Diagnostic Criteria and Clinical Characteristics
Diagnostic Criteria for UL
Diagnostic evaluation should include
UL may be detected during a routine pelvic examination as a pelvic mass or enlarged uterus.
Imaging studies, such as ultrasonography, magnetic resonance imaging (MRI), and computed tomography (CT) may be indicated to confirm the diagnosis.
Family medical history is warranted to distinguish between nonsyndromic UL and HLRCC.
The most common symptoms of UL are abnormal uterine bleeding and pelvic pressure. Many women with UL present with varying degrees of menorrhagia, or heavy menstrual bleeding. If the tumors are exerting pressure on nearby organs, such as the bowel or bladder, women may also have problems with bowel movements and urinary frequency. Reproductive issues include recurrent miscarriage and infertility. Complications during pregnancy include premature labor, pain, bleeding, fetal malpresentation, and an increased ...