Growth pattern of uterine leiomyoma along pregnancy

Uterine leiomyomas are often discovered during early pregnancy and in most cases will have no effect on pregnancy outcomes. However, in rare cases uterine leiomyomas may lead to obstetric complications. The aim of the study was to evaluate rate of uterine leiomyoma growth in the 3 trimesters of preg...

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Bibliographic Details
Published in:BMC women's health 2019-07, Vol.19 (1), p.100-100, Article 100
Main Authors: Chill, Henry Hillel, Karavani, Gilad, Rachmani, Talya, Dior, Uri, Tadmor, Ofer, Shushan, Asher
Format: Article
Language:English
Subjects:
Adult
Complicated pregnancy
Diagnosis
Electronic records
Female
Growth
Humans
Leiomyoma
Leiomyoma - diagnostic imaging
Leiomyoma - pathology
Medical records
Middle Aged
Obstetrics
Patient outcomes
Pregnancy
Pregnancy Complications, Neoplastic - diagnostic imaging
Pregnancy Complications, Neoplastic - pathology
Pregnancy Outcome
Pregnancy Trimester, First
Pregnancy Trimester, Second
Pregnancy Trimester, Third
Pregnancy Trimesters
Pregnant women
Retrospective Studies
Tumor Burden
Ultrasonography
Ultrasound
Uterine fibroid
Uterine leiomyoma
Uterine Neoplasms - diagnostic imaging
Uterine Neoplasms - pathology
Women
Young Adult
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Summary:Uterine leiomyomas are often discovered during early pregnancy and in most cases will have no effect on pregnancy outcomes. However, in rare cases uterine leiomyomas may lead to obstetric complications. The aim of the study was to evaluate rate of uterine leiomyoma growth in the 3 trimesters of pregnancy. We conducted a retrospective cohort study. Included were women who were diagnosed with uterine leiomyoma during pregnancy and had at least two sonographic measurements in different trimesters. Data regarding leiomyoma growth, recorded by ultrasound examination, during 1st 2nd and 3rd trimesters were collected from electronic patient records. Two-hundred forty-eight uterine leiomyomas were included in the study. Leiomyoma area increased substantially in size between the 1st and 2nd trimesters (54.5% ± 75.9%, p = .007) and to a lesser degree between the 2nd and 3rd trimesters (17.9% ± 59.7%, NS). Evaluation of the change in size throughout the pregnancy - between 1st and 3rd trimesters revealed a significant increase of 95.9% ± 191.3% (p 
ISSN:1472-6874
1472-6874
DOI:10.1186/s12905-019-0803-5