Leiomyoma Flashcards
what is Leiomyoma
Firboids
what is the most common tumor of the female pelvis
Leiomyoma (Firboids)
what percentage of women does Leiomyoma affect
20-30% of reproductive age women
what ethnicity is more commonly affected
African americans
Symptoms of Leiomyoma
- Menorrhagia
- Spotting
- Increased abdominal girth
- Pain
- Urinary frequency/uregency
- Lower back pain
- Leg discomfort/swelling
cause of growth
estragon
what is the cause of friboids
No known cause
what are possible locations of fibroids
- Intramural
- Submucous
- Subserosal
What are types of friboids
- Pedunculated
- Submucosal
- Subserosal
- Calcified
what does the myometrium appear as in fibroids
Heterogenous mypmetrium
is the endometrial stripe normal
No
what areas are within the myometrium
Hypoechoic
what is the internal archietecturw
Whorled
masses can be _______
Calcified
what occurs to the bladder
Can have posterior bladder contour chnages
What is the treatment for firboids
- If patient is asymtomatic: routine follow ups
- Oral contraceptive to reduce or eliminate symptoms
- Myomectomy if myoma is large and patient wishes to become pregnant
- Uterine artery embolization
- Hysterectomy
Intramural
Within the mypmtrium
Submucous
Lie beneath the endometrium
Subserosal
Serosal surface of the uterus, projecting into the peritoneal cavity, including pedunculated myomas
