52 years old, seven centimeters of leiomyosarcoma, should we operate?

For 52-year-old women, if the fibroid is 7cm and there is no abnormal vaginal bleeding, increased menstrual flow and other discomforts, they can be followed up regularly; if there is a combination of abnormal bleeding or abdominal pain and other discomforts, and the fibroid increases significantly within a short period of time, then it is recommended that the patient undergoes surgery in a timely manner. 1. If the patient does not have abnormal vaginal bleeding, increased menstrual flow or abdominal pain and other discomforts, as the patient is already menopausal or close to menopause at the age of 52, the level of estrogen in the body has decreased significantly, and the fibroid will not increase in size in general, at this time, the patient can be rechecked with the gynecological ultrasound every 3-6 months to dynamically observe the growth of the fibroid. 2. If the patient has increased menstrual flow, abdominal pain, anemia and other discomforts, it is recommended that the patient undergoes surgery as early as possible; at the same time, if it is found that the fibroids increase significantly within a short period of time, it is necessary to be vigilant against the occurrence of sarcomatoid changes, and then the patient can follow the doctor’s instructions to be treated by surgical removal of fibroids or surgical resection of the uterus and other ways. For a 52-year-old woman with seven centimeters of fibroids, it is recommended that she go to the gynecology department of a regular hospital and choose the appropriate treatment under the guidance of her doctor in order to obtain the best treatment results.