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What is Least common complication of fibroid is : and explain in detail?
Ans. is b i.e. Malignancy Sarcomatous change / malignancy in a fibroid is extremely rare (0.2-0.5%). Most common Fibroid to undergo malignant change is intramural followed by submucous.deg Seen in postmenopausal or permenopausal females of 40 years of age. Features suggestive of malignancy : - Sudden increase in size of fibroid - Fibroid becomes tender and painful - Post menopausal bleeding - Systemic upset and pyrexia may be present Extra Edge : Specific features of different types of fibroid -- Submucous Intramural Subserous Can cause aboions Often associated with heavy menstrual bleeding menorrhagia & anemia Inflammatory change + Malignant change ++ Metrorrhagia can occur due to ulceration in submucous fibroid Inversion (in fundal sub mucous fibroid) Most common histologic type May cause -- 1st trimester bleeding -- Abruptio placentae -- Obstructured labour -- Preterm labour Uterine ineia Associated with menorrhagia Malignant change is most common in intramural type Do not cause aboions Present on the surface of uterus Pressure effects on rectum / ureter (constipation, hydronephrosis) Pedunculated & serous usually not cause anemia but torsion can occurdeg (wandering fibroid) Fibrous / calcific / hyaline change+ Pseudo Meigs syndrome