Radiological appearances and locations of uterine leiomyoma.

Dr. Sanjay Pasoria; Dr. Pratik Patil; Dr. Divya Bharatkumar Desai; Dr. Thahir Vu; Dr. Rohan Sawant; Dr. Madan Manmohan

Volume : VIII, Issue : VII, July - 2019

Radiological appearances and locations of uterine leiomyoma.

Dr. Sanjay Pasoria, Dr. Pratik Patil, Dr. Divya Bharatkumar Desai, Dr. Thahir Vu, Dr. Rohan Sawant, Dr. Madan Manmohan

Abstract :

Uterine fioids, also known as leiomyomas, are the commonest uterine neoplasms arise from the overgrowth of smooth muscle and connective tissue in the uterus. Most leiomyomas are asymptomatic, but patients may present with abnormal uterine bleeding or bulk–related symptoms. They are often discovered incidentally when performing imaging for other reasons. They primarily affect women of reproductive age, and the estimated incidence of fioids is over 20–30 % in women more than 30 years and 70% by 50 years of age. Although benign, they can be associated with significant morbidity and are the commonest indication for hysterectomy. Usually first identified with USG, they can be further characterized with MRI. They are usually easily recognizable, but degenerate fioids can have unusual appearances. Leiomyomas are classified as submucosal, intramural, or subserosal. Submucosal and subserosal leiomyomas may be pedunculated, thus simulating other conditions. In this article, we describe the appearances of typical and atypical uterine fioids, unusual fioid variants. Knowledge of the different appearances of fioids on imaging is important as it enables prompt diagnosis and thereby guides treatment.