REPRO 1.5 Flashcards
what is a leiomyoma
benign tumour of smooth muscle of the myometrium
when does a fibroid increase in size
in response to oestrogen therapy/preg
who is more at risk for fibroids
afrocarribean populations
symptoms of fibroids
infertility, mennorhagia, pressure, symp, pain (torsion), recurrent misc, most asymp
ix for fibroids
examination - large irregular uterus
USS - uniform smooth circles
treatment of fibroids
moniter if asymp
IUS. TXA/MFA. COCP. uterine artery embolisation. myomectomy - preserve fertility. hysterectomy
what can happen in pregnancy with fibroids
increase in size
red degeneration
leiomyosarcoma displays what type of morphology
spindle cell
symptoms of leiomyosarcoma
abnormal bleeding pelvic mass pelvic pain large at presentation heamatological spread to lungs is common
what type of tumour is leiomyosarcoma with a poor what
treatment
aggressive poor prognosis
surgical resection
chronic plasmocytic endometritis can cause what and what is it assoc with
AUB
PID
when do endometrial polyps occur and what are they
around and after menopause
benign
DUB anovulatory
85% of DUB
PCOS, thyroid, PRL
irregular cycle
DUB ovulatory
inadequate prog production
endometriosis, fibroids
regularly heavy periods
ix for DUB
FBC, coag screen, TSH, smear, renal liver, TVUSS and sample
