Uterine Leiomyomas: Are the Blood Vessels Main Culprit?
Keywords:
Leiomyoma, Fibroid,, Angiogenesis,, fibrosis, endothelial cell damage, extravasation of plasma.Abstract
Objective: Evaluate their histology; particularly in reference to their blood vessels and surrounding
matrix to determine the role of vascular endothelial damage in pathogenesis of leiomyomas.
Methodology: 60 cases of leiomyomas were studied by two consultant histopathologists
Place and duration of study: Combined Military Hospital & AJK Medical College, from October 2013-
December 2013
Results: All leiomyomas showed significant vascular changes. There was brisk angiogenesis, endothelial
cell damage, exudation of plasma with organization and fibrosis.
Conclusion: The vascular changes suggested hormonal effects; particularly estrogen dominance; appropriate
management of theses may retard the process of fibrosis and smooth muscle hyperplasia.
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Copyright (c) 2018 Bushra Farooq, Anwar Ul Haque
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