[The occurrence of leiomyoma cellulare in the surgical material in the Department of Obstetrics and Gynecology of the District Specialty Hospital in Radom].
METHODS
It has been decided to estimate frequency of occurrence of leiomyoma cellulare (LC) among women operated because of the myoma and to compare data with bibliography.


METHODS
14 cases of LC among 309 women operated in the District Specialty Hospital in Radom because of the uterine myoma, between January 2000 and June 2002 were analysed. Clinical symptoms, patients' age, parity, radiological images, macroscopic traits, type of operation and histopathological features were analysed. Histopathological diagnosis was established according to the valid criteria: mitotic index < 5 MF / 10 DPW, lack of necrosis, little or none atypia. Qualifications to the operation were set on the basis of the gynecological examination, ultrasound examination and histological estimation of the scrapings from the uterus.


RESULTS
LC was recognised among 4.53% of the patients operated because of myoma. They were mostly single tumours, of 7.54 cm in diameter (on average) occurring among women aged 41-50. The youngest patient was 29 years old, the oldest--73. No significant differences in prevalence of LC according to parity were stated. Clinical symptoms, ultrasound examination and macroscopic image were typical of myoma and did not indicate suspicion of LC. The most frequent operation was myomectomy (50%) and hysterectomy including appendages (42.86%)


CONCLUSIONS
LC is a relatively frequent subtype of myo-levicellular myoma, which can be diagnosed only by microscopic examination. Because of microscopic similarities to other stromic tumours of the body of the uterus and myo-levicellular sarcoma it is necessary to examine a larger number of specimens and to use valid criteria of recognition.
Banaczek
Zbigniew
Z
Oddział Ginekologiczno-Połozniczy Wojewódzkicgo Szpitala Specjalistycznego, Radomiu.
Sikora
Katarzyna
K
Lewandowska-Andruszuk
Izabela
I
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007044:Hysterectomy; D015994:Incidence; D007889:Leiomyoma / Q000453:epidemiology* / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D011044:Poland / Q000453:epidemiology; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000453:epidemiology* / Q000473:pathology / Q000601:surgery*