A tale of 2 fibroids.

This patient had multiple fibroids. 

One of these is in the fundus of uterus. It shows marked vascularity on color Doppler. 

What is the importance of increased vascularity in a fibroid? 

Markedly vascular fibroids of the uterus and their significance:

1. Markedly vascular fibroids of the uterus are typically larger in size and have a higher risk of complications compared to non-vascular fibroids.
2. They can cause heavy menstrual bleeding, pelvic pain, and pressure symptoms due to their size and location.
3. The increased blood flow to these fibroids can increase the risk of intraoperative bleeding during surgical removal.
4. However, their increased vascularity can also make them more responsive to certain non-surgical treatments, such as uterine artery embolization or focused ultrasound ablation.
5. The prognosis for markedly vascular fibroids depends on their size, location, and symptoms. Small fibroids may not require treatment, while larger fibroids may need to be surgically removed.
6. With appropriate management, most women with markedly vascular fibroids can achieve significant symptom relief and improved quality of life.
7. Regular follow-up and monitoring are important to detect any potential complications, such as growth or malignant transformation.

In this case, the fundal fibroid is also large, at more than 5 cms. This can suggest a rapidly growing fibroid. 

In addition, there's also a large fibroid in the cervix of uterus. 

What's the management of the vascular fibroid?

markedly vascular fibroids of the uterus and their significance: 

The management of vascular fibroids depends on the patient's symptoms and desire for fertility. Treatment options include surgical removal, uterine artery embolization, and focused ultrasound ablation. Hormonal therapies and watchful waiting can also be considered. Regular follow-up is important to monitor for potential complications.

About large cervical fibroids:

Ultrasound scan findings of a large fibroid in the cervix of the uterus include a well-defined mass within the cervix, with a hypoechoic appearance and increased vascularity.

Large fibroids in the cervix can cause heavy menstrual bleeding, pain, and difficulty with intercourse.

Management options of cervical fibroids:include surgical removal, hormonal therapies, or watchful waiting. The choice of treatment depends on the patient's symptoms, desire for fertility, and the location and size of the fibroid.

Regular follow-up is important to monitor for potential complications and ensure appropriate management.

For more visit:

Sonography of uterine fibroids