Hysteromyoma - the good-quality tumour developing from a muscular environment of a uterus. To morphogenetic attributes allocate simple hysteromyomas (controllable muscular hyperplasias), proliferating (true good-quality tumours) and presarcomas. At early stages the tumour settles down in a depth of a muscular environment of a uterus, in the subsequent in process of body height are formed intermuscular, subperitoneal or under mucous units, less often - intercopular. In 80 % of cases plural units of a myoma are formed. The tumour can amaze both a body, and a neck of a uterus. The hysteromyoma is diagnosed for 15 17 % of women in the age of 30 years are more senior. At preventive gynecologic inspections a tumour for the first time tap at 1-5 % of women. Development of a hysteromyoma occurs during the periods of functional activity of genesial system (the period of sexual development, genital and climacteric). At 65 % of patients of genital age development and body height of a tumour are observed on a background of the hormonal parities inherent to a normal menstrual cycle. In transition periods (the period of sexual development and climacteric), and also at dysfunction of ovaries at genital age the leading part in development of a hysteromyoma gets deficiency of Progesteronum - a hormone of a yellow body. The maintenance of intracellular receptors of estrogens and Progesteronum in units of the small sizes is not changed, but in process of body height of a tumour and at occurrence in it of degenerate changes it decreases. At a hysteromyoma indicatings on artificial abortions and small number of sorts in the anamnesis are characteristic.
Much depends on age of the patient, localization and a stage of development of the tumour accompanying a gynecologic extragenital pathology. The basic attributes of a hysteromyoma are uterine bleedings cyclic or acyclic (at under a mucous myoma or intermuscular units of a tumour) character of a pain in a bottom of a stomach and a loin. The size and intensity of a menstrual hemorrhage can amplify at development of necrotic changes in units of a tumour, presence of an internal endometriosis. Trophic disturbances in units of a tumour are accompanied by occurrence of the local or diffuse abdominal pains, signs of a boring of a peritoneum, changes in a blood. The similar symptomatology arises at a torsion of a leg of subperitoneal myomatous unit. Nagging pains in a stomach which intensity does not vary during a menstrual cycle, are characteristic for greater and rather slowly growing tumours. At under a mucous myoma there can be an eversion of a uterus to "birth" of unit of a tumour. At a hysteromyoma frustration of a water-salt and albuminous exchange, a hypovolemia can develop an iron deficiency anemia. Genesial function at patients is lowered.
