Question 2#

Concerning uterine leiomyomas, all of the following are true EXCEPT:

a. Most common pelvic tumor
b. Has a racial predilection
c. Classified according to anatomic location
d. Rarely necessitates hysterectomy

Correct Answer is D


Leiomyomas, also known colloquially as fibroids, are the most common female pelvic tumor and occur in response to growth of the uterine smooth muscle cells (myometrium). They are common in the reproductive years, and by age 50, at least 60% of white and up to 80% of black women are (or have been) affected. Leiomyomas are described according to their anatomic location (Fig. below) as intramural, sub serosal, submucosal, pedunculated, cervical, and rarely ectopic. Most are asymptomatic; however, abnormal uterine bleeding caused by leiomyomas is the most common indication for hysterectomy in the United States.

Types of uterine myomas.