Fibroids

Question 1

aka

Answer 1

leiomyoma

Question 2

what are they?

Answer 2

smooth muscle growths

(FIBroma ie fibers=muscle)

Question 3

2 key features of leiomyoma

Answer 3

• benign
  
  • 0.01% are malignant
• common

Question 4

epidemiology?

Answer 4

higher incidence in afro-caribbean women

Question 5

diagnosis?

Answer 5

• clinical examination
• hysteroscopy / USS

Question 6

what is a hysteroscopy?

Answer 6

procedure used to inspect the inside of the uterus

Question 7

types of fibroids

Answer 7

• submucous
  
  • protruding into uterine cavity
• intramural
  
  • within the uterine wall
• subserosal
  
  • protruding into peritoneal cavity

Question 8

symptoms?

Answer 8

• if large–> pressure symptoms
• heavy periods
• IMB
• can grow rapidly in pregnancy causing pain and obstruction of labour

Question 9

treatment?

Answer 9

treat only if symptomatic

• GnRH analogues shrink it temporarily
• submucous
  
  • transcervical resection
• myomectomy
• uterine artery embolisation
• hysterectomy