ورم عضلي

ورم عضلي A leiomyoma (plural is 'leiomyomata') is a benign smooth muscle neoplasm that is not premalignant. They can occur in any organ, but the most common forms occur in the uterus, small bowel and the esophagus. المرئ They are also the most common benign esophageal tumour, though this accounts for less than 1% of esophageal neoplasms. The remainder consists mainly of carcinomas. Although the vast majority of benign esophageal tumors are clinically silent and go undetected, large or strategically located tumors may become symptomatic.[3] جلدي Leiomyomas of the skin are generally (1) acquired, and (2) divided into several categories[4][5]:627: Solitary cutaneous leiomyoma Multiple cutaneous (or pilar) leiomyomas arising from the arrectores pilorum muscles Angioleiomyomas (Vascular leiomyomas) that are thought to arise from vascular smooth muscle Dartoic (or genital) leiomyomas originating in the dartos muscles of the genitalia, areola, and nipple Angiolipoleiomyoma الأوارم العضلية المعوية Leiomyoma is the most common benign tumor of small bowel. Approximately 50% of cases are found in the jejunum, followed by the ileum in 31% of cases. Almost one half of all lesions are less than 5 centimeters.[6] التشخيص Diagnosis depends on position of the myomas. Traditional Transabdominal or Transvaginal ultrasonogram can detect large submucosal and transmural myomas. For submucosal myomas saline infusion sonography is the best. العلاج العلاج الطبي GnRH agonists for 3–6 months are used to reduce the size of the myomas. It usually reduces the size by 60% to 70%, but once the medication is stopped the myomas will grow back. العلاج الجراحي Myomectomy is a choice to remove myomas. It is usually done when the patient wants to preserve their fertility. This can be performed with either traditional surgery or through laparoscopy. Total Abdominal or Vaginal hysterectomy with Bilateral Salpingo-oophorectomy is the definitive treatment.

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www.marefa.org/index.php/%D9%88%D8%B1%D9%85_%D8%B9%D8%B6%D9%84%D9%8Aموسوعة الأبحاث العلمية

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