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Gynaecology > Fibroids > Flashcards

Fibroids Flashcards

1
Q

What are fibroids?

A

Benign tumours of the soft tissue of the uterus

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2
Q

What are the types of fibroid?

A

Intramural
Submucosal
Subserosal

Pedunculated

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3
Q

What are intramural fibroids?

A

Found within myometrium

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4
Q

What are submucosal fibroids?

A

Found just below the myometrium

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5
Q

What are subserosal fibroids?

A

Found just below outer layer of the uterus

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6
Q

What are pedunculated fibroids?

A

On a stalk

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7
Q

What are risk factors for uterine fibroids?

A

Obesity
Early menarche
Increasing age
FHx

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8
Q

What are feature of fibroids?

A

Often asymptomatic

HMB
Abdo pain
Pressure symptoms
Subfertility

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9
Q

What is found on examination with fibroids?

A

Enlarged uterus

Palpable mass

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10
Q

How are suspected fibroids investigated?

A

Pelvic USS

Hysteroscopy

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11
Q

How are fibroids <3cm managed?

A

Same as HMB

Endometrial ablation

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12
Q

How are fibroids >3cm managed?

A

Symptom relief

Uterine artery embolization
Myomectomy
Hysterectomy

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13
Q

What is uterine artery embolisation?

A

Blockage of uterine artery

Starves the fibroid of oxygen so it shrinks

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14
Q

What is a myomectomy?

A

Surgical removal of the fibroid
- either laparoscopically or open

Only treatment known to improve fertility

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15
Q

What is fibroid degeneration?

A

Excessive growth of a fibroid that outmatches blood supply

OR

Compression of fibroid feeder artery

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16
Q

What is the effect of fibroid degeneration?

A

Ischaemia + necrosis of fibroid

Causes palpable mass + pain + raised inflammatory markers

17
Q

How is fibroid degeneration managed?

A

Supportively

Gynaecology (32 decks)

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