From the Research
Definition and Characteristics
- Uterine cystic degeneration refers to a type of degeneration that can occur in uterine leiomyomas, also known as fibroids or myomas 1, 2, 3.
- This type of degeneration can cause the leiomyoma to become cystic, leading to a range of clinical manifestations, including pain, constipation, urinary disturbances, and abnormal menstrual bleeding 1, 3.
- Cystic degeneration is one of several types of degeneration that can occur in leiomyomas, including hyaline, myxoid, calcification, and red degeneration 3.
Diagnosis and Differential Diagnosis
- The diagnosis of uterine cystic degeneration can be challenging, as it may mimic other conditions, such as ovarian neoplasms or adnexal masses 1, 2, 4.
- Imaging techniques, such as magnetic resonance imaging (MRI), can be useful in diagnosing uterine cystic degeneration and distinguishing it from other conditions 3.
- The differential diagnosis of uterine cystic degeneration includes adenomyosis, solid adnexal mass, focal myometrial contraction, and uterine leiomyosarcoma 3.
Clinical Presentation and Management
- Uterine cystic degeneration can present with a range of symptoms, including abdominal distension, pain, and abnormal menstrual bleeding 1, 2.
- The management of uterine cystic degeneration depends on the severity of symptoms and the size and location of the leiomyoma 1, 3.
- Treatment options may include medical or surgical management, and MRI can be useful in surgical planning and monitoring the response to medical therapy 3.