What to do if uterine fibroids become malignant

The malignant transformation of uterine fibroids can be treated through surgical resection, drug intervention, radiotherapy, traditional Chinese medicine conditioning, and regular follow-up. Malignant transformation of uterine fibroids is usually caused by abnormal estrogen levels, genetic mutations, chronic inflammatory stimulation, radiation exposure, genetic susceptibility and other reasons.

1. Surgical resection

Surgical resection is the main treatment for malignant transformation of uterine fibroids. Total hysterectomy is suitable for patients who have no desire to have children, and myomectomy is suitable for patients who wish to preserve the uterus. Surgery may be associated with the risk of bleeding or infection, and pathological examination is required to confirm the nature after surgery.

2. Drug intervention

Gonadotropin-releasing hormone analogs such as leuprolide acetate microspheres can reduce the size of fibroids, mifepristone tablets can antagonize progesterone, and tranexamic acid tablets are used to control abnormal bleeding. These drugs must be used strictly as directed by your doctor, as they may cause side effects such as hot flashes and bone loss.

3. Radiotherapy

Radiation therapy, used in patients who cannot tolerate surgery, uses high-energy rays to destroy fibroid cells. Treatment may lead to radiation enteritis or ovarian function decline, and ovarian-protective radiotherapy technology is required.

4. Traditional Chinese Medicine conditioning

The traditional Chinese medicine Guizhi Fuling Capsule can activate blood circulation and remove blood stasis, while Gongliuqing Capsule can soften hard and dissipate knots, and cooperate with acupuncture to regulate Qi and blood. Traditional Chinese medicine treatment requires long-term persistence. When used as an auxiliary method, Western medicine medication should be informed.

5. Regular follow-up visits

Gynecological examination, ultrasound and tumor marker monitoring are performed every 3-6 months. During the follow-up period, symptoms such as abnormal vaginal bleeding, worsening abdominal pain, or difficulty urinating require timely review.

Patients with malignant transformation of uterine fibroids should maintain a low-fat and high-fiber diet, consume appropriate amounts of soy products to regulate estrogen, and avoid hormone-containing foods such as royal jelly. Aim for 150 minutes of moderate-intensity aerobic exercise per week, such as brisk walking or swimming. Ensure 7-8 hours of sleep and relieve stress through meditation. Strictly follow the doctor's instructions for medication and reexamination. Follow-up visits will be made every 3 months within 1 year after surgery, and the follow-up interval will be adjusted according to the situation. Pay attention to abnormal symptoms and seek medical treatment promptly.