Gellé P, Crépin G, Delahousse G, Decocq J, Biserte M C
Service de Gynécologie-Obstétrique, Centre Hospitelier, 59100 Roubaix, France.
Rev Fr Gynecol Obstet. 1974 May;69(5):321-7.
With reference to 207 observations of lesions associated with uterine fibronias. the authors have tried to discover a distinct anatomo-pathological entity. Associated lesions are found in 31 percent of cases. and this frequency should be particularly noted, when the classical view emphasizes particularly the occurrence of complications. The lesions found in association with this type of fibroma are listed below in order of frequency of occurrence: infectious lesions, ovarian dystrophies, hormonal disorders, benign or malignant tumoral lesions, and endometriosis. Attempts at pre-operative diagnosis have been rather disappointing, as only 41 percent of the cases have been diagnosed. The presence of these associated lesions leads more readily to the use of surgery but it is not easy to determine whether this is because of the existence of the lesions or because they are misunderstood. if the associated lesions are diagnosed before the operation, medical treatment of the lesions, particularly in the case of infectious lesions or endometriosis, does not avoid the need for surgery but often make it easier.
