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Uterine Fibroids Epidemiology

Uterine Fibroids Epidemiology - measured Also magnetic...

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Uterine Fibroids Epidemiology About 20–40% of women will be diagnosed with leiomyoma but only a fraction of those will cause problems or require treatment. The condition is about twice as common in black women as white women. Leiomyoma are more common in obese women. Fibroids are dependent on estrogen and progesterone to grow and therefore relevant only during the reproductive years, they are expected to shrink after menopause. Diagnosis While a bimanual examination typically can identify the presence of larger fibroids, gynaecological ultrasonography (ultrasound) has evolved as the standard tool to evaluate the uterus for fibroids. Sonography will depict the fibroids as focal masses with a heterogeneous texture, which usually cause shadowing of the ultrasound beam. The location can be determined and dimensions of the lesion
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Unformatted text preview: measured. Also magnetic resonance imaging (MRI) can be used to define the depiction of the size and location of the fibroids within the uterus. Imaging modalities cannot clearly distinguish between the benign uterine leiomyoma and the malignant uterine leiomyosarcoma, however, the latter is quite rare. However fast growth or unexpected growth such as enlargement of a lesion after the menopause raise the level of suspicion that the lesion might be a sarcoma. Also, with advanced malignant lesions there may be evidence of local invasion. Other imaging techniques that may be helpful specifically in the evaluation of lesions that affect the uterine cavity are hysterosalpingography or sonohysterography....
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