Patient's question:
Anterior uterine, size approximately 9.9 x 7.8 x 7.6 cm, endometrial thickness 0.9 cm. A 7.3 x 5.4 cm hypoechoic mass is seen near the fundus of the anterior wall, with indistinct boundaries. A 1.2 x 1.0 cm hypoechoic mass is observed on the anterior wall, with clearer boundaries. The left ovary measures approximately 2.4 x 1.4 cm, and the right ovary measures approximately 3.4 x 2.1 cm. No obvious space-occupying lesions are noted in the bilateral adnexal regions. Free fluid with a depth of 1.4 cm is observed in the pelvis. Is surgery absolutely necessary in this case?Doctor's answer:
Hello, uterine fibroids are the most common benign tumors in the female reproductive system, with a very low risk of malignancy. Their etiology may be related to excessively high estrogen levels in the body and long-term estrogen stimulation. Generally, they are asymptomatic, but some may manifest as vaginal bleeding, palpable abdominal masses, and compression symptoms, among others. Treatment depends on the specific situation. Small fibroids usually do not require treatment, but if they are large (diameter greater than 6 cm) and symptomatic, surgical treatment is recommended.