Uterine leiomyomas are among the most common gynecologic benign tumors in women of
reproductive age. Increased uterine size and deformity of the uterine cavity caused
by leiomyomas are related to compression-associated symptoms and infertility [
[1]
]. Procedures for surgical management of uterine leiomyomas, such as hysterectomy and
myomectomy, have been introduced. The precise mapping of the number, size, and localization
of uterine leiomyomas is required for myomectomy as a fertility-sparing surgery. However,
intraligamentous leiomyomas, located in the broad ligament, are sometimes difficult
to treat with myomectomy since there is a possible risk of heavy bleeding and damage
to the ureter adjacent to the intraligamentous leiomyomas [
[2]
]. A method to distinguish intraligamentous leiomyomas from subserosal leiomyomas,
which are much easier to treat with myomectomy, has yet to be established.To read this article in full you will need to make a payment
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References
- Etiology, symptomatology, and diagnosis of uterine myomas.Fertil Steril. 2007; 87: 725-736
- Cyproheptadine for the prevention of postoperative delirium: a pilot study.Ann Pharmacother. 2016; 50: 180-187
- Quantitative MRI of uterine leiomyomas during triptorelin treatment: reproducibility of volume assessment and predictability of treatment response.Magn Reson Imaging. 1996; 14: 1127-1135
- Uterine leiomyomas in the infertile patient: preoperative localization with MR imaging versus US and hysterosalpingography.Radiology. 1988; 167: 627-630
- High-field MRI and US evaluation of the pelvis in women with leiomyomas.Magn Reson Imaging. 1990; 8: 371-376
Article info
Publication history
Published online: June 30, 2017
Received:
January 19,
2017
Identification
Copyright
© 2017 Elsevier B.V. All rights reserved.
