Fibroids Flashcards
1
Q
Types of fibroids
A
- pedunculated
- intravacavitary
- submucous
- intramural
- subserous
- parasitic/wandering
- intraligamentary
2
Q
Associated risk factors with fibroids
A
- nulliparity
- persistent anovulation
- obesity
3
Q
Common degenerative changes in fibroids
A
- hyaline
- cystic
- calcific
- red degen
4
Q
Presenting symptoms of fibroids
A
- abdominal swelling
- pressure effects
- increased menstual loss
- infertility
- pregnancy effects
- pain
5
Q
When do fibroids present with pain?
A
- torsion
- red degen
- prolapse of submucosal
- malignant change
- compression of surrounding structure
6
Q
Differential diagnosis of fibroids
A
- pregnancy
- gynaecological (inflammatory mass, endometriosis, neoplastic)
- non-gynae (appendix mass, diverticular disease)
7
Q
Similarities between fibroids and adenomyosis
A
- heavy menstrual bleeding
- enlarged uterine mass
8
Q
Differences between adenomyosis and fibroids
A
- associated dysmenorrhoea and dyspareunia
- uterus doesnt get more than 3x normal
- tenderness over uterus
9
Q
Management of fibroids
A
Conservative
Medical
Surgical
10
Q
Surgical options for fibroids
A
- myomectomy
- hysterectomy
- hysteroscopic resection
- UAE
11
Q
Medical options for fibroids
A
- GnRH agonists
