Fibroma history and symptoms
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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
The common symptoms of ossifying fibromas include the following:
- It is usually painless, although there may be localized pain or fracture
- Localized firm swelling of the tibia
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.