Pelvic Mass Flashcards
What is the most common benign neoplasm of the female genital tract?
Leiomyoma of the uterus (fibroid tumor)
What is a discrete, round, firm, often multiple uterine tumor composed of smooth and muscle connective tissue?
Leiomyoma of the uterus (fibroid tumor)
Leiomyoma may cause miscarriage and pregnancy complications because?
Interferes with implantation
Patient presents with pelvic pressure, abnormal uterine bleeding and pain but was asymptomatic prior is likely what condition?
Leiomyoma
What labs should be done for a patient with leiomyoma?
CBC
Iron level
What imaging should be done for patients with leiomyoma?
Transvaginal US
MRI w/contrast
Hysterography or hysteroscope
What emergency treatment should be done for leiomyoma?
Surgery if acute torsion of a pedunculated myoma
If a patient is anemic and needs surgery for leiomyoma, what should be done?
Should be treated prior to surgery
How can an IUD help with leiomyoma?
Can decrease bleeding associated with fibroids
What specific treatment should be done for patients with leiomyoma?
Asymptomatic can be managed expectantly
NSAIDs
Hormone therapy
Surgical therapy is definitive and curative
Who should patients with symptomatic leiomyoma be referred to?
GYN?
When should a patient with leiomyoma be MEDEVAC?
Suspected torsion of fibroid and hemorrhage
What is present in 90% of cases of carcinoma of the endometrium?
AUB
What is a late sx of carcinoma of the endometrium?
Pain
After a negative hcg, what is required for dx of carcinoma of the endometrium?
Endometrial tissue
