recommended to remove fibroids with appendages, it avoids repeated its development. If a tumor is present on both ovaries, the part of the least affected organ must necessarily keep. This is especially true of women of childbearing age.

Prediction of treatment and possible complications

The forecast is quite favorable. In the case of timely diagnosis and operative treatment further condition of the woman satisfactory, after passing a medical and rehabilitation course can be planned pregnancy.

Education rarely degenerates into a malignant tumor, according to the statistics, it was only 1% of women with fibroids. For small sizes of the tumor in cases where the operation is not shown, must be supervised by specialist.

Important! Fibroma may be precancerous disease in women.

Complications of fibroids can carry a real threat to a woman's life as possible torsion leg tumor with further nekrotizirovaniem. It is also possible tumor development gap with bleeding, suppuration followed peritonitis may form adhesions. Hemorrhage rarely arise at left ovarian fibroma, since it is less rich in vessels, in contrast to the right.

prevention

Due to the lack of specific reasons for any special methods of prevention of tumor development does not exist. Here, the most important time to detect the tumor and prevent its possible negative consequences. Therefore it is very important not to forget that all women at least once a year undergo preventive examination by a gynecologist. This will help to quickly identify risk factors. If necessary the doctor may prescribe additional methods for diagnosis.

You also need to keep track of your general condition, time to treat all the other gynecological diseases, attentive to the choice of sexual partners and contraception. This is to prevent unwanted pregnancy and sexually transmitted diseases.

General recommendations include:

1. Struggle with bad habits.
2. Maintaining proper body weight.
3. Moderate exercise.
4. Strengthening the immune system.

conclusion

If any disease is very large role played by early diagnosis, is not an exception and ovarian fibroma. This makes it possible to assign the correct and effective treatment, which will provide in the future a great quality of life.