Uterine myomas during pregnancy: a longitudinal sonographic study

Vivo, Antonio De; Mancuso, Alfredo; Giacobbe, Annamaria; Savasta, Laura Maggio; Dominici, Rosanna De; Dugo, Nella; Dugo, C; Vaiarelli, Alberto

doi:10.1002/uog.8826

Cited by 68 publications

(83 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Case reports in the literature describe the possibility of vaginal expulsion of fibroid after UAE (7). In addition, myoma commonly expand and enlarge during pregnancy (8).…”

Section: Discussionmentioning

confidence: 99%

Pyomyoma after Uterine Artery Embolization for Postpartum Hemorrhage Misdiagnosed as Uterine Necrosis

Song

Seo

Shin

2018

J Korean Soc Radiol

View full text Add to dashboard Cite

A 34-year-old female patient underwent uterine artery embolization (UAE) to control massive postpartum hemorrhage. The interventional radiologist was not informed of the patient's significant history of uterine myoma. Although no significant signs of complications or "red flags" were observed during the procedure, follow-up computed tomography performed four weeks later revealed evidence of a large, globe-like fluid collection with air bubbles in the uterus. The finding and pathology was initially diagnosed as uterine necrosis, which led not to interventional percutaneous drainage; instead, dilation and curettage with resectoscope was performed. The surgical and pathological diagnosis was "expulsion of pyomyoma in the uterine cavity." Awareness and precise knowledge of imaging findings of pyomyoma and uterine necrosis are important for early diagnosis and treatment of UAE-related complications. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Index terms

show abstract

“…Case reports in the literature describe the possibility of vaginal expulsion of fibroid after UAE (7). In addition, myoma commonly expand and enlarge during pregnancy (8).…”

Section: Discussionmentioning

confidence: 99%

Pyomyoma after Uterine Artery Embolization for Postpartum Hemorrhage Misdiagnosed as Uterine Necrosis

Song

Seo

Shin

2018

J Korean Soc Radiol

View full text Add to dashboard Cite

show abstract

“…De ViVo et al [10] revealed that the volume of uterine fibroids significantly increased during pregnancy. Rosati et al [11] showed that the uterine fibroid volume increased during the first trimester, did not continue to increase during the second and third trimesters, and decreased after birth.…”

Section: Effect Of Progesterone On Uterine Fibroids During Pregnancymentioning

confidence: 99%

Dydrogesterone has no effect on uterine fibroids when used to prevent miscarriage in pregnant women with uterine fibroids

Wang

Liu

et al. 2017

Ginekol Pol

View full text Add to dashboard Cite

Objectives: To analyse the effect of dydrogesterone use during pregnancy on uterine fibroids, pregnancy complications, and pregnancy outcome. Material and methods:In all, 372 pregnant women with uterine fibroids who were treated at the Affiliated Provincial Hospital of Shandong University were included in this study. Thirty-three of these women received dydrogesterone and constituted the treatment group, and the 27 women who were found to have uterine fibroids during the first trimester but did not receive intervention to prevent miscarriage composed the control group. The changes in uterine fibroids before and after pregnancy and the pregnancy complications were recorded; immunohistochemistry was used to detect the expression of progesterone receptor (PR) and proliferation-and apoptosis-related proteins in the uterine fibroid tissue.Results: No significant difference was observed in the change in uterine fibroid volume during pregnancy between the treatment group and the control group (p > 0.05). The percentage of uterine fibroids with red degeneration was lower in the treatment group than in the control group, but the difference was not statistically significant. No significant difference was observed in newborn weight, height, Apgar score, threatened miscarriage, or premature birth, among other characteristics, between the two groups (p > 0.05). Immunohistochemistry showed no significant difference in the expression of PR, cyclinD1, insulin-like growth factor (IGF1), or B-cell lymphoma 2 (Bcl2) between the two groups. Conclusions:The use of dydrogesterone during pregnancy has no significant effect on uterine fibroids, pregnancy progression, or pregnancy outcomes in pregnant patients with uterine fibroids.

show abstract

“…Estrogen is claimed to be the principle hormone promoting uterine growth. 16 Progesterone is thought to be responsible for maintain the size of these tumors. 17 However, sex hormone did not seem to be the only hormones involved.…”

Section: Effect Of Pregnancy On Uterine Fibroidsmentioning

confidence: 99%

“…a linear relationship between fibroid growth rate and sex hormone secretion had never been established. 14,16 Although estrogen and progesterone increase steadily during pregnancy, fibroids shrink in size during second and third trimesters. 12,14,16,18 Therefore, authors argue a role of other hormones in fibroid growth during pregnancy particularly human chorionic gonadotropin (hCG).…”

Section: Effect Of Pregnancy On Uterine Fibroidsmentioning

confidence: 99%

Safety of pregnancy in uterine fibroids

Alhainiah¹,

Aljifry²,

Alghamdi³

et al. 2018

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Uterine fibroid is one of the most common intrauterine masses among females at the reproductive age. Pregnancy and uterine fibroids are highly correlated. Pregnancy-related hormones influence the size of uterine fibroids, and fibroids have many impacts on pregnancy. Although most if the uterine fibroids are asymptomatic during pregnancy, serious complications may occur. The main complications include abortion, premature rupture of membranes, premature labor, abruptio placentae, peripartum hemorrhage, fetal malpresentation, fetal intrauterine growth retardation, small for gestational age infants, and fetal anomalies. The main risk factors for complications are related to the fibroid number, size, volume, location, and type. Large, multiple, retroplacental, submucosal, subserosal, pedunculated, or low-lying fibroids carries the highest risk for complications during pregnancy. This review will address the prevalence of uterine fibroids during pregnancy, its effects, and complications.

show abstract

Uterine myomas during pregnancy: a longitudinal sonographic study

Abstract: Objective To evaluate volumetric changes of uterine myomas (fibroids) during pregnancy. Methods

Cited by 68 publications

References 19 publications

Pyomyoma after Uterine Artery Embolization for Postpartum Hemorrhage Misdiagnosed as Uterine Necrosis

Pyomyoma after Uterine Artery Embolization for Postpartum Hemorrhage Misdiagnosed as Uterine Necrosis

Dydrogesterone has no effect on uterine fibroids when used to prevent miscarriage in pregnant women with uterine fibroids

Safety of pregnancy in uterine fibroids

Contact Info

Product

Resources

About