子宫平滑肌瘤(共53张PPT).pptxVIP

子宫平滑肌瘤第1页，共53页。

IntroductionUterineenlargementasaresultofleiomyomaiscommoninclinicalpractice.Myomaarethecommonestnewgrowthsoftheuterusandoneofthemostcommontumorsofthehumanbody.Theseoccurinapproximately,20%ofwomenover30,25%ofwomenover40.第2页，共53页。

AetiologicalfactorsFemaleHormonesEstrogensProgestronsGrowthFactorsBasicfibroblastgrowthfactor(BFGF).Insulinlikegrowthfactor(IGF)-I.Epidermalgrowthfactor(EGF).第3页，共53页。

Anatomyofuterus第4页，共53页。

Classification第5页，共53页。

ClassificationAccordingtolocationofuterinemyomatahavebeendividedinCorporealfibromyomata(90%)Cervicalmyomata(10%).第6页，共53页。

ClassificationAndcorporealmyomatahavebeendivided:Intramuralfibromymata60-70%Subserousfibromymata20%Submucousfibromymata10-15%第7页，共53页。

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ClassificationIntramuralfibromymatawithintramuralfibromyomataenlargementoftheuterinebodyusuallyoccurs,oftenwithelongationofitscavitysothatthereisincreasedmenstrualloss.第9页，共53页。

ClassificationSubserousfibromymataSize:fromsmallnodulestoenormousmassesof20kgormoreinweight.Pedunculatedmyoma:theytendtogrowupintotheabdomenandthebroadligament,Rarelytorsionmayoccur,resultingininterferencewiththebloodsupplytothetumor.第10页，共53页。

ClassificationSubmucousfibromyoma.Someintramuraltumorsareextrudedtowardstheuterinecavity.Theuteruscontractsinanattempttoexpelthetumoranditmaybeextrudeduntilitisonlyattachedtotheuterinewallbyastalkandisknownasafibro-myomatouspolyp第11页，共53页。

PathologyNackedeyeappearance.onsectionthefibromyomaispaler,harderandmorefibrousthantheuterinewall.Oncomparinganintramuraltumorwiththesurroundingfalsecapsuleofuterinewallthedifferenceiswellmarked.第12页，共53页。

Nackedeyeappearance第13页，共53页。

Smoothmuscletumorsoftheuterusareoftenmultiple.Seenherearesubmucosal,intramural,andsubserosalleiomyo