Fibroma history and symptoms: Difference between revisions
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{{CMG}}; {{AE}}{{M.N}}, {{Simrat}} | {{CMG}}; {{AE}}{{M.N}}, {{Simrat}} | ||
==Overview== | ==Overview== | ||
The majority of patients with fibroma are asymptomatic. The most common symptoms of fibroma include pain and swelling of the affected area. | The majority of [[patients]] with fibroma are [[asymptomatic]]. The most common [[symptoms]] of fibroma include [[pain]] and [[swelling]] of the affected area. | ||
==Symptoms== | ==Symptoms== | ||
===Oral Fibromas=== | ===Oral Fibromas=== | ||
[[Oral | *[[Oral]] fibromas are [[asymptomatic]]. | ||
===Ovarian Fibroma=== | ===Ovarian Fibroma=== | ||
*[[Ovarian]] fibromas are generally [[asymptomatic]]. If [[symptoms]] are present, the most common one is [[abdominal pain]]. | |||
===Ossifying Fibroma=== | ===Ossifying Fibroma=== | ||
The common symptoms of [[ossifying | *The common [[symptoms]] of [[Ossifying fibroma|ossifying]] fibromas include the following: | ||
*It is usually painless, although there may be localized pain or fracture | **It is usually painless, although there may be localized [[pain]] or [[fracture]] | ||
*Localized firm swelling of the tibia | **Localized firm [[swelling]] of the [[tibia]] | ||
===Pleural Fibroma=== | ===Pleural Fibroma=== | ||
Pleural fibromas are usually asymptomatic and discovered as an incidental | *[[Pleural]] fibromas are usually [[asymptomatic]] and discovered as an incidental finding on a routine [[chest radiograph]]. More than half of [[pleural]] fibromas are [[asymptomatic]] at [[diagnosis]] If [[symptomatic]], [[clinical]] presentation can be with either one of the following: | ||
*Cough | **[[Cough]] | ||
*Chest pain | **[[Chest pain]] | ||
*Shortness of breath | **[[Shortness of breath]] | ||
===Chondromyxoid Fibroma=== | ===Chondromyxoid Fibroma=== | ||
The clinical symptoms are mostly related to the site where the tumor arises. In case of cranial involvement the symptoms change according to the bone that is affected. Patients can present with [[diplopia]], [[neuralgia]] and [[dysarthria]], facial pain, episodes of convulsions, [[exophthalmos]] and headache or with bony swelling. | *The [[clinical]] [[symptoms]] are mostly related to the site where the [[tumor]] arises. In case of [[cranial]] involvement the [[Symptom|symptoms]] change according to the bone that is affected. Patients can present with [[diplopia]], [[neuralgia]] and [[dysarthria]], facial pain, episodes of convulsions, [[exophthalmos]] and headache or with bony swelling. The common [[symptoms]] of chondromyxoid fibroma includes the following: | ||
The common symptoms of chondromyxoid fibroma includes the following: | **Progressive [[pain]] | ||
*Progressive pain | **[[Pain]] is the most common [[symptom]] and may be present for years. Initially, the [[pain]] is typically mild; however, the [[pain]] may become severe with time, and night [[symptoms]] may be present. | ||
**Pain is the most common symptom and may be present for years. Initially, the pain is typically mild; however, the pain may become severe with time, and night symptoms may be present. | **[[Bony mass|Bony]] [[swelling]] | ||
*Bony swelling | **Restricted range of movement in affected [[limb]] | ||
*Restricted range of movement in affected limb | |||
===Cemento-ossifying Fibroma=== | ===Cemento-ossifying Fibroma=== | ||
*Approximately one-half of all cases of [[cemento-ossifying fibroma]] are asymptomatic, however the growth of the tumor over time may lead to the following symptoms: | *Approximately one-half of all cases of [[cemento-ossifying fibroma]] are [[asymptomatic]], however the growth of the [[tumor]] over time may lead to the following [[symptoms]]: | ||
**Facial asymmetry | **[[Facial asymmetry]] | ||
**Facial discomfort or pain | **Facial discomfort or [[pain]] | ||
===Non-ossifying Fibroma=== | ===Non-ossifying Fibroma=== | ||
*The majority of [[non-ossifying fibroma]] are probably asymptomatic | *The majority of [[non-ossifying fibroma]] are probably [[asymptomatic]], However larger [[lesions]] may be [[painful]] and may weaken the [[bone]] enough to predispose to [[pathological]] [[fracture]]. | ||
===Cardiac Fibroma=== | ===Cardiac Fibroma=== | ||
*Symptoms depend on the size of the tumor, its location relative to the conduction system, and whether it obstructs blood flow. | *[[Symptoms]] depend on the size of the [[tumor]], its location relative to the [[Conduction system disease|conduction system]], and whether it obstructs [[blood flow]]. | ||
*The symptoms of cardiac fibromas include the following: | *The [[symptoms]] of cardiac fibromas include the following: | ||
* | *[[Palpitations]] | ||
===Desmoplastic Fibroma=== | ===Desmoplastic Fibroma=== | ||
The symptoms of desmoplastic fibroma includes the following: | *The [[symptoms]] of desmoplastic fibroma includes the following: | ||
*Pain of the affected area | **[[Pain]] of the affected area | ||
*Swelling of the affected area | **[[Swelling]] of the affected area | ||
===Giant cell fibroma=== | ===Giant cell fibroma=== | ||
They are asymptomatic | *They are [[asymptomatic]] | ||
===Elastofibroma=== | ===Elastofibroma=== | ||
The majority of patients are asymptomatic. Approximately 50% of patients describe localised symptoms which include the following: | *The majority of [[patients]] are [[asymptomatic]]. Approximately 50% of [[patients]] describe localised [[symptoms]] which include the following: | ||
*Pain on movement | **[[Pain]] on movement | ||
*Sensation of clicking, snapping, or clunking of the scapula | **Sensation of clicking, snapping, or clunking of the [[scapula]] | ||
===Uterine Fibroma=== | ===Uterine Fibroma=== | ||
[[Uterine fibromas]], particularly when small, may be entirely asymptomatic. Symptoms depend on the location and size of the fibroid. Symptoms of uterine fibromas include the following | *[[Uterine fibromas]], particularly when small, may be entirely [[asymptomatic]]. [[Symptoms]] depend on the [[Location parameter|location]] and size of the [[fibroid]]. [[Symptoms]] of uterine fibromas include the following<ref name="pmid16504807">{{cite journal |vauthors=Bukulmez O, Doody KJ |title=Clinical features of myomas |journal=Obstet. Gynecol. Clin. North Am. |volume=33 |issue=1 |pages=69–84 |date=March 2006 |pmid=16504807 |doi=10.1016/j.ogc.2005.12.002 |url=}}</ref><ref name="pmid18375184">{{cite journal |vauthors=Divakar H |title=Asymptomatic uterine fibroids |journal=Best Pract Res Clin Obstet Gynaecol |volume=22 |issue=4 |pages=643–54 |date=August 2008 |pmid=18375184 |doi=10.1016/j.bpobgyn.2008.01.007 |url=}}</ref><ref name="pmid10023417">{{cite journal |vauthors=Lumsden MA, Wallace EM |title=Clinical presentation of uterine fibroids |journal=Baillieres Clin Obstet Gynaecol |volume=12 |issue=2 |pages=177–95 |date=June 1998 |pmid=10023417 |doi= |url=}}</ref> | ||
*Abnormal uterine bleeding | **[[Abnormal uterine bleeding]] | ||
*Heavy or painful periods | **Heavy or [[Painful menstruation|painful]] [[periods]] | ||
*Abdominal discomfort or bloating | **[[Abdominal]] discomfort or [[bloating]] | ||
*Painful defecation | **Painful [[defecation]] | ||
*Back ache | **[[Back ache]] | ||
*Urinary frequency or retention | **[[Urinary frequency]] or [[retention]] | ||
*Pain during intercourse | **[[Pain]] during [[intercourse]] | ||
*Infertility | **[[Infertility]] | ||
**While fibroids are common, they are not a typical cause for infertility, accounting for about 3% of reasons why a woman may not be able to have a child. The majority of women with uterine fibroids will have normal pregnancy outcomes. In cases of intercurrent uterine fibroids in infertility, a fibroid is typically located in a submucosal position and it is thought that this location may interfere with the function of the lining and the ability of the embryo to implant. Also larger fibroids may distort or block the fallopian tubes. | **While fibroids are common, they are not a typical cause for [[infertility]], accounting for about 3% of reasons why a woman may not be able to have a [[child]]. The majority of [[women]] with uterine fibroids will have normal [[pregnancy]] outcomes. In cases of intercurrent uterine fibroids in [[infertility]], a fibroid is typically located in a [[submucosal]] position and it is thought that this location may interfere with the [[Function (biology)|function]] of the lining and the ability of the embryo to [[implant]]. Also larger fibroids may distort or block the [[fallopian tubes]]. | ||
*During pregnancy they may also be the cause of miscarriage, bleeding, premature labor, or interference with the position of the fetus. | **During [[pregnancy]] they may also be the cause of [[miscarriage]], [[bleeding]], [[premature labor]], or interference with the [[Position (Obstetrics)|position]] of the [[fetus]]. | ||
==References== | ==References== | ||
Latest revision as of 13:33, 1 August 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Maneesha Nandimandalam, M.B.B.S.[2], Simrat Sarai, M.D. [3]
Overview
The majority of patients with fibroma are asymptomatic. The most common symptoms of fibroma include pain and swelling of the affected area.
Symptoms
Oral Fibromas
- Oral fibromas are asymptomatic.
Ovarian Fibroma
- Ovarian fibromas are generally asymptomatic. If symptoms are present, the most common one is abdominal pain.
Ossifying Fibroma
Pleural Fibroma
- Pleural fibromas are usually asymptomatic and discovered as an incidental finding on a routine chest radiograph. More than half of pleural fibromas are asymptomatic at diagnosis If symptomatic, clinical presentation can be with either one of the following:
Chondromyxoid Fibroma
- The clinical symptoms are mostly related to the site where the tumor arises. In case of cranial involvement the symptoms change according to the bone that is affected. Patients can present with diplopia, neuralgia and dysarthria, facial pain, episodes of convulsions, exophthalmos and headache or with bony swelling. The common symptoms of chondromyxoid fibroma includes the following:
Cemento-ossifying Fibroma
- Approximately one-half of all cases of cemento-ossifying fibroma are asymptomatic, however the growth of the tumor over time may lead to the following symptoms:
- Facial asymmetry
- Facial discomfort or pain
Non-ossifying Fibroma
- The majority of non-ossifying fibroma are probably asymptomatic, However larger lesions may be painful and may weaken the bone enough to predispose to pathological fracture.
Cardiac Fibroma
- Symptoms depend on the size of the tumor, its location relative to the conduction system, and whether it obstructs blood flow.
- The symptoms of cardiac fibromas include the following:
- Palpitations
Desmoplastic Fibroma
- The symptoms of desmoplastic fibroma includes the following:
Giant cell fibroma
- They are asymptomatic
Elastofibroma
- The majority of patients are asymptomatic. Approximately 50% of patients describe localised symptoms which include the following:
Uterine Fibroma
- Uterine fibromas, particularly when small, may be entirely asymptomatic. Symptoms depend on the location and size of the fibroid. Symptoms of uterine fibromas include the following[1][2][3]
- Abnormal uterine bleeding
- Heavy or painful periods
- Abdominal discomfort or bloating
- Painful defecation
- Back ache
- Urinary frequency or retention
- Pain during intercourse
- Infertility
- While fibroids are common, they are not a typical cause for infertility, accounting for about 3% of reasons why a woman may not be able to have a child. The majority of women with uterine fibroids will have normal pregnancy outcomes. In cases of intercurrent uterine fibroids in infertility, a fibroid is typically located in a submucosal position and it is thought that this location may interfere with the function of the lining and the ability of the embryo to implant. Also larger fibroids may distort or block the fallopian tubes.
- During pregnancy they may also be the cause of miscarriage, bleeding, premature labor, or interference with the position of the fetus.
References
- ↑ Bukulmez O, Doody KJ (March 2006). "Clinical features of myomas". Obstet. Gynecol. Clin. North Am. 33 (1): 69–84. doi:10.1016/j.ogc.2005.12.002. PMID 16504807.
- ↑ Divakar H (August 2008). "Asymptomatic uterine fibroids". Best Pract Res Clin Obstet Gynaecol. 22 (4): 643–54. doi:10.1016/j.bpobgyn.2008.01.007. PMID 18375184.
- ↑ Lumsden MA, Wallace EM (June 1998). "Clinical presentation of uterine fibroids". Baillieres Clin Obstet Gynaecol. 12 (2): 177–95. PMID 10023417.