Fibroids, polyps and cysts Flashcards
What are uterine fibroids?
Smooth muscle growths
What are the types of fibroids?
Submucosal- protrude into uterine cavity
Intramural- within uterine wall
Subserous- project out of uterus into peritoneal cavity
What is the most common presentation of fibroids?
Asymptomatic
Incidental finding
What are th features of fibroids?
Menorrhagia > IMB Abdo pain Pressure symptoms Bloating Deep dyspareunia
What are the features of fibroids during pregnancy?
Pain
Malpresentation
Obstruction
How are fibroids diagnosed?
US
Hysteroscopy
When are fibroids treated?
If symptomatic
How are fibroids managed if <3 cm?
Mirena coil
What are the management options of fibroids?
OCP, Mirena
GnRH analogues- used to shrink pre op often
Uterine artery embolisation
Surgery
What are the surgical options for fibroids?
Transcervical resection
Myomectomy
Hysterectomy
What is the usual presentation of ovarian cysts?
Asymptomatic, incidental finding
Common and generally harmless
What are the possible features of ovarian cysts?
Pelvic pain
Bloating
Fullness of abdomen
What is the US appearance of a benign ovarian cyst?
Simple, unilocular cyst
What investigations should be done for an ovarian cyst?
Pelvic US
CA 125
When should ovarian cysts be referred?
Complex
>5cm
Persistent
Post menopausal
