Abstract: Introduction: Leiomyomas also known as fibromyomas, fibroids or myomas are the commonly encountered benign uterine neoplasms in women of reproductive age group. They accounts for 5-20% of all women in reproductive age group. This study is an attempt to analyze the clinico pathological spectrum in cases of Leiomyoma of the uterus.
Materials & Method: A clinical study of 100 cases of fibroid uterus was made in the Hospital attached to Medical College. The cases are selected by random allocation. On admission, a detailed history, clinical examination and investigations were made. Examination under general anaesthesia was not made in our studies. Diagnosis was confirmed by scanning in all cases. Diagnostic curettage was done to rule out any endometrial pathology especially in elderly patients.
Results: The most common benin tumor of the pelvins is Leiomyoma. Histopathology report showed proliferative endometrial in 66 cases, secretary changes were noted in 12 patients, endometrial hyperplasia was seen in 5 cases, cystic glandular hypertrophy was seen in 3 cases, atrophic endometrial occurred in 8 patients. The results were inconclusive in 6 patients.
Discussion & Conclusion: Leiomyoma is the most common benign tumor of the pelvis. The trends in the age incidence have remained the same, the occurrence of fibroid is rare before 20 years of age, and they cease to grow after menopause, thereby commonly affecting women of child bearing age, most common in third decade. Presence of proliferative endometrium, adenomyosis and cystic ovaries are all indicative of hyperestrogenic state associated with development of fibroids.
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