Malignant symptoms of uterine fibroids

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on May 18, 2025
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If uterine fibroids become malignant, they can increase significantly in size in a short period. Patients may feel a lump in the abdomen, and this lump grows rapidly and is tender to pressure. Additionally, there may be symptoms such as heavy menstrual bleeding, prolonged menstrual periods, and irregular vaginal bleeding, as well as pain in the lower abdomen. Other symptoms include compression effects such as frequent urination, urgency to urinate, and difficulty defecating. Therefore, it is necessary to re-examine uterine fibroids every six months to a year. If uterine fibroids are found to be growing rapidly, timely surgical treatment should be conducted to prevent malignant transformation.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Do fibroids cause stomach pain?

Uterine fibroids, if merely present and not too large, generally do not cause abdominal pain. If there are symptoms of abdominal pain, it is necessary to check whether there is pelvic inflammatory disease by examining if there is tenderness in the uterus and adnexal areas. Uterine fibroids, if accompanied by adenomyosis, can also cause abdominal pain, particularly progressive dysmenorrhea symptoms. Therefore, if there is abdominal pain, it is essential to first perform an ultrasound to understand the specifics of the uterine fibroids, whether there are other masses in the pelvic area that might be twisted, and also to check for inflammation, the presence of an intrauterine device, etc.

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Written by Wang Kun
Surgical Oncology
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Do uterine fibroids cause bleeding?

When uterine fibroids are large or located under the endometrium, they can lead to bleeding, resulting in increased menstrual flow and even anemia in patients. At this point, patients can consider undergoing a gynecological color Doppler ultrasound to determine the number, size, and location of the fibroids to guide the choice of clinical treatment options. The best surgical option for treating uterine fibroids is a total hysterectomy, which will prevent the recurrence of the disease. However, for young patients who wish to preserve their fertility, myomectomy should be considered, as it can effectively treat the disease while preserving uterine function.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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What should I do about uterine fibroids?

Uterine fibroids first require examining the location and size of the fibroids. Uterine fibroids can be classified into subserosal fibroids, submucosal fibroids, and intramural fibroids. If it is a submucosal fibroid, no matter the size of the fibroid, it is necessary to promptly perform a hysteroscopic submucosal fibroid surgery. If the submucosal fibroid is large, it may be necessary to perform a hysterectomy through abdominal surgery. For intramural and subserosal fibroids, if the fibroid's diameter exceeds five centimeters or if the fibroid is growing rapidly, surgical treatment is recommended at that time, because there is a chance of malignant transformation in uterine fibroids, which ranges from 0.2% to 0.3%. Therefore, once such a situation occurs, surgical treatment is required.

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Written by Wang Kun
Surgical Oncology
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Can uterine fibroids be inherited?

Uterine fibroids are common benign tumors clinically, with a prevalence rate of 20%-40% among women, approximately 20% of which are hereditary. Most tumors do not show clear clinical symptoms, so patients need not worry too much even after the tumors develop. However, some patients may experience increased menstrual flow, prolonged menstrual cycles, or even symptoms such as anemia, abdominal pain, and bloating. In such cases, surgical removal may be considered, which is a routine procedure in clinical settings, so patients should not be overly concerned.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Are uterine fibroids likely to recur?

Firstly, uterine fibroids are prone to recurrence in women of childbearing age. The main cause of uterine fibroids is usually an excessively high level of estrogen in the body, along with an uneven distribution of estrogen levels, which leads to the development of fibroids. Once a woman is of childbearing age and has regular menstrual cycles, uterine fibroids tend to recur. If uterine fibroids occur, it is necessary to go to the hospital for a color ultrasound examination to check the location of the fibroids. Uterine fibroids can be categorized into cervical fibroids and corpus fibroids. If cervical fibroids are found, timely surgical treatment is required because they become more difficult to treat and more prone to bleeding as they grow larger. Additionally, for corpus fibroids, it depends on whether they are intramural or submucosal. If submucosal uterine fibroids are present, they also require timely surgical intervention due to the risk of prolonged bleeding and potential anemia.