Is uterine fibroid 8cm serious?

It seems that whenever people mention tumors or fibroids, they think of them as very serious diseases. In fact, tumors can be divided into benign and malignant. If they are benign, they can generally be cured through conservative treatment. For example, uterine fibroids are benign tumors. Of course, the course of the disease is different and the harm to the human body is also different. So, is it serious if the uterine fibroids grow to 8CM? What treatment options should women choose in this situation?

The cause of uterine fibroids is still not very clear, and may involve a more complex interaction between normal muscle layer cell mutations, sex hormones and local growth factors.

A large number of clinical observations and experimental results indicate that uterine fibroids are a hormone-dependent tumor. Estrogen is the main factor that promotes the growth of fibroids. Some scholars also believe that growth hormone (GH) is also related to the growth of fibroids. GH can cooperate with estrogen to promote mitosis and promote the growth of fibroids. It is speculated that human placental lactogen (HPL) can also cooperate with estrogen to promote mitosis. It is believed that the accelerated growth of uterine fibroids during pregnancy is related to the high hormone environment during pregnancy, and HPL may also play a role.

In addition, ovarian function and hormone metabolism are controlled and regulated by higher nerve centers, so the activity of nerve centers may also play an important role in the occurrence of fibroids. Uterine fibroids are more common in women of childbearing age, widows, and those with disharmonious sexual lives. Chronic pelvic congestion caused by long-term sexual dysfunction may also be one of the causes of uterine fibroids.

In short, the occurrence and development of uterine fibroids may be the result of the combined action of multiple factors.

examine

1. Ultrasound examination

It is currently the most commonly used auxiliary diagnostic method. It can show the enlargement and irregular shape of the uterus, the number, location, size of the fibroids, and whether the interior of the fibroids is uniform or liquefied or cystic. Ultrasound examination is helpful in diagnosing uterine fibroids, providing a reference for distinguishing whether the fibroids have undergone degeneration, and helping to differentiate them from ovarian tumors or other pelvic masses.

2. Diagnostic curettage

Use the uterine cavity probe to detect the size and direction of the uterine cavity, feel the shape of the uterine cavity, and understand whether there is a mass in the uterine cavity and its location. Patients with abnormal uterine bleeding often need to identify endometrial lesions, and diagnostic curettage is of great value.

3. Hysteroscopy

Under hysteroscopy, the morphology of the uterine cavity and the presence of vegetation can be directly observed, which is helpful for the diagnosis of submucosal fibroids.

4. Laparoscopy

When fibroids need to be differentiated from ovarian tumors or other pelvic masses, laparoscopy can be performed to directly observe the size, shape, and location of the uterus and to preliminarily determine its nature.

5. Magnetic resonance imaging

Generally speaking, there is no need to use magnetic resonance imaging. If it is necessary to differentiate between uterine fibroids and uterine sarcoma, magnetic resonance imaging, especially enhanced delayed imaging, can help distinguish between uterine fibroids and uterine sarcoma. Before laparoscopic surgery, magnetic resonance imaging can also help clinicians understand the location of fibroids before and during surgery and reduce residual tumors.

Differential Diagnosis

Fibroids are often confused with the following diseases and should be differentiated: ① adenomyosis and adenomyoma; ② pregnant uterus; ③ ovarian tumors; ④ uterine malignant tumors; ⑤ uterine hypertrophy; ⑥ uterine inversion; ⑦ uterine malformation; ⑧ pelvic inflammatory mass.