leiomyoma
Plural: leiomyomas
Plural: leiomyomata
[leio- + myoma]
A benign tumor consisting principally of smooth muscle. Many leiomyomas are asymptomatic.
epithelioid l.A leiomyoma, usually of the stomach.
uterine l.A leiomyoma of the uterus. It is the most common tumor of the female reproductive tract.
Leiomyomas may sometimes cause abdominal or pelvic heaviness, abnormal uterine bleeding, frequent urination, dysparunia, or pain.
Leiomyomas are classified according to their location. Subserous leiomyomas are found in the peritoneal covering of the uterus. They may be large or small, firm protuberances from the outer surface of the uterus or be attached by pedicles. Intraligamentous leiomyomas are found in the broad ligament. They may have uterine attachment. Intramural leiomyomas are found in the muscle wall of the uterus. If large, they can give the uterus a nodular, irregular shape. Submucosal leiomyomas are found next to the endometrium. Their most common symptoms are excessive, often abnormal bleeding, abdominal cramping, or pain. Cervical leiomyomas may cause stress incontinence, polyuria, dysparunia, or increased vaginal discharge.
These tumors grow only during the reproductive years, often regressing after menopause. Surgical treatment (myomectomy or hysterectomy) may be necessary if tumors are more than 20 weeks' gestational size. Some tumors may be removed laproscopically although submucous tumors are removed by dilatation and curettage (D&C) or by hysteroscopy. Gonadotrophin-releasing hormones (GnRH) cause suppression of ovarian hormones and may cause tumors to shrink. SYN: fibroid tumor; fibroid of uterus; fibromyoma (2); myoma uteri; uterine fibroma.
