ABSTRACT

Leiomyomata are the most common benign uterine tumors with an incidence of 5.4-77% in women of reproductive age depending on the method of diagnosis.1 They increase in incidence towards the end of a woman's reproductive cycle. They are particularly common in Negroid populations with a 9-fold increase compared to Caucasian populations.2,3 Some familial tenden­ cies have been identified.4 The etiology of these processes is unknown, although leiomyoma growth is estrogen dependent. Most leiomy­ omata are asymptomatic and are an incidental finding at the time of a clinical or ultrasound examination. Approximately 0.1% present as sarcomatous leiomyomata which are rare but serious smooth muscle malignant tumors.5