Volume change of uterine myomas during pregnancy: Do myomas really grow?

Ahmad O. Hammoud, Radwan Asaad, Jay Berman, Marjorie C. Treadwell, Sean Blackwell, Michael Peter Diamond

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

Study objective: To estimate changes in uterine myoma volume during pregnancy. Design: Review of departmental electronic perinatal database and medical records. Canadian Task Force Classification II-3. Setting: Obstetrical ultrasound unit in an academic tertiary care center. Patients: One hundred-seven patients diagnosed with uterine myomas during pregnancy and who had two or more obstetrical ultrasounds in different periods of pregnancy. Interventions: We analyzed the change in volume of uterine myomas between the first half of pregnancy (up until 19 weeks), third quarter (20-30 weeks), and last quarter (31 weeks to term). The volume of largest uterine myoma was calculated using the formula Volume (mm3) = Π/6 × (length mm) × (width mm) × (height mm). Measurements and main results: The mean age of the population was 31 ± 6 years. Between the first and the second study periods, the percentage of uterine myomas that decreased in size was 55.1% (95% CI: 43-66), with a mean decrease in volume of 35% ± 4%; while the percentage of uterine myomas that enlarged was 44.9% (95% CI: 34-56), with a mean increase in volume of 69% ± 11%. Between the second and the third study periods, 75% (95% CI: 56-87) became smaller, with a mean decrease in volume of 30% ± 3%; while 25% (95% CI: 13-43) enlarged, with a mean increase in volume of 102% ± 62%. Conclusion: Contrary to common belief, we found that uterine myomas commonly decrease in volume over the course of pregnancy.

Original languageEnglish (US)
Pages (from-to)386-390
Number of pages5
JournalJournal of Minimally Invasive Gynecology
Volume13
Issue number5
DOIs
StatePublished - Sep 1 2006
Externally publishedYes

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Myoma
Pregnancy
Advisory Committees
Tertiary Care Centers
Medical Records
Databases
Population

Keywords

  • Change in volume
  • Fibroids
  • Pregnancy
  • Uterine myoma

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Volume change of uterine myomas during pregnancy : Do myomas really grow? / Hammoud, Ahmad O.; Asaad, Radwan; Berman, Jay; Treadwell, Marjorie C.; Blackwell, Sean; Diamond, Michael Peter.

In: Journal of Minimally Invasive Gynecology, Vol. 13, No. 5, 01.09.2006, p. 386-390.

Research output: Contribution to journalArticle

Hammoud, Ahmad O. ; Asaad, Radwan ; Berman, Jay ; Treadwell, Marjorie C. ; Blackwell, Sean ; Diamond, Michael Peter. / Volume change of uterine myomas during pregnancy : Do myomas really grow?. In: Journal of Minimally Invasive Gynecology. 2006 ; Vol. 13, No. 5. pp. 386-390.
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abstract = "Study objective: To estimate changes in uterine myoma volume during pregnancy. Design: Review of departmental electronic perinatal database and medical records. Canadian Task Force Classification II-3. Setting: Obstetrical ultrasound unit in an academic tertiary care center. Patients: One hundred-seven patients diagnosed with uterine myomas during pregnancy and who had two or more obstetrical ultrasounds in different periods of pregnancy. Interventions: We analyzed the change in volume of uterine myomas between the first half of pregnancy (up until 19 weeks), third quarter (20-30 weeks), and last quarter (31 weeks to term). The volume of largest uterine myoma was calculated using the formula Volume (mm3) = Π/6 × (length mm) × (width mm) × (height mm). Measurements and main results: The mean age of the population was 31 ± 6 years. Between the first and the second study periods, the percentage of uterine myomas that decreased in size was 55.1{\%} (95{\%} CI: 43-66), with a mean decrease in volume of 35{\%} ± 4{\%}; while the percentage of uterine myomas that enlarged was 44.9{\%} (95{\%} CI: 34-56), with a mean increase in volume of 69{\%} ± 11{\%}. Between the second and the third study periods, 75{\%} (95{\%} CI: 56-87) became smaller, with a mean decrease in volume of 30{\%} ± 3{\%}; while 25{\%} (95{\%} CI: 13-43) enlarged, with a mean increase in volume of 102{\%} ± 62{\%}. Conclusion: Contrary to common belief, we found that uterine myomas commonly decrease in volume over the course of pregnancy.",
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