K.3.1 Multiple subserosal leiomyoma
- Multiple nodular solid circumscribed tumours are seen.
- The cut surfaces are whorled.
- The outline of the uterus is not clear as it merges with the tumour tissue.
- Diagnosis - Leiomyoma.
Answer
What is the classification of leiomyomas?
Submucosal
Intramural
Subserosal
How could they present clinically?
Submucosal - menorrhagia and metrorrhagia
Intramural and subserosal - mass in the abdomen, subfertility
If located lower down in the uterus, they may present with dyspareunia
Sometime these could be clinically silent and are detected radiologically