Teaching Point – Normal Thickness by Age/Cycle
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So that brings us to the conclusion for leiomyomas.
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Some important teaching points to
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remember when you're evaluating these
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and when you're dictating these.
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Note the location of the fibroid.
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That's important.
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On ultrasound, it may get a little bit tricky.
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You're not necessarily going to be able to
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measure and accurately report every single
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fibroid, but you should definitely do it.
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Always note if there's a submucosal one,
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no matter how small it is, because that may be
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the one that's causing the patient's symptoms.
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On MRI, it's a lot easier to see all of
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them and to characterize all of them.
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Your surgeon may want to know literally
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every single fibroid, but you'll have to
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be familiar with what your surgeon wants.
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And again, along with that, MRI is going
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to be superior for characterization
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of fibroids and for surgical planning
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and to evaluate for that rare sarcoma.
Kathryn McGillen, MD
Assistant Professor of Radiology, Medical Director of Ultrasound
Penn State University Milton S Hershey Medical Center
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