Abstract

Background: Uterine fibroids, also known as leiomyomas or myomas, are the commonest uterine neoplasms. They are benign tumors of smooth muscle origin, with varying amounts of fibrous connective tissue. Fibroids usually arise in the myometrium but may occasionally be found in the cervix, broad ligament or ovaries. They are multiple in up to 84% of women. Fibroids have been reported to occur in up to 70% of women by the age of 50 years and are especially common in black women, who also often have more severe disease. Aim & Objective: 1. study clinical profile of uterine fibroids and radiological appearance of uterine fibroids. Method: Study design: Cross sectional study. Study setting: Department of Radiodiagnosis, National institutes of medical sciences Jaipur, India. Study duration: 1 year from January 2023 to January 2024. Study population: All patients coming to our institute during study period according to exclusion and inclusion criteria Sample size: 100 Result: Majority of cases were from 36-45 years age group 35 cases followed by 29 cases in 46-55 years age group, 17 cases in 26-35 years group and 2 cases in 18-25 years age group. most of the cases complained heavy menstrual bleeding 77 followed by pain found in 38 cases, pain during intercourse 11 cases, infertility in 8 cases and 3 cases presented with enlarged abdomen. majority of cases diagnosed with intramural fibroids 67 cases followed by subserosal fibroids 14, pedunculated fibroids found in 8 cases and 11 cases presented with submucisal fibroids. radiographic features plan radiograph shows Popcorn calcification in 10 cases, USG findings Hypoechoic 32, Isoechoic 26, Hyperechoic 29, Echogenic foci with shadowing 13. CT findings Soft tissue density lesions and may exhibit coarse peripheral or central calcification 100, Distort the usually smooth uterine contour 100.MRI findings T1 low to intermediate signal intensity compared with the normal myometrium 80, Irregular, T1 hyperintense rim around a centrally located myoma 11, Fibroids with cystic degeneration appearing as high T2 signal 7 and T1 C+ (Gd) the marked high signal intensity with gradual enhancement 2. Conclusions: Majority of cases were from 36-45 years age group, most of the cases complained heavy menstrual bleeding, majority of cases diagnosed with intramural fibroids, Uterine fibroids are common tumors and although benign they can be associated with significant morbidity. They may be encountered incidentally when performing imaging for other reasons and are usually easily recognizable. However, degenerate fibroids can have unusual appearances. Awareness of the various appearances enables a prompt diagnosis and can guide treatment.

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