Uterine leiomyomas are well-circumscribed, pseudoencapsulated, benign monoclonal tumors composed mainly of smooth muscle with varying amounts of fibrous connective tissue (1).
Three ...
Usually asymptomatic; 30% present with abnormal symptoms—usually enlarged uterus or heavy bleeding (2).
Symptoms include the following:
Abnormal uterine bleeding: usually heavy/prolong...
Treatment must be individualized and based on symptoms, fertility desires, and time until menopause.
Medical therapy may be of benefit.
Patients with minimal symptoms may be treated with iron ...
Pelvic examination and ultrasound: every 2 to 3 months for newly diagnosed symptomatic/excessively large myomas
Hemoglobin and hematocrit: if ute...
D25.9 Leiomyoma of uterus, unspecified
D25.2 Subserosal leiomyoma of uterus
D25.1 Intramural leiomyoma of uterus
D25.0 Submucous leiomyoma of uterus
95315005 uterine leiomyoma (disorder)
9...
Uterine myomas are benign smooth muscle tumors composed mainly of fibrous connective tissue.
Usually incidental finding on pelvic exam or ultrasound but may cause pelvic pain and pressu...
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<bold>FIG. 35.1.</bold> Ultrasound of uterine leiomyoma. This is a transvaginal ultrasound in a woman who has an intramural myoma (arrows). The myoma clearly does not impinge on the endometrial cavity with intervening myometrium. The endometrial stripe is defined by a double arrow.
<bold>FIG. 35.1.</bold> Ultrasound of uterine leiomyoma. This is a transvaginal ultrasound in a woman who has an intramural m...
<bold>FIGURE 4.5</bold> Hysteroscopic view of an intracavitary fibroid that may affect embryo implantation.
<bold>FIGURE 26.1</bold> Extensive myomas creating marked deformity in the uterus.
<bold>FIGURE 26.2</bold> A: Large intramural myoma pushing into the uterine cavity from the posterior wall. B: Submucosal myoma with extensive vascular pattern. It represents only a small portion of the entire myoma, which is largely intramural.
<bold>FIGURE 26.2</bold> A: Large intramural myoma pushing into the uterine cavity from the posterior wall. B: Submucosal myom...
<bold>FIGURE 26.3</bold> Intramural myomas must be removed by the abdominal route. In this case, the operator is using a laser to incise the uterus and to expose the capsule of the underlying intramural myoma.
<bold>FIGURE 26.3</bold> Intramural myomas must be removed by the abdominal route. In this case, the operator is using a laser...
<bold>FIGURE 26.9</bold> A: Large, broad-based, pedunculated submucous myoma. B: The electrosurgical needle is seen at the lower portion of the photo. It is resting on the myoma. C: The thermal cut through the broad pedicle has been completed. D: The separation of the pedicle from the uterine wall is completed with scissors. E: The myoma is now completely free. F: The extracted myoma measures 23 cm.
<bold>FIGURE 26.9</bold> A: Large, broad-based, pedunculated submucous myoma. B: The electrosurgical needle is seen at the low...
<bold>FIGURE 26.18</bold> Large round submucous myoma occupying 50% of the uterine cavity.
<bold>FIGURE 47-7.</bold> Myomas ( fibroids) . Those that impinge on the uterine cavity are called intracavitary myomas.
Figure 45.2. Large uterine fibroids at time of abdominal hysterectomy.