IMR Press / CEOG / Volume 22 / Issue 4 / pii/1995046

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Open Access Case Report

Clinical and ultrasonographic implications of uterine leiomyomatosis in pregnancy

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1 2nd Institute of Gynecology and Obstetrics, University “La Sapienza”, Policlinico “Umberto I” Supported by Grants from CNR, Italy
Clin. Exp. Obstet. Gynecol. 1995, 22(4), 293–297;
Published: 10 December 1995

Objective: To study the complications related to leiomyomatosis in pregnancy by clinical and ultrasonographic assessment. Design: A retrospective study. Subjects: All pregnancies admitted to the 2nd Institute of Gynecology and Obstetrics, Policlinico Umberto I, in the period between January 1992 to December 1993 were surveyed. Results: Gestational age at the time of ultrasonographic neoplasm diagnosis was 25.1±13.4 weeks, we found no correlation between maternal age or panty affecting pregnancy outcome. Leiomyomatosis complicated pregnancy rate was 1.68%. Myomatosis was diagnosed clinically in 25 of 67 cases (37.3%). Regarding the location of the neoplasm, 59% was located in the corpusuteri, 21 % was considered a diffuse neoplasm and the 14% was located in the fundus. Threatened abortion was the most frequent complication (20%), abortion was the second (16.4%). We observed an increased abortion threat rate (p < 0.001) in those cases where the leiomyoma was in relation with the placenta. We had a surgery rate of 76% in pregnancies complicated by myomatosis, and the indication for surgery was given either primarily or exclusively by the presence of myomatous formation in 19 cases (50%). Conclusions: Our study suggests that location of the leiomyoma in relation to the placenta is a higher risk factor than its size, and that there is a higher risk for threats of abortion and abortion rates in pregnancies complicated by leiomyomatosis. We recommend that every pregnant woman with a suspected myoma should be ultrasonographically scanned.

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