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Gynaecology & Obstetrics General a920f0dd

LEAST likely feature of fibroid: March 2013

A
Dysmenorrhoea
B
Infeility
C
Menorrhagia
D
Metrorrhagia
High-Yield Explanation
Ans. A i.e. Dysmenorrhea Fibroid Red degeneration of fibroid: - Seen in 2nd half of pregnancy or puerperium, - Due to thrombosis of large veins of the tumour, - Infection has no role (this process is an aseptic one), Management is conservative (analgesics and sedatives) Fibroids are associated with: - Follicular ovarian cysts, - Endometriosis, - Endometrial hyperplasia, - Endometrial Ca MC type of fibroid: Intramural/ interstitial MC type of degeneration: Hyaline (stas from the centre) MC to undergo malignant change: Intramural MC to undergo calcareous degeneration: Subserous Most fibroid stas as: Interstitial fibroids

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