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Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons Fifty-Seventh Annual Meeting Hot Springs, Va., Sept. 5 to 7, 1946| Volume 53, ISSUE 3, P474-482, March 01, 1947

Red degeneration of uterine myomas

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      Abstract

      Red degeneration of uterine myomas is considered in the light of what is known of the blood vessels of the myoma. It seems clear that red degeneration is a hemorrhagic infarction of a previously hyalinized myoma. Venous obstruction which has to be at the periphery of the tumor is put forth as the vascular accident which best explains this pathologic entity.
      It is emphasized that the time the tumor is seen as related to the vascular accident governs the specific pathologic findings.
      In the nonpregnant uterus red myomas are usually 10 cm. or more in diameter before there are symptoms or signs enough to make their preoperative diagnosis very certain.
      Conservative medical treatment of the acute phases of red degeneration is feasible when the diagnosis is clear and in pregnancy highly desirable.
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