MIOMATOSIS UTERINA

MIOMATOSIS UTERINA UABC Facultad de medicina Dr. Víctor M. Rodríguez Montaño Pedro Rivera Castellanos Mexicali, B.C a febrero de 2007

[object Object],[object Object],Definición

[object Object],[object Object],[object Object],[object Object],[object Object],Epidemiología

[object Object],[object Object],[object Object],Epidemiología

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Fisiopatología

Influencia de los esteroides sexuales ,[object Object],[object Object],[object Object],[object Object],[object Object]

Características histopatológicas ,[object Object],[object Object],[object Object],[object Object],[object Object],Macroscópicas Histología células uniformes de músculo liso con un patrón en remolino las mitosis son raras.

[object Object],[object Object],http://escuela.med.puc.cl/anatomiapatologica/imagenes/patologia1061-1069.html 60 % miomas son multiples

Clasificación ,[object Object],[object Object],[object Object],[object Object]

Submucoso Pedunculado submucoso intramural subseroso Pediculado subseroso intraligamentario

Clasificación ,[object Object],[object Object],[object Object]

Clasificación ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cuadro clínico

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cuadro clínico

[object Object],[object Object],[object Object],[object Object],CARACTERÍSTICO: incremento gradual del sangrado menstrual Cuadro clínico

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cuadro clínico

[object Object],[object Object],[object Object],[object Object],[object Object],Cuadro clínico

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cuadro clínico

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cuadro clínico

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cambios secundarios en el mioma Los cambios degenerativos ocurren con una frecuencia de 0.1 - 0.2 %

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cambios secundarios en el mioma

[object Object],[object Object],Diagnóstico ,[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnostico EXPLORACIÓN FISICA: - 95% establece el diagnostico Exploración bimanual Puede revelar un aumento difuso en el tamaño del útero (intramurales grandes) o un contorno irregular (subserosos)

Diagnostico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnostico ,[object Object],[object Object],[object Object],Diagnostico

Diagnostico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Diagnostico

[object Object],[object Object],[object Object],[object Object],TRATAMIENTO

[object Object],[object Object],[object Object],[object Object],CONDUCTA EXPECTANTE

[object Object],[object Object],[object Object],CONDUCTA EXPECTANTE

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TRATAMIENTO MEDICO

[object Object],[object Object],[object Object],[object Object],Efecto adverso más importante, pérdida de masa ósea Tras el cese del Tx, regresión de los miomas: rapido crecimiento a las 12 semanas TRATAMIENTO MEDICO - mayor efecto a las 12 semanas - Reducción del torrente sanguíneo local y disminución del tamaño celular

[object Object],[object Object],[object Object],TRATAMIENTO MEDICO

[object Object],[object Object],[object Object],[object Object],TRATAMIENTO MEDICO

[object Object],[object Object],[object Object],[object Object],TRATAMIENTO QUIRÚRGICOS

[object Object],[object Object],[object Object],TRATAMIENTO QUIRÚRGICOS

[object Object],[object Object],[object Object],[object Object],[object Object],TRATAMIENTO QUIRÚRGICOS

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TRATAMIENTO QUIRÚRGICOS

TRATAMIENTO QUIRÚRGICOS ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],Embolización de un mioma uterino ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bibliografía ,[object Object],[object Object],[object Object],[object Object]

MIOMATOSIS UTERINA

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MIOMATOSIS UTERINA