Uterine Disorders: The Daily PANCE Blueprint
A 32-year-old G4P4 female presents to the clinic complaining of menorrhagia and anemia for the past year. On physical exam, you palpate an emerged, irregular, and firm uterus. A prior uterine dilation and curettage show benign pathology. Which of the following is the most likely diagnosis?
A. Ovarian cancer
B. Uterine leiomyoma
C. Endometriosis
D. Ovarian cyst
E. Adenomyosis
Answer and topic summary
The answer is B. Uterine leiomyoma
Uterine leiomyomas (aka fibroids) are benign uterine neoplasms; they are the most common tumor of the female genital tract. They can be classified as subserosal (MC location), intramural, or submucosal. Predisposing factors include nulliparity, early menarche, and age (25-45 years old). Clinical features include menorrhagia, pelvic pain, infertility, enlarged, firm, and irregular uterus, and dyspareunia. Diagnosis is made with ultrasound (best initial test). Treatment depends on symptoms and differs by patient case but can include OCPs, GnRH agonists, NSAIDs, myomectomy, or even hysterectomy with/without bilateral salpingo-oophorectomy.
View blueprint lesson
Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Reproductive System ⇒ ⇒
Also covered as part of the Women's Health PAEA EOR topic list
