Clinicopathological Patterns and Biochemical Markers in Serum of Uterine Leiomyoma Patients
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Abstract
Background: Uterine fibroids (leiomyomas) are exceedingly common reproductive neoplasms with foremost public health impact. A cross-sectional study was performed to systematically investigate the marker enzymes, clinicopathological correlations, and electrolyte profile in myoma
Method: This study enrolled 44 control and 46 leiomyoma subjects, aged 21- 50 years. Anthropometric parameters, detailed history of disease and clinicopathological outcomes were documented via a standardized questionnaire followed by uterine ultrasound investigation. Venous blood samples were taken for the measurement of marker enzymes and serum electrolyte concentration with commercially accessible kits
Results: In the age group between 30-40 years high incidence of myoma (43.5%) was found. Majority of fibroids were observed single (52%) and Intramural uterine fibroids were found more common type (61%) of leiomyomas. Menorrhagia was frequent clinical demonstration with 63% leiomyoma cases. In 26% myoma women positive family history of leiomyomas was also observed. A significant increase in diastolic blood pressure (DBP) and body mass index (BMI) while in parity a significant decrease was recorded in leiomyoma patients in comparison with controls. Serum electrolytes investigation revealed a substantial increase in the calcium (Ca2+) as well as chloride (Cl–) concentration and significant drop in potassium (K+) concentration in myoma subjects when compared to the controls. While for serum sodium (Na+) concentration, a non-significant difference was documented between comparable groups. Analysis of marker enzymes manifested a significant increase in the serum concentration of aspartate transaminase (AST), alanine transaminase (ALT) and acid phosphatase (ACP) in fibroid patients in comparison to controls whereas non-significant variations were recorded for serum alkaline phosphatase (ALP) concentration.
Conclusion: A reduced serum K+ concentrations and raised Ca2+, Cl–and Na+ levels in the leiomyoma patients illustrate increased estrogen concentration, that may be responsible for fibroid growth and serum concentration of AST, ACP and ALP are sustainable diagnostic markers of uterine fibroids.
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