Russell K P
Postgrad Med. 1976 Sep;60(9):245-8.
The mere presence of uterine fibroids is not, since qua non, an indication for their surgical removal. Knowing when not to operate is probably more important for the physician than knowing when to operate. It is easy to fall into diagnostic and therapeutic traps when uterine fibroids are known to be present, especially when they occur concomitantly with a condition such as irregular uterine bleeding, infertility, or pregnancy. The contributions of such conditions to problems in diagnosing and managing fibroids must be kept in mind by the prudent physician; a decision in favor of medical rather than surgical management is often best.
子宫纤维瘤的单纯存在本身并非必须手术切除的指征。对于医生而言，知道何时不进行手术可能比知道何时进行手术更为重要。当已知存在子宫纤维瘤时，尤其是当它们与诸如子宫不规则出血、不孕或妊娠等情况同时出现时，很容易陷入诊断和治疗的陷阱。谨慎的医生必须牢记这些情况对纤维瘤诊断和管理问题的影响；通常最好选择药物治疗而非手术治疗。
