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Quick Concepts: Uterine Fibroids

Uterine fibroids (a.k.a. leiomyomas or myomas) are evaluated primarily through transvaginal or transabdominal ultrasound technology.  While a majority are both benign and asymptomatic, their specific location can foreshadow possible complications during a future pregnancy or potential fertility problems.  Additionally, identifying the presence and sizes of fibroids supports future obstetric and gynecological evaluations.

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Illustration of submucosal, subserosal, intramural and pedunculated fibroids

Age and genetics are influencing factors associated to the incidence of uterine fibroids, so a pre-examination evaluation of patient history is appropriate.  Patients who do experience symptoms typically report heavy bleeding during menses, prolonged menstrual cycles, enlargement in the lower abdomen and/or abdominal pain.

Because the attenuation rate within fibroid tissue is only marginally distinct from the surrounding myometrium, selecting ideal acoustic windows and ultrasound machine settings is a skill you must develop and refine over time.

Pegasus Lectures’ Quick Concepts series is focused on the underlying theory and practical application of science in ultrasound. These highlight topics that we, through our years of teaching, have found to be critical in building a strong foundation in ultrasound.

 

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