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KMID : 0374019820050010017
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Ewha Medical Journal
1982 Volume.5 No. 1 p.17 ~ p.23
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The Clinicopathological Study on the Uterine Myoma
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Abstract
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It- is estimated that fully 20 % of all women over `35 years of age harbor uterine myoma
This clinicopathological study on the uterine myoma was based upon 138 caseswhich we. re ´ operated and diagnosed in the Dept, of Obstetrics and Gynecology, Ewha Womans University Hospital from the beginning of 1972 to the end of 1979.
Summaries of the results were as follows :
1. Myoma was 6.1% of the total major gynecological operations.
2. The most frequent age group was 4049 years (60.1t)-. There was the most- comm-
on in cases with parity 3 and the mean age of menarche was 16.0 years.
3. Majority of cases were corporeal myoma, 90.6 %, whereas cervical myom.as were 7.2 %.
The types of tumor consist of 471 % of intramural myoma, 22.5 % of subserous my-
oma and 14.5 % of submucous myoma
4. Pain and pressure symptoms were the most common chief complaints (69.5 %), whe-
reas abnormal uterine bleeding in 522 % and palpable mass in 31.9 % in orders.
5. Infertility was observed in 21 % of all cases .(primary infertility ; 6.5 % and secondary
infertility 14.5 %). Hemoglobin less than 10.0 gm % was seen in 21.1 %.
6. Total abdominal hysterectomy was performed in the majority cases (90.6%). There was no mortality due to operation.
7. The most commonly associated condition in myoma was adenomyosis (19.5 % ) and the most fequent secondary change was hyaline degeneration. (6.5%)
8. Postoperative morbidity was found in 12.3 % of all cases and wound ´ infection (4.3 %) was the most common morbidity.
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