Image Based Question-71142

A 43-year-old woman presented with mild pelvic discomfort, menorrhagia and irregular menstruation for recent 6 months.

Physical examination found a firm, non-tender lower abdominal mass arising from the pelvis. Laboratory investigations were unremarkable.

Cervical smear did not reveal any malignant cells or atypia. A KUB was performed as an initial investigation.What can be the possible diagnosis?

A. Bladder Carcinoma

B. Bladder Stones

C. Endometrial Carcinoma

D. Uterine Fibroid

Correct Answer » D Explanation

Ans:D. Uterine Fibroid.

Image shows:KUB shows a large calcified mass in the pelvis (arrows), which is typical for a large calcified fibroid.

UTERINE FIBROID

• Uterine leiomyoma, also known as uterine fibroid, is benign and the most common gynaecological neoplasm.

• When they are symptomatic, their usual presentations include: suprapubic mass, pain or menorrhagia.

• A leiomyoma may undergo calcification as it degenerates, and become visible on plain radiograph.

• The diagnosis is usually made on ultrasound . On USG, it appears as a well-defined hypoechoic mass in the myometrium of the uterus.

• Other differentials of pelvic calcification in a female include dermoid , bladder stones and phleboliths.