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Ulcerative Colitis
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Description
Uterine leiomyomas are well-circumscribed, pseudoencapsulated,
benign monoclonal tumors
composed mainly of smooth muscle with varying amounts of fibrous
connective tissue (1,2).
3 major subtypes:o Subserous: Common; external; may become
pedunculatedo Intramural: Common; within myometrium; may cause
marked uterine enlargement
http://www.5minuteconsult.com/5mc/20097452#clin_uterine-myomas_bib1http://www.5minuteconsult.com/5mc/20097452#clin_uterine-myomas_bib1http://www.5minuteconsult.com/5mc/20097452#clin_uterine-myomas_bib2http://www.5minuteconsult.com/5mc/20097452#clin_uterine-myomas_bib2http://www.5minuteconsult.com/5mc/20097452#clin_uterine-myomas_bib2http://www.5minuteconsult.com/5mc/20097452#clin_uterine-myomas_bib2http://www.5minuteconsult.com/5mc/20097452#clin_uterine-myomas_bib1
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o Submucous: ~5% of all cases; internal, evoking abnormal
uterine bleeding and infection;
occasionally protruding from cervix
Rare locations: Broad, round, and uterosacral ligaments
System affected: Reproductive
Synonym(s): Fibroids; myoma; fibromyoma; myofibroma;
fibroleiomyoma
EpidemiologyIncidence
Cumulative incidence is 70%, highest in perimenopausal age
group
Incidence increases with each decade during reproductive
years
Not seen in premenarchal females
Predominant sex: Females only
3 more frequent; occurs earlier in African Americans
Prevalence
4 11% of all women 20 40% of women in reproductive years (2)
Risk Factors
African American heritage
Early menarche (
