How much does myoma need to be removed?

Hysteromyoma is usually more than 3 cm in diameter. We recommend surgery, or conservative treatment for patients with poor results. The main surgical methods are myomectomy and hysterectomy. The surgical approach can be laparotomy, transvaginal, and hysteroscopy or laparoscope-assisted surgery. Hysteromyomectomy surgery, it is suitable for patients who want to retain fertility function, more laparotomy or laparoscopy assisted myomectomy, and submucosal myoma generally we use hysteroscopic surgery, especially type 0 or type 1 patients, more use this hysteroscopy and then assisted resection. Hysterectomy is aimed at those who do not require fertility preservation, or highly suspected of malignant transformation, can be performed hysterectomy surgery, if necessary, frozen sections, histological examination. Cervical cytology should be performed before surgery to exclude cervical intraepithelial neoplasia and other manifestations. Uterine fibroids in the process of pathological changes are prone to the following changes: first, hyaline change is also known as hyaline degeneration, this situation is the most common; Second, cystic change, hyaline degeneration of uterine fibroids continues to develop, myocyte necrosis liquefaction, it becomes cystic change; third, red like change, more common in pregnancy or puerperium because of a special type of degeneration of uterine fibroids, its specific mechanism is unclear; We also talked about sarcomatoid changes, which are rare and range from 0.4% to 0.8%, and calcification, which occurs in small, poorly vascularized subserous fibroids and postmenopausal women.