Uterine myomas, which occur in one of every four to five women in reproductive life, are the most common solid pelvic tumors in women. Nevertheless, etiology and symptomatology remain poorly understood, and management are inconsistent. In an
effort
to
improveunderstanding of these aspects of uterine myoma, we have reviewed and analysed the data results obtained from myoma patients at Wonju Christian Hospital during the years 1987 to 1990. During the period the incidence of myoma among 4,514
cases of
major gynecologic surgery was 8.1%. The frequency of myoma was the highest in age group of 40~49 years. The most frequent location and type were corpus (96.2%) land intramural (48.8) myoma respectively.
Abnormal electrocardiographic manifestations were noted in 11.2%. The symptoms commonly found in decreasing order were pain or pressure symptoms(60.2%), abnormal uterine bleeding (59.9%) and palpable mass(11.9%). Hypermenorrhea was most
frequently
observed in the submucous type. The proportion of infertility were 6.8%, among them the primary infertility was 2.7% and secondary infertility was 4.1%. And the subserosal and submucous type revealed relatively high incidence of infertility,
18.2%
and
10.2%respectively. Mean hemoglobin level were 10.1g/dl and less than 10g/dl was found in 44.4%. The most frequently associated diseases in myoma were chronic cervicitis(15.0%), ovarian cyst(14.2%) land pelvic inflammatory disease(11.4%). The
majority of
myomas were treated by the total abdominal hysterectomy(96.5%).
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