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Doctor insights on:
Pedunculated Fibroid Symptoms
1
I have just been diagnosed with anteverted bulky uterus, anterior intramural, posterior intramural, fundal subserous & fundal pedunculated fibroid?
Are you symptomatic?: Sounds like you had pelvic us and reported the location of certain fibroids in the uterus. 3 locations: submucosal (central, against the uterine lining), intramural (in the muscular middle), and subserosal (outer, on the edge). Anterior (front) posterior(back). Fundal is top of the uterus. Pedunculated means it's on a stalk (but this term is often used to describe any fibroid away from uterus). ...Read more
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Fibroids (Definition)
Uterine fibroids are the most common pelvic tumor in women. 1 of every 3 women of child-bearing age have these tumors and up to 80% of african-american women have fibroids. They are often asymptomatic but they can also cause significant symptoms. It is the most common cause of heavy menstrual bleeding. Pelvic pain and increased urinary frequency ...Read more
2
U/S shows 7cm hypoechoic mass/endometrioma on ovary, prominent uterus, irregular endocavity, polyps .. history of endometriosis. is hysterectomy next?
Hysterectomy: Your gynecologist must discuss this with you as soon as possible. There are many ways to determine if things are OK or not and the gynecologist will help you. Please let me know what develops. ...Read more
3
Can anterior subserous fibroid affect pregnancy?
Yes: This depends on fibroid size and location and especially if the fibroid extends or protrudes into the uterine cavity. Fibroids respond to estrogen (high in pregnancy) by increasing in size. They may revert to normal size after pregnancy. They can also interfere with normal labor. Most obstetricians measure them with ultrasound monthly or so during pregnancy. ...Read more
4
Is submuscosal fibroid and subserosal fibroid harmful?
Not necessarily.: Many, many women have fibroids as they get older. Most don't even know they have them. If you are having symptoms due to them, like heavy periods, etc., then they may be worth treating. Discuss your options with your doctor. Very very rarely, a fibroid can become cancerous. See http://womenshealth.gov/publications/our-publications/fact-sheet/uterine-fibroids.html#g ...Read more
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5
U/S rpt:"Enlarged uterus lobulated contour&multiple uterine fibroids. [email protected] fundus' posterior wall&left fundal wall 3.1cm.Endometrial thickness normal,ovaries obscured byOverlying bowel gas" Any tests/scan/type of surgery recommend?
Fibroids: Are relatively common, and if you are not having any symptoms related to them, probably nothing needs to be done. It sounds like you had a transabdominal ultrasound and your ovaries could not be seen due to bowel gas. This happens occasionally. If your doctor wants to check your ovaries, you need to have a transvaginal ultrasound. If the ovaries are still difficult to see, MRI might be useful. ...Read more
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6
Multiple uterine fibroids. Largest is bilobed fundal subserosal fibroid 8.4x7.5x5.4cm. Is this prevent pregnancy?
Fibroids: Sometimes yes. Sometimes it can make implantation difficult. The fibroids alone can be removed in myomectomy. F/U with Ob ...Read more
7
Are uterine fibroids cancerous?
Very rarely: Only in very rare instances can fibroids be cancerous. If there is very rapid growth in the size, these are the ones that could be a leiomyosarcomas but again very rare. ...Read more
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8
What does this mean? "Fibroid uterus w/notable partially degenerated 1.7 cm
fibroid in myometrium of the right uterine cornua. Atrophic right ovary"
Interpretation: A fibroid is a smooth muscle growth in your right section at the top of your uterus next to the right Fallopian tube. It is in the process of "falling apart"(degenerating) which can cause bleeding and pain. The right ovary is shrunken (atrophic) which is common in post menopausal women. ...Read more
9
Diag with "1.2cm posterior intramural body fibroid abutting the endometrial stripe." isn't what was described actually a submucous fibroid? Confused.
You need the images: It could be close to the stripe, but have a small amount of intervening muscle.This would make it intramural. If there is no intervening muscle, then it would be submucosal. ...Read more
10
Heavy uterine bleeding 3 weeks pelvic/transvaginal us hyperechoic uterine fundal myometrial focus may represent atypical fibroid or adenomyosis ?
Bleeding: Since its a focal area its more likely to be adenomyosis, which typically gets progressively worse as you age. However, you're also at the age when ovarian dysfunction often causes irregular, heavy and/or prolonged bleeding. You might be a good candidate for an endometrial ablation assuming you are done with having babies. ...Read more
11
Uterus-Measures 9.1 cm.
Endometrial echo complex measures 1.0 cm.
13 mm lower uterine fibroid.
Nabothian cysts
Nonvisualized left ovary
means?
Sonogram findings: Individual sonogram reports must be interpreted in the proper clinical context. Contact the ordering physician who can interpret it based on your symptoms. They may want to do further testing to evaluate the endometrial mass. ...Read more
12
What leiomyomatous uterus?
It means fibroids: Fibroids are non-cancerous growths of the muscular layer of the uterus. They are hormonally driven and can grow in size and cause problems for many women. They can cause pelvic pain, urinary symptoms, and constipation if a large enough size. They can also cause abnormal bleeding and heavy periods. They can also be found incidentally and cause no symptoms or problems. ...Read more
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How are uterine polyps seen?
Imaging : Ultrasound can give the suspicion of polyps. But sonohysterogram is the best modality. ...Read more
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What are symptoms of uterine polyps?
can be asymptomatic: It's possible to have uterine polyps without signs or symptoms. Symptoms include: irregular menstrual bleeding, bleeding between menstrual periods, excessively heavy menstrual periods, vaginal bleeding after menopause, and infertility. To diagnose: uterine ultrasound, and biopsy or currettage with biopsy. Thank you for question. ...Read more
15
Can a very large subserosal uterine fibroid cause dvt?
Yes: A large uterine fibroid can compress an iliac vein and cause dvt. It is fairly unusual, but certainly possible. ...Read more
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16
Help please! could calcified uterine fibroids cause cancer?
Unlikely: But watch for increase in size in which case you need an experet gynecologist to advise you about required treatment. ...Read more
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How do uterine fibroid tumors develop?
Uncontrolled growth: The smooth muscle that makes up the wall of the uterus begins to grow in an uncontrolled fashion. The separation of a benign tumor (fibroid or leiomyoma) from a malignant tumor (leiomyosarcoma) is the degree of growth, increased growth, and presence of tumor death (necrosis). ...Read more
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19
Anteriror midsegment myoma 4.7x4.6cm.Anterior fundal myoma 6.6x6.5cm.Posterior midsegment myoma 4.0x3.0cm and 3.4x3.1cm can be treated by myomectomy?
Sure: Certainly the description you have left of the uterine fibroids can be treated by myomectomy. The approach for a myomectomy can be a traditional open or large scar laparotomy. But, even with the multiple fibroids you describe, a laparoscopic or robotic assisted myomectomy may be a better choice for you. ...Read more
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What is myoma uteri (intramural type)?
Usually benign tumor: This is a very common usually non-cancerous tumor of the uterus more commonly called a "fibroid". Intramural refers to the location within the muscle of the uterus as opposed to the surface (serosal) or along the lining (musocal). ...Read more
Fibroid (Definition)
A leiomyomata(fibroid) is a smooth muscle growth in the uterus that is rubbery, binds the female hormone estrogen and can grow to "epic" proportions causing distortion of the uterus. They cause bleeding, and burning pain( aka "fireball tumor") as ...Read more
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