Uterine leiomyoma (fibroid) - MedPix® Medical Image Database and Teaching Files

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Disease Topic 1249
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Contributor: Douglas White, medical student

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Uterine leiomyoma (fibroid)
Factoid 1249 - Created: 2001-02-28 15:12:19-05 - Modified: 2006-09-04 11:57:44-04

ACR Codes: 854.315
Uterine leiomyomata (fibroids) are very common, benign tumors present in an estimated 30% of women in the US. They are a local proliferation of smooth muscle cells surrounded by a pseudocapsule. While they are often asymptomatic, symptoms may include pain, bleeding or pressure. Fewer than 1% ever progress to leiomyosarcoma. They are commonly found on ultrasound. They are not generally distinguishable from leiomyosarcomas other than by rate of growth. In the post-menopausal woman, they generally decrease in size or disappear. If a post-menopausal woman presents with an expanding mass in the uterus, malignancy would be strongly suspected.

Reference(s):
Fauci et al. Harrison's Principles of Internal Medicine, 14th Edition. 1998.

Beckmann et al. Obstetrics and Gynecology, 3rd Edition. 1998.

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Location: Genitourinary	Sublocation: Uterus	Category: Neoplasm, benign
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Written by: Douglas White, medical student
Prepared by: Paul J Cunningham
Affiliation: Madigan Army Medical Center - || -
Approved by: James George Smirniotopoulos, M.D.
Affiliation: Uniformed Services University - || -

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