UTERINE FIBROIDS - OBGYN - EASYMEDNOTES 2021
FIBROID Fibroid is the commonest benign tumor of the uterus and is common benign tumor in female. Risk factors The major risk factors are : • Nulliparity • Obesity • Hyperestrogenic state • Multiparity • Smoking Complications The major complications of fibroids are: Degenerations Necrosis Infection Sarcomatous change is very RARE Torsion of subserous pedunculated fibroid Hemorrhage Polycythemia due to: Erythropoietic function by the tumor Altered or changed erythropoietic function of the kidney through ureteric pressure. INVESTIGATIONS The uterine fibroids can be diagnosed from the history and pelvic examination. Ultrasound and Color Doppler (TVS) findings are: (i) Uterine contour is distorted . (ii) Depending on the amount of connective tissue or smooth muscle proliferation, fibroids are of different echogenecity they may be hypoechoic or hyperechoic. (iii) Vascularization is at the periphery of the fibroid. (iv) Central vascula...