Leiomyoma

Question 1

Leiomyomata, or ___, are benign monoclonal tumors that stem from the ____ of the ___.

Answer 1

uterine fibroids
smooth muscle cells
myometrium

Question 2

They can occur under the ____, within the ___, or within the ___

Answer 2

serosa
myometrial wall
endometrial cavity

Question 3

cxfx

Answer 3

heavy, irregular menstrual bleeding with pelvic pain and pressure

Question 4

Leiomyomata are common in______ women.

Answer 4

obese and African American

Question 5

These tumors are ___ sensitive and will grow in ___and shrink with ___

Answer 5

hormonally
pregnancy
menopause

Question 6

Bimanual exam will reveal

Answer 6

an enlarged, mobile, and irregular nontender uterus

Question 7

first step of management

Answer 7

Transvaginal ultrasound

Question 8

______ cannot be visualized on transvaginal ultrasound; use either ___

Answer 8

Submucosal myomas

saline infusion sonography or hysteroscopy

Question 9

Management of leiomyoma

Answer 9

ranges from hormonal contraceptives (including levonorgestrel IUD) to myomectomy to hysterectomy once childbearing is complete.