Uterine Fibroid (Leiomyoma)
Understand Uterine Fibroid (Leiomyoma) in Uterus Ultrasound Imaging imaging, what it means, and next steps.
30-Second Overview
Well-circumscribed hypoechoic mass with shadowing; may be submucosal, intramural, or subserosal.
Benign smooth muscle tumor; can cause bleeding, pain, or fertility issues.
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Imaging Appearance
Ultrasound Imaging FindingWell-circumscribed hypoechoic mass with shadowing; may be submucosal, intramural, or subserosal.
Clinical Significance
Benign smooth muscle tumor; can cause bleeding, pain, or fertility issues.
What is a Fibroid?
Common benign uterine tumor. Ultrasound classifies location and guides treatment options.
Imaging Appearance
- Solid hypoechoic lesion with posterior shadowing
- May distort uterine contour or cavity
- Degenerative changes can alter echogenicity
Clinical Significance
- Symptoms: heavy bleeding, pressure, infertility, miscarriage risk
- Location matters for management (e.g., submucosal)
Symptoms
- Menorrhagia, pelvic pressure, bulk symptoms
Diagnosis
- Pelvic ultrasound; saline infusion sonography for cavity mapping
Treatment
- Observation if asymptomatic
- Medical: hormonal therapy, tranexamic acid
- Procedural: myomectomy, uterine artery embolization, hysterectomy depending on goals
Prognosis
- Benign; growth influenced by hormones
What Should You Do?
- Track bleeding and anemia symptoms.
- Discuss fertility goals to tailor treatment.
- Seek care for rapid growth or severe pain.
Medical Disclaimer: Educational only; follow gynecology guidance.
Correlate with Lab Results
When Uterine Fibroid (Leiomyoma) appears on imaging, doctors often check these lab tests:
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