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Chapter 4 - Sonographic Assessment of Uterine Fibroids and Adenomyosis

Published online by Cambridge University Press:  28 February 2020

Kanna Jayaprakasan ,
Lukasz Polanski  and
Kamal Ojha
By
Francisco Sellers López ,
Belén Moliner Renau  and
Rafael Bernabeu Pérez
Kanna Jayaprakasan
Affiliation:
Department of Maternity and Gynaecology, Royal Derby Hospital, Derby
Lukasz Polanski
Affiliation:
Assisted Conception Unit, Guy’s Hospital, London
Kamal Ojha
Affiliation:
Department of Obstetrics and Gynecology, St George's University Hospital, London
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Summary

Uterine fibroids (or leiomyomas) are the most common benign gynaecological tumours, formed by smooth muscle and connective tissue. Most are asymptomatic, but sometimes may cause pain, pressure symptoms, metrorrhagia, infertility due to implantation failure, miscarriage, preterm delivery, and puerperal haemorrhage. Fibroids can be single or multiple. Their size and location vary and they may undergo benign degenerative changes: atrophic and hyaline degeneration, calcification, infection, and infarction. Malignant degeneration towards leiomyosarcoma is extremely rare, occurring in less than 0.2 per cent of cases.

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Type
Chapter
Information
Gynaecological Ultrasound Scanning
Tips and Tricks
 , pp. 41 - 68
Publisher: Cambridge University Press
Print publication year: 2020

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