Miomatosis uterina en Hospital Teodoro Maldonado Carbo, entre enero 2014 - diciembre 2015
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La miomatosis uterina es una neoplasia benigna muy común en los órganos reproductivos femeninos en la etapa fértil.
El Instituto Nacional de Estadísticas y Censo (INEC), la considera como la décima causa de morbilidad femenina en Ecuador, en el año 2012, predominando en etapa reproductiva.
A pesar de no ser clara su etiopatogenia, la Organización Mundial de la Salud (OMS), en el 2010 señala que los leiomiomas son el resultado de una estimulación de esteroides ováricos (estrógeno), insulina y factores de crecimiento sobre el miometrio. Además se ve favorecida por factores de riego como la raza afroamericana, edad fértil, tipo de paridad, aumento de peso, antecedentes familiares de cáncer en órganos reproductivos femeninos, antecedentes personales como hipertensión arterial, la dieta, actividad física, hábitos como el tabaquismo o tratamiento hormonal.
Estas tumoraciones son de constitución muscular lisa con un estroma conjuntivo, bien circunscrito, de cantidad variable, separados, firmes, de color blanco grisáceo y de tamaño variable.
La presencia de manifestaciones clínicas en el diagnóstico son de gran importancia, siendo la metrorragia la más prevalente con altos porcentajes de presentación. La asociación de esta patología con otras enfermedades del aparato reproductor femenino se presentan en un gran porcentaje, predominando los quistes de ovario con un 26%, seguido de cervicitis con un 23%.
Uterine myomatosis is a benign neoplasm very common in the female reproductive organs in the fertile stage. The National Institute of Statistics and Census (INEC), considers it the tenth cause of female morbidity in Ecuador, in 2012, predominating in the reproductive stage. Despite its unclear etiopathogenesis, the World Health Organization (WHO) in 2010 notes that leiomyomas are the result of stimulation of ovarian steroids (estrogen), insulin and growth factors on the myometrium. It is also favored by irrigation factors such as African American race, fertile age, parity type, weight gain, family history of cancer in female reproductive organs, personal history as hypertension, diet, physical activity, habits such as smoking or Hormonal treatment. These tumors are of smooth muscle constitution with a well-circumscribed conjunctival stroma of variable quantity, separated, firm, grayish-white and of variable size. The presence of clinical manifestations in the diagnosis are of great importance, with metrorrhagia being the most prevalent with high percentages of presentation. The association of this pathology with other diseases of the female reproductive system occurs in a large percentage, with ovary cysts predominating with 26%, followed by cervicitis with 23%.
Uterine myomatosis is a benign neoplasm very common in the female reproductive organs in the fertile stage. The National Institute of Statistics and Census (INEC), considers it the tenth cause of female morbidity in Ecuador, in 2012, predominating in the reproductive stage. Despite its unclear etiopathogenesis, the World Health Organization (WHO) in 2010 notes that leiomyomas are the result of stimulation of ovarian steroids (estrogen), insulin and growth factors on the myometrium. It is also favored by irrigation factors such as African American race, fertile age, parity type, weight gain, family history of cancer in female reproductive organs, personal history as hypertension, diet, physical activity, habits such as smoking or Hormonal treatment. These tumors are of smooth muscle constitution with a well-circumscribed conjunctival stroma of variable quantity, separated, firm, grayish-white and of variable size. The presence of clinical manifestations in the diagnosis are of great importance, with metrorrhagia being the most prevalent with high percentages of presentation. The association of this pathology with other diseases of the female reproductive system occurs in a large percentage, with ovary cysts predominating with 26%, followed by cervicitis with 23%.
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Miomatosis uterina, Leiomiomatosis, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Factores de riesgo, Epidemiología descriptiva