Fibroids Flashcards

1
Q

Types of fibroids

A
  • pedunculated
  • intravacavitary
  • submucous
  • intramural
  • subserous
  • parasitic/wandering
  • intraligamentary
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2
Q

Associated risk factors with fibroids

A
  • nulliparity
  • persistent anovulation
  • obesity
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3
Q

Common degenerative changes in fibroids

A
  • hyaline
  • cystic
  • calcific
  • red degen
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4
Q

Presenting symptoms of fibroids

A
  • abdominal swelling
  • pressure effects
  • increased menstual loss
  • infertility
  • pregnancy effects
  • pain
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5
Q

When do fibroids present with pain?

A
  • torsion
  • red degen
  • prolapse of submucosal
  • malignant change
  • compression of surrounding structure
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6
Q

Differential diagnosis of fibroids

A
  • pregnancy
  • gynaecological (inflammatory mass, endometriosis, neoplastic)
  • non-gynae (appendix mass, diverticular disease)
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7
Q

Similarities between fibroids and adenomyosis

A
  • heavy menstrual bleeding

- enlarged uterine mass

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8
Q

Differences between adenomyosis and fibroids

A
  • associated dysmenorrhoea and dyspareunia
  • uterus doesnt get more than 3x normal
  • tenderness over uterus
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9
Q

Management of fibroids

A

Conservative
Medical
Surgical

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10
Q

Surgical options for fibroids

A
  • myomectomy
  • hysterectomy
  • hysteroscopic resection
  • UAE
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11
Q

Medical options for fibroids

A
  • GnRH agonists
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