Know Your Ultrasound

Ultrasound in Fibroids

No comments yet June 27th, 2019
  • Leiomyomas (fibroids or myomas) are benign smooth muscle tumours with varying amounts of fibrous tissue and are the most common uterine neoplasm, reported in 20% to 30% of women over 30 years of age.
  • These are usually multiple, causing enlargement of the uterus with a lobular serosal contour and may present with
    1. Palpable pelvic mass,
    2. Uterine enlargement,
    3. Pelvic pain,
    4. Anaemia, and
    5. Dysfunctional uterine bleeding depending upon their location and size.
  • Types of fibroids depending on the location are:
    1. Intracavitary- fibroid located inside the uterine cavity.
    2. Submucosal- fibroid located just beneath the endometrium.
    3. Intramural- fibroid located in the uterine wall.
    4. Subserosal– fibroid located on the outer surface of the uterus.
    5. Pedunculated- fibroid attached to the uterus with a pedicle.
  • Approximately 5-10% of infertile women have fibroids. Their size and location determines whether fibroids affect fertility like sub mucosal or very large fibroids within the uterine wall.

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