THE MORPHOLOGY OF THE SIMPLE AND PROLIFERATIVE UTERINE FIBROIDS IN PREGNANCY

Abstract

Purpose. The identifying of the nature of growth of myoma nodes during the pregnancy, of the cause of the uterine fibroids relapse after conservative myomectomy during the pregnancy.

Material and methods. Тhе сlinical, histologic and morphometric studies of remote myoma nodes during pregnancy were conducted in 41 women and among of 9 patients in this group with recurrent uterine fibroids after conservative myomectomy.

Results. The paper presents the results of morphological and morphometric studies on remote for emergency indications myoma nodes during the pregnancy and the clinical results of the operations. There were found that 78% of women with the growing myoma nodes during pregnancy due to myocyte hypertrophy and secondary changes, and in 22% of patients diagnosed true growth of proliferating fibroids. The both variants of growth nodes were accompanied by clinically and morphological features of the malnutrition of the tumor. The recurrence of the proliferating uterine fibroids was detected in all the cases in the late periods.

Conclusion. More than one fifth of pregnant women with uterine tumor growth is due to a true increase in the proliferating. It is in this cohort in the late periods (2–4 years) relapse of uterine fibroids. The urgency of the problem early relapse prevention of the proliferating uterine fibroids after conservative myomectomy during the pregnancy resulting from the lactation.