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Chapter 13 - Modern Management of Intramural Myomas

Published online by Cambridge University Press:  10 October 2020

By
Dan Yu ,
Tin-Chiu Li  and
Enlan Xia
Edited by
Mostafa Metwally  and
Tin-Chiu Li
Mostafa Metwally
Affiliation:
University of Sheffield
Tin-Chiu Li
Affiliation:
The Chinese University of Hong Kong
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Summary

Intramural myomas, the most common type of uterine leiomyoma, develop within the uterine wall and expand either inwards or outwards. According to the FIGO [1] leiomyoma classification system, fibroid types range from 0 to 8. Types 0, 1 and 2 are submucosal myomas, and subserosal myomas refer to type 5 to 7. Both type 3 and type 4 myomas are known as intramural myomas with no involvement of the endometrial cavity (Figure 13.1). The type 3 myomas, which are in the uterine wall but in contact with the endometrium, are more likely to distort the cavity under certain stimulations. Type 4 myomas stay entirely within the myometrium, which does not expand to either the endometrium or the serosa.

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Modern Management of Uterine Fibroids , pp. 126 - 134
Publisher: Cambridge University Press
Print publication year: 2020

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