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Submucosal Fibroid, Menorrhagia, Anemia, and Dysmenorrhea
Ist Teil von
Uterine Fibroids, 2017, p.151-161
Ort / Verlag
Switzerland: Springer International Publishing AG
Erscheinungsjahr
2017
Link zum Volltext
Quelle
Alma/SFX Local Collection
Beschreibungen/Notizen
The clinical case of a 32-year-old nulliparous female with heavy abnormal uterine bleeding, anemia, and Dysmenorrhea, and a 4 cm submucosal fibroid is presented. The key clinical components are reviewed regarding classical presentation of heavy prolonged bleeding with associated painful cramping, as well as examination findings and diagnostic workup. Consideration of the differential diagnosis of leiomyoma, adenomyoma, focal adenomyosis, and leiomyosarcoma is reviewed. The approach to management of uterine fibroids including medications, surgery, or minimally invasive embolization or ablative techniques is reviewed. Surgical treatment with transcervical resection of submucous leiomyoma is discussed in detail.