Asymptomatic : Asymptomatic fibroids do not need surgery with few exceptions. 1. Growing after menopause. Remove because of risk of sarcoma. Sarcomas are very rare and grow rapidly. Pre-existing fibroids do not develop into sarcoma. 2. Blockage of the kidneys. This can occur without symptoms, and is detected by ultrasound of the kidneys, which can easily be done during pelvic ultrasound. 3. Blockage of blood low from the legs, usually if noy always a symptom since one leg will swell. 4. Patients at risk of ovarian cancer when the ovaries cannot be palpated on exam or seen on ultrasound. This is a soft call since it is not clear that pelvic exam or ultrasound detects ovarian cancer without symptoms, but I have saved a few women from advanced cancer by sticking to this rule.
Answered 12/27/2012
5.4k views
Asymptomatic : Asymptomatic fibroids do not need surgery with few exceptions. 1. Growing after menopause. Remove because of risk of sarcoma. Sarcomas are very rare and grow rapidly. Pre-existing fibroids do not develop into sarcoma. 2. Blockage of the kidneys. This can occur without symptoms, and is detected by ultrasound of the kidneys, which can easily be done during pelvic ultrasound. 3. Blockage of blood low from the legs, usually if not always a symptom, since one leg will swell. 4. Patients at risk of ovarian cancer when the ovaries cannot be palpated on exam or seen on ultrasound. This is a soft call since it is not clear that pelvic exam or ultrasound detects ovarian cancer without symptoms, but I have saved a few women from advanced cancer by sticking to this rule.
Answered 12/9/2015
5.4k views
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