This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Treatment and Recurrence, Subject name: Gynaecology & Obstetrics
Hysteroscopical excision can be done for all EXCEPT: 
Select and explain. 
A. Uterine fundus fibroid, B. Submucous fibroid, C. Subserous fibroid, D. Endometrial polyp
C: Subserous fibroid
Answer: C: Subserous fibroid 
Explanation: Ans. (c) Subserous fibroidRef: Shaws 15th ed. 1359* Uterine fibroids are noncancerous growths of the uterus that often appear during childbearing years. It is aka leiomyomas* They aren't associated with an increased risk of uterine cancer and almost never develop into cancer.Types* Intramural fibroids are located within the wall of the uterus and are the most common type* Subserosal fibroids are located underneath the mucosal (peritoneal) surface of the uterus and can become very large. They can also grow out in a papillary manner to become pedunculated fibroids.# Therefore hysteroscopical excision is not possible.# It can be resected lapascopically or by open laparotomy.* Submucosal fibroids are located in the muscle beneath the endometrium of the uterus and distort the uterine cavity; even small lesions in this location may lead to bleeding and infertility* Cervical fibroids are located in the wall of the cervix (neck of the uterus)* Subserosal fibroids are located on the outer surface of the uterus.