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Myoma in Pregnancy
Roya Sohaey, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Fibroid
            • Leiomyoma/leiomyomata
            • Fibroleiomyoma
          • Definitions

            • Common benign smooth muscle tumor

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • MR Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Staging, Grading, & Classification

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Image Interpretation Pearls

                                      • Reporting Tips

                                        Selected References

                                        1. Muezzinoglu B et al: Pathological characteristics and clinical outcome of uterine leiomyomas associated with pregnancy. Pathol Res Pract. 207(11):691-4, 2011
                                        2. Munro MG: Uterine leiomyomas, current concepts: pathogenesis, impact on reproductive health, and medical, procedural, and surgical management. Obstet Gynecol Clin North Am. 38(4):703-31, 2011
                                        3. Zaima A et al: Fibroid in pregnancy: characteristics, complications, and management. Postgrad Med J. 87(1034):819-28, 2011
                                        4. Laughlin SK et al: Pregnancy-related fibroid reduction. Fertil Steril. 94(6):2421-3, 2010
                                        5. Stout MJ et al: Leiomyomas at routine second-trimester ultrasound examination and adverse obstetric outcomes. Obstet Gynecol. 116(5):1056-63, 2010
                                        6. Turan V et al: Assessment of pregnancy outcomes with uterine leiomyomas larger than 10 cm; antepartum and postpartum complications. J Pediatr Adolesc Gynecol. 23(1):57-8, 2010
                                        7. Chen YH et al: Increased risk of preterm births among women with uterine leiomyoma: a nationwide population-based study. Hum Reprod. 24(12):3049-56, 2009
                                        8. Laughlin SK et al: Prevalence of uterine leiomyomas in the first trimester of pregnancy: an ultrasound-screening study. Obstet Gynecol. 113(3):630-5, 2009
                                        9. Carpenter TT et al: Pregnancy following uterine artery embolisation for symptomatic fibroids: a series of 26 completed pregnancies. BJOG. 112(3):321-5, 2005
                                        10. Cooper NP et al: Fibroids in pregnancy--common but poorly understood. Obstet Gynecol Surv. 60(2):132-8, 2005
                                        11. Pron G et al: Pregnancy after uterine artery embolization for leiomyomata: the Ontario multicenter trial. Obstet Gynecol. 105(1):67-76, 2005
                                        12. Committee on Gynecologic Practice et al: ACOG Committee Opinion. Uterine artery embolization. Obstet Gynecol. 103(2):403-4, 2004
                                        13. Erian J et al: Rapidly enlarging cervical fibroids during pregnancy: a case report. J Obstet Gynaecol. 24(5):578-9, 2004
                                        14. Oruc S et al: Coexistence of a prolapsed, pedunculated cervical myoma and pregnancy complications: a case report. J Reprod Med. 49(7):575-7, 2004
                                        15. Sheiner E et al: Obstetric characteristics and perinatal outcome of pregnancies with uterine leiomyomas. J Reprod Med. 49(3):182-6, 2004
                                        16. Akrivis Ch et al: Primary postpartum haemorrhage due to a large submucosal nonpedunculated uterine leiomyoma: a case report and review of the literature. Clin Exp Obstet Gynecol. 30(2-3):156-8, 2003
                                        17. Lolis DE et al: Successful myomectomy during pregnancy. Hum Reprod. 18(8):1699-702, 2003
                                        18. Jung SE et al: MR imaging of maternal diseases in pregnancy. AJR Am J Roentgenol. 177(6):1293-300, 2001
                                        19. Coronado GD et al: Complications in pregnancy, labor, and delivery with uterine leiomyomas: a population-based study. Obstet Gynecol. 95(5):764-9, 2000
                                        20. Ueda H et al: Unusual appearances of uterine leiomyomas: MR imaging findings and their histopathologic backgrounds. Radiographics. 19 Spec No:S131-45, 1999
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Synonyms

                                                  • Fibroid
                                                  • Leiomyoma/leiomyomata
                                                  • Fibroleiomyoma
                                                • Definitions

                                                  • Common benign smooth muscle tumor

                                                IMAGING

                                                • General Features

                                                  • Ultrasonographic Findings

                                                    • MR Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Staging, Grading, & Classification

                                                              • Gross Pathologic & Surgical Features

                                                                • Microscopic Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Image Interpretation Pearls

                                                                            • Reporting Tips

                                                                              Selected References

                                                                              1. Muezzinoglu B et al: Pathological characteristics and clinical outcome of uterine leiomyomas associated with pregnancy. Pathol Res Pract. 207(11):691-4, 2011
                                                                              2. Munro MG: Uterine leiomyomas, current concepts: pathogenesis, impact on reproductive health, and medical, procedural, and surgical management. Obstet Gynecol Clin North Am. 38(4):703-31, 2011
                                                                              3. Zaima A et al: Fibroid in pregnancy: characteristics, complications, and management. Postgrad Med J. 87(1034):819-28, 2011
                                                                              4. Laughlin SK et al: Pregnancy-related fibroid reduction. Fertil Steril. 94(6):2421-3, 2010
                                                                              5. Stout MJ et al: Leiomyomas at routine second-trimester ultrasound examination and adverse obstetric outcomes. Obstet Gynecol. 116(5):1056-63, 2010
                                                                              6. Turan V et al: Assessment of pregnancy outcomes with uterine leiomyomas larger than 10 cm; antepartum and postpartum complications. J Pediatr Adolesc Gynecol. 23(1):57-8, 2010
                                                                              7. Chen YH et al: Increased risk of preterm births among women with uterine leiomyoma: a nationwide population-based study. Hum Reprod. 24(12):3049-56, 2009
                                                                              8. Laughlin SK et al: Prevalence of uterine leiomyomas in the first trimester of pregnancy: an ultrasound-screening study. Obstet Gynecol. 113(3):630-5, 2009
                                                                              9. Carpenter TT et al: Pregnancy following uterine artery embolisation for symptomatic fibroids: a series of 26 completed pregnancies. BJOG. 112(3):321-5, 2005
                                                                              10. Cooper NP et al: Fibroids in pregnancy--common but poorly understood. Obstet Gynecol Surv. 60(2):132-8, 2005
                                                                              11. Pron G et al: Pregnancy after uterine artery embolization for leiomyomata: the Ontario multicenter trial. Obstet Gynecol. 105(1):67-76, 2005
                                                                              12. Committee on Gynecologic Practice et al: ACOG Committee Opinion. Uterine artery embolization. Obstet Gynecol. 103(2):403-4, 2004
                                                                              13. Erian J et al: Rapidly enlarging cervical fibroids during pregnancy: a case report. J Obstet Gynaecol. 24(5):578-9, 2004
                                                                              14. Oruc S et al: Coexistence of a prolapsed, pedunculated cervical myoma and pregnancy complications: a case report. J Reprod Med. 49(7):575-7, 2004
                                                                              15. Sheiner E et al: Obstetric characteristics and perinatal outcome of pregnancies with uterine leiomyomas. J Reprod Med. 49(3):182-6, 2004
                                                                              16. Akrivis Ch et al: Primary postpartum haemorrhage due to a large submucosal nonpedunculated uterine leiomyoma: a case report and review of the literature. Clin Exp Obstet Gynecol. 30(2-3):156-8, 2003
                                                                              17. Lolis DE et al: Successful myomectomy during pregnancy. Hum Reprod. 18(8):1699-702, 2003
                                                                              18. Jung SE et al: MR imaging of maternal diseases in pregnancy. AJR Am J Roentgenol. 177(6):1293-300, 2001
                                                                              19. Coronado GD et al: Complications in pregnancy, labor, and delivery with uterine leiomyomas: a population-based study. Obstet Gynecol. 95(5):764-9, 2000
                                                                              20. Ueda H et al: Unusual appearances of uterine leiomyomas: MR imaging findings and their histopathologic backgrounds. Radiographics. 19 Spec No:S131-45, 1999