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PROLABE PEDİNKÜLE SUBMUKOZAL MYOMADA TEDAVİ ALTERNATİFLERİ: İKİ OLGU SUNUMU

Year 2015, Volume: 5 Issue: 1, 69 - 72, 27.02.2015

Abstract

ÖZET

Leiomyomlar düz kas hücrelerinden oluşan en sık benign uterin tümörlerdir. Uterusta sub- mukozal, intramural ve subserozal olabildikleri gibi, servikal, broad ligament içinde ya da pedinküller içinde olabilir. Submukozal myomlar oldukça nadir görülmektedir. Bazı submu- közal myomlar pedinküllü olup  servikal kanaldan vajinaya uzanıp kontraksiyonlara sebep olabilirler. Başlıca tedavi yöntemleri histerektomi ve myomektomi olmakla birlikte fertilite isteğine ve myomun büyüklüğüne göre tedavi yöntemi değişebilmektedir. Bu olgu sunu- munda vajene doğmuş pedinküle submüköz yerleşimli leiomyomu olan iki olguyu; abdo- minal ve vaginal yolla yapılan  iki farklı tedavi yöntemleri açısından tartışmayı amaçladık.

Anahtar kelimeler: Submukozal; Layomiyom; Tedavi

ABSTRACT

Leiomyomas are most common benign tumor of uterus which are originated from smooth muscle cells.They may be submucosal, intramural or subserosal and also they may be located in the cervix, in the broad ligament or on a pedicle. Submucous myomas are rarely seen and some  submucous leiomyomas may become pedunculated and progressively extrude  from  the  uterine  cavity  to  vagina  causing    contractions. Hysterectomy  and myomectomy have been the mainstay of leiomyoma treatment but the treatment option chosen  according to the fertility desire and the size of the myoma. In this case report we aimed to discuss two different management options  as abdominal or  vaginal  way of prolabe, pedinculated submucozal myomas of two different cases.

Keywords: Submucousal; Leiomyoma; Therapy

References

  • Berek JS. Genel Jinekoloji. In Erk A, Demirtürk F, eds. Berek&Novak Jinekoloji. 14. baskı. İstanbul. İstanbul. Nobel Tıp Kitapevleri. 2011. p. 469-71.
  • Schorge JO. Ectopic pregnancy. In Schorge JO,Schaffe JI,Halvorson LM,Hoffman BL, Bradshaw KD, Gary Cunningham F, Calver LE. Williams Gynecology. 1st ed. New York. Mc Graw Hill. 2008. p. 198-207.
  • Kutlar İ, Bakır K, Ersoy U.[Vulvar myoma] Turkiye Klinikleri J Gynecol Obst 2000;10(3):205-7.
  • Ozcan U, Yalcın RH, Cakar A , Gokmen O . The management of prolapsed submucous myoma: a review of 56 cases.Gynecol Obstet Reprod Med. 2000;6(1):60-3.
  • Sendag F, Tıras MB. [Leiomyoma,infertility and miscarriage]. Turkiye Klinikleri J Gynecol Obst. 2003;13(3):260-5
  • Fritz MA, Disfonksiyonel Uterin Kanamalar. Fritz MA, Sperof L. Klinik Jinekolojik Endokrinoloji ve İnfertilite. 8. baskı. Ankara. Güneş Tıp Kitapevleri; 2014. p. 591-620.
  • Bedir R, Güçer H, Ural Ü, [Primary leiomyoma of the ovary: case report]. Turkiye Klinikleri J Gynecol Obst. 2012;22(3):203-6.
  • Lefebvre G . The management of uterine leiomyomas.J Obstet Gynecol Can. 2003 ;25(5):396-418
  • Aynıoğlu Ö, Çalışkan E, Şimşek T. Leiomyomectomy in a Case of First Trimester Pregnancy with Torsioned Leiomyoma Causing Acute Abdomen: Case Report. Turkiye Klinikleri J Gynecol Obst. 2010;20(4):277-80.
  • Murphy J. Notes of a Case of Vaginal Myomectomy Par Morcellement. Br Med J. 1893;11;1(1676):285.
  • Golan I, Zachalka N, Lurie S. Vaginal removal of prolapsed pedunculated submucous myoma: a short, simple and definitive procedure with minimal morbidity. Arch Gynecol Obstet.2005;271(1):11-3.
  • Rovio PH1, Heinonen PK. Transvaginal myomectomy with screw traction by colpotomy. Arch Gynecol Obstet. 2006;273(4):211-5.
Year 2015, Volume: 5 Issue: 1, 69 - 72, 27.02.2015

Abstract

Leiomyomas are most common benign tumor of uterus which are originated from smooth muscle cells.They may be submucosal, intramural or subserosal and also they may be located in the cervix, in the broad ligament or on a pedicle. Submucous myomas are rarely seen and some submucous leiomyomas may become pedunculated and progressively extrude from the uterine cavity to vagina causing contractions. Hysterectomy and myomectomy have been the mainstay of leiomyoma treatment but the treatment option chosen according to the fertility desire and the size of the myoma. In this case report we aimed to discuss two different management options as abdominal or vaginal way of prolabe, pedinculated submucozal myomas of two different cases

References

  • Berek JS. Genel Jinekoloji. In Erk A, Demirtürk F, eds. Berek&Novak Jinekoloji. 14. baskı. İstanbul. İstanbul. Nobel Tıp Kitapevleri. 2011. p. 469-71.
  • Schorge JO. Ectopic pregnancy. In Schorge JO,Schaffe JI,Halvorson LM,Hoffman BL, Bradshaw KD, Gary Cunningham F, Calver LE. Williams Gynecology. 1st ed. New York. Mc Graw Hill. 2008. p. 198-207.
  • Kutlar İ, Bakır K, Ersoy U.[Vulvar myoma] Turkiye Klinikleri J Gynecol Obst 2000;10(3):205-7.
  • Ozcan U, Yalcın RH, Cakar A , Gokmen O . The management of prolapsed submucous myoma: a review of 56 cases.Gynecol Obstet Reprod Med. 2000;6(1):60-3.
  • Sendag F, Tıras MB. [Leiomyoma,infertility and miscarriage]. Turkiye Klinikleri J Gynecol Obst. 2003;13(3):260-5
  • Fritz MA, Disfonksiyonel Uterin Kanamalar. Fritz MA, Sperof L. Klinik Jinekolojik Endokrinoloji ve İnfertilite. 8. baskı. Ankara. Güneş Tıp Kitapevleri; 2014. p. 591-620.
  • Bedir R, Güçer H, Ural Ü, [Primary leiomyoma of the ovary: case report]. Turkiye Klinikleri J Gynecol Obst. 2012;22(3):203-6.
  • Lefebvre G . The management of uterine leiomyomas.J Obstet Gynecol Can. 2003 ;25(5):396-418
  • Aynıoğlu Ö, Çalışkan E, Şimşek T. Leiomyomectomy in a Case of First Trimester Pregnancy with Torsioned Leiomyoma Causing Acute Abdomen: Case Report. Turkiye Klinikleri J Gynecol Obst. 2010;20(4):277-80.
  • Murphy J. Notes of a Case of Vaginal Myomectomy Par Morcellement. Br Med J. 1893;11;1(1676):285.
  • Golan I, Zachalka N, Lurie S. Vaginal removal of prolapsed pedunculated submucous myoma: a short, simple and definitive procedure with minimal morbidity. Arch Gynecol Obstet.2005;271(1):11-3.
  • Rovio PH1, Heinonen PK. Transvaginal myomectomy with screw traction by colpotomy. Arch Gynecol Obstet. 2006;273(4):211-5.
There are 12 citations in total.

Details

Journal Section Case Report
Authors

Semra Kayataş

Mustafa Eroğlu This is me

Didar Mahmutoğlu This is me

Ayşen Telce Boza This is me

Sevcan Arzu Arınkan This is me

Murat Api This is me

Publication Date February 27, 2015
Published in Issue Year 2015 Volume: 5 Issue: 1

Cite

APA Kayataş, S., Eroğlu, M., Mahmutoğlu, D., Boza, A. T., et al. (2015). PROLABE PEDİNKÜLE SUBMUKOZAL MYOMADA TEDAVİ ALTERNATİFLERİ: İKİ OLGU SUNUMU. Bozok Tıp Dergisi, 5(1), 69-72.
AMA Kayataş S, Eroğlu M, Mahmutoğlu D, Boza AT, Arınkan SA, Api M. PROLABE PEDİNKÜLE SUBMUKOZAL MYOMADA TEDAVİ ALTERNATİFLERİ: İKİ OLGU SUNUMU. Bozok Tıp Dergisi. February 2015;5(1):69-72.
Chicago Kayataş, Semra, Mustafa Eroğlu, Didar Mahmutoğlu, Ayşen Telce Boza, Sevcan Arzu Arınkan, and Murat Api. “PROLABE PEDİNKÜLE SUBMUKOZAL MYOMADA TEDAVİ ALTERNATİFLERİ: İKİ OLGU SUNUMU”. Bozok Tıp Dergisi 5, no. 1 (February 2015): 69-72.
EndNote Kayataş S, Eroğlu M, Mahmutoğlu D, Boza AT, Arınkan SA, Api M (February 1, 2015) PROLABE PEDİNKÜLE SUBMUKOZAL MYOMADA TEDAVİ ALTERNATİFLERİ: İKİ OLGU SUNUMU. Bozok Tıp Dergisi 5 1 69–72.
IEEE S. Kayataş, M. Eroğlu, D. Mahmutoğlu, A. T. Boza, S. A. Arınkan, and M. Api, “PROLABE PEDİNKÜLE SUBMUKOZAL MYOMADA TEDAVİ ALTERNATİFLERİ: İKİ OLGU SUNUMU”, Bozok Tıp Dergisi, vol. 5, no. 1, pp. 69–72, 2015.
ISNAD Kayataş, Semra et al. “PROLABE PEDİNKÜLE SUBMUKOZAL MYOMADA TEDAVİ ALTERNATİFLERİ: İKİ OLGU SUNUMU”. Bozok Tıp Dergisi 5/1 (February 2015), 69-72.
JAMA Kayataş S, Eroğlu M, Mahmutoğlu D, Boza AT, Arınkan SA, Api M. PROLABE PEDİNKÜLE SUBMUKOZAL MYOMADA TEDAVİ ALTERNATİFLERİ: İKİ OLGU SUNUMU. Bozok Tıp Dergisi. 2015;5:69–72.
MLA Kayataş, Semra et al. “PROLABE PEDİNKÜLE SUBMUKOZAL MYOMADA TEDAVİ ALTERNATİFLERİ: İKİ OLGU SUNUMU”. Bozok Tıp Dergisi, vol. 5, no. 1, 2015, pp. 69-72.
Vancouver Kayataş S, Eroğlu M, Mahmutoğlu D, Boza AT, Arınkan SA, Api M. PROLABE PEDİNKÜLE SUBMUKOZAL MYOMADA TEDAVİ ALTERNATİFLERİ: İKİ OLGU SUNUMU. Bozok Tıp Dergisi. 2015;5(1):69-72.
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