Lesson 4 (Part 2)

Question 1

What are 5 uterine abnormalities?

Answer 1

1. Leiomyoma
   - fibroids
2. Lipomatous Uterine tumors
3. Leiomyosarcoma
4. Adenomyosis
5. Arteriovenous Malformations

Question 2

Leiomyoma

Answer 2

Benign solid tumour of the uterus

Question 3

What is a fibroid composed of? (2)

Answer 3

1. Smooth muscle cells

2. Fibrous connective tissue

Question 4

What is another name for a fibroid?

Answer 4

Leiomyoma

Question 5

What is the most common neoplasm of the uterus?

Answer 5

Fibroid

Question 6

How common are leiomyomas? (2)

Answer 6

1. 20-30% of women who are >30 years of age

2. Black women

Question 7

Are fibroids usually single or multiple?

Answer 7

Multiple

Question 8

What is the most common cause of enlargement of a nonpregnant uterus?

Answer 8

Fibroids

Question 9

What are fibroids dependent on?

Answer 9

Estrogen

Question 10

What happens to estrogen during menopause?

Answer 10

It decreases

Question 11

What are symptoms of leiomyomas? (2)

Answer 11

1. Pain
   - compression on other structures
2. Uterine bleeding

Question 12

Lipo

Answer 12

Fat

Question 13

What is considered the bad type of cancer?

Answer 13

Sarcoma

- should be scared

Question 14

What are classifications of a fibroid? (3)

Answer 14

1. Intramural
2. Submucosal
3. Subserosal

Question 15

What is the most common classification of a leiomyoma?

Answer 15

Intramural

Question 16

Where is intramural confined to?

Answer 16

The myometrium

- completely surrounded

Question 17

What does submucosal project into?

Answer 17

The uterine cavity

Question 18

What does submucosal do?

Answer 18

It disrupts or displaces the endometrium

Question 19

What does submucosal produce?

Answer 19

Symptoms frequently associated with infertility

Question 20

Where does subserosal project?

Answer 20

Outward from the myometrium

Question 21

What does the subserosal do?

Answer 21

Distorts the outer contour of the uterus

Question 22

Intra

Answer 22

Within

Question 23

Mural

Answer 23

Walls

Question 24

Pedunculate

Answer 24

Little attachment

Question 25

What is the term peduculated assocated with?

Answer 25

Subserosal classification

Question 26

What are some pitfalls of pedunculated subserosal fibroids? (2)

Answer 26

1. Seen or confused with an adnexal mass
   - there should be nothing in the adnexa
2. Can project between leaves of the broad ligament
   - called intraligamentous

Question 27

What is cervical fibroids strickly classified based on?

Answer 27

Cervix location

Question 28

What % of all fibroids are located in the cervix?

Answer 28

8%

Question 29

What can a fibroid on the cervix propose a problem for?

Answer 29

Pregnancy

- it can grow and get bigger and block the exit way for the baby

Question 30

What is a way to resolve a fibroid on the cervix?

Answer 30

Planned C section

- if its higher up it does not pose a threat

Question 31

What is the sonographic appearance of a fibroid? (2)

Answer 31

1. Most common hypoechoic with heterogeneous echotexture with areas of attenuation
2. Frequently distort the external contour of the uterus

Question 32

What can submucosal fibroid cause?

Answer 32

Bleeding