The presence of a<unk>  versus an adnexal tumor is made.<unk> s can be mistaken for ovarian neoplasms. An uncommon tumor which may be mistaken for a<unk>  is Sarcoma botryoides. It is more common in children and adolescents. Like a<unk> , it can also protrude from the vagina and is distinguished from<unk> s. While palpation used in a pelvic examination can typically identify the presence of larger<unk> s, gynecologic ultrasonography (ultrasound) has evolved as the standard tool to evaluate the uterus for<unk> s. Sonography will depict the<unk> s as focal masses with a heterogeneous texture, which usually cause shadowing of the ultrasound beam. The location can be determined and dimensions of the lesion measured. Also, magnetic resonance imaging (MRI) can be used to define the depiction of the size and location of the<unk> s within the uterus. Imaging modalities cannot clearly distinguish between the benign<unk>  leiomyoma and the malignant<unk>  leiomyosarcoma, however, the latter is quite rare. Fast growth or unexpected growth, such as enlargement of a lesion after menopause, raise the level of suspicion that the lesion might be a sarcoma. Also, with advanced malignant lesions, there may be evidence of local invasion. A biopsy is rarely performed and if performed, is rarely diagnostic. Should there be an uncertain diagnosis after ultrasounds and MRI imaging, surgery is generally indicated. Other imaging techniques that may be helpful specifically in the evaluation of lesions that affect the<unk>  cavity are hysterosalpingography or sonohysterography. File:9cmFibroidPelvicCongestionS.A very large (9 cm)<unk>  of the uterus which is causing pelvic congestion syndrome as seen on CT File:9cmFibroidUS.A very large (9 cm)<unk>  of the uterus which is causing pelvic congestion syndrome as seen on ultrasound File:Leiomyoma of the Uterus.A relatively large submucosal leiomyoma; it fills out the major part of the endometrial cavity File:UterineFirboid.A small<unk>  seen within the wall of the myometrium on a cross-sectional ultrasound view File:Calcifiedfibroids.Two calcified<unk> s (in the uterus) File:Subserosal<unk> .A subserosal<unk>  with a diameter of 5 centimeters. File:Pelvic_MRI_05_fibroids.MRI image with multiple<unk>  leiomiyomas File:Giant_Myoma.Giant leiomiyomas almost filling the abdomen. File:Histopathology of<unk>  leiomyoma.Histopathology of<unk> s typically show smooth muscle in a whorled (fascicular) pattern. File:Histopathology of<unk>  leiomyoma (Van Gieson's stain).This variant of Van Gieson's stain distinguishes muscle (yellow) from connective tissue (red) Coexisting disorders<unk> s that lead to heavy vaginal bleeding lead to anemia and iron deficiency. Due to pressure effects gastrointestinal problems such as constipation and bloatedness are possible. Compression of the ureter may lead to hydronephrosis.<unk> s may also present alongside endometriosis, which itself may cause infertility. Adenomyosis may be mistaken for or coexist with<unk> s. In very rare cases, malignant (cancerous) growths, leiomyosarcoma, of the myometrium can develop. In extremely rare cases<unk> s may present as part or early symptom of the hereditary leiomyomatosis and renal cell cancer syndrome.
Uterine fibroid
Uterine inversion
Leiomyoma
Cervical pregnancy
Endometrioid tumor
Ovarian pregnancy
Pelvic lipomatosis
Endometriosis