Updated: 4/10/2015

Myometrial Tumors

Topic
Review Topic
0
0
Leiomyoma (fibroid)
  • Introduction
    • benign smooth muscle tumor arising from myometrium
      • malignant transformation is rare
    • most common of all tumors in females
    • multiple tumors with well-demarcated borders
    • more common in blacks
    • estrogen sensitive
      • tumor size ↑ with pregnancy and ↓ with menopause
    • peak occurrence at 20-40 years of age (premenopausal)
  • Presentation
    • symptoms
      • may be asymptomatic
      • abnormal uterine bleeding
      • recurrent miscarriage
    • physical exam
      • anemia
        • result of bleeding
      • pelvic mass on abdominal palpation
  • Evaluation
    • histology
      • whorled pattern of smooth muscle cells
  • Prognosis, Prevention, and Complications
    • does not progress to leiomyosarcoma
Leiomyosarcoma
  • Introduction 
    • malignant smooth muscle tumor arising from myometrium
    • bulky, irregularly shaped tumor with areas of necrosis and hemorrhage
      • typically arising de novo (not a progression of a benign leiomyoma)
    • more common in blacks
    • most commonly seen in postmenopausal women
  • Presentation
    • symptoms
      • abnormal uterine bleeding
    • physical exam
      • may protrude from cervix
  • Prognosis, Prevention, and Complications
    • highly aggressive tumor with tendency to recur
 

Please rate topic.

Average 5.0 of 2 Ratings

Thank you for rating! Please vote below and help us build the most advanced adaptive learning platform in medicine

The complexity of this topic is appropriate for?
How important is this topic for board examinations?
How important is this topic for clinical practice?
Topic COMMENTS (0)
Private Note