A 48-year-old female presents with heavy, prolonged menstrual bleeding (menorrhagia) and pelvic pressure. Physical examination reveals an enlarged, irregularly contoured, firm, non-tender uterus. What is the most common benign pelvic tumor in women?
Answer and explanation
Correct answer: A. Uterine leiomyoma (uterine fibroid)
- Step 1: Uterine leiomyomas (fibroids) are benign monoclonal smooth muscle neoplasms of the myometrium, occurring in over 70% of reproductive-age women.
- Step 2: They are estrogen- and progesterone-sensitive, causing abnormal uterine bleeding, bulk symptoms (pelvic pressure, urinary frequency), and reproductive dysfunction.
- Step 3: Pelvic ultrasound is the first-line imaging modality of choice.
Answer
Uterine leiomyoma (uterine fibroid).
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