Other conditions mimic Uterine fibroid

 

1. Pregnancy: Usually pregnancy in unmarried woman is wrongly diagnosed if there is no proper history present. To rule out pregnancy symptoms, signs and pregnancy test helps.
2. Haematometra: It is due to cervical stenosis, hence enlarged uterus and secondary amenorrhea. Ultrasound helps to find it clearly.
3. Adenomyosis: A condition in which uterine endometrium present in the wall of the uterus. Adenomyosis seems to like uterine fibroid except adenomyosis is tender to touch while examining.

Medicine for Uterine fibroid

4. Endometriosis, chocolate cyst: When observing the symptoms both mimic like uterine fibroid.
5. Ovarian tumor: Peduculated fibroid may represent like ovarian tumor, Ultrasound does not reveals the true diagnosis, Laparoscopic view and specimen helps to find the correct diagnosis.

Changes in Uterine fibroid

Uterine fibroid undergoes secondary changes like
• Atrophy.
• Calcareous degeneration.
• Red degeneration.
• Sarcomatous change.

Atrophy: Occurs after menopause and delivery. The fibroid gradually reduces in size due to diminished blood supply.

Calcareous degeneration: Along the course of blood vessels which supply to the fibroids have calcium and phosphate of lime deposition from periphery. It is seen in old women who have long standing myoma.

Red degeneration: The most emergency complication of uterine fibroid is red degeneration. The myoma becomes tense and tender with purple rd color and a fishy odor. It is found due to thrombosis of the small blood vessels which supply to the myoma. The exact phenomenon is not described yet.

Sarcomatous change: It is rare change of uterine fibroid. 0.5% of myoma undergoes Sarcomatous change. It is rare for the malignant transformation of uterine fibroid in women under the age of 40 years.