Submucosal uterine fibroid

Case contributed by Ayaz Hidayatov
Diagnosis certain

Presentation

Pelvic pain, dysmenorrhea and increased bleeding during menstruation.

Patient Data

Age: 40 years
Gender: Female
mri

MR shows a well-defined ovoid intrauterine lesion that is of low signal on T1, intermediate signal on T2. The lesion is of submucosal location at the level of the left anterior mid-uterine body. The lesion indents the endometrial cavity. There is no parametrial extension.

Findings are consistent with a submucosal uterine fibroid.

Case Discussion

Uterine fibroids are benign tumors that originate from the muscle tissue of the uterus. 

Submucosal uterine fibroids grow towards the endometrial surface of the uterus. They are the least common type of fibroids but generally cause disturbing symptoms. The most common symptom in submucosal fibroids is increased bleeding during menstruation. 

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