uterine fibroids CT manifestations

Written by Wang Kun
Surgical Oncology
Updated on June 17, 2025
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Uterine fibroids are relatively common benign gynecological tumors. They can typically be detected through routine color ultrasound examinations. On a CT scan, uterine fibroids may appear as round, dense, and uniform lesions on the uterine wall with clear boundaries. Some patients may have multiple uterine fibroids, thus displaying several of the aforementioned symptoms. Depending on the location of the uterine fibroids, their appearance on CT scans can vary and may present as subserosal, intramural, or submucosal. Symptoms may also vary based on their location.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Can uterine fibroids eat bird's nest?

People with uterine fibroids can eat bird's nest, but consuming bird's nest has no effect on uterine fibroids; it neither treats nor impacts the fibroids, whether benignly or malignantly. Uterine fibroids are mainly related to congenital factors and the level of estrogen; they are estrogen-dependent diseases. It is only necessary to avoid taking estrogen-like drugs on one's own. Most uterine fibroids can be managed with regular check-ups, and generally, if there are no symptoms, surgery is not required. Most fibroids will disappear after menopause naturally. (The use of medication should be under the guidance of a professional doctor.)

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Written by Wang Kun
Surgical Oncology
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Does uterine fibroids cause high CRP?

Normal uterine fibroids do not cause an increase in CRP. CRP is an indicator of systemic inflammatory response. Only when a patient experiences infection, rupture, or acute systemic inflammatory reactions will it cause a rise in tumor markers. Uterine fibroids often do not exhibit these symptoms; therefore, most cases will not show an increase in CRP. However, in some patients, infection or rupture, and even malignancy, can lead to an increase in these indicators. Patients should undergo relevant imaging studies to assess the size and location of the uterine fibroids, as well as the presence of uterine bleeding.

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Written by Huang Shuai
Obstetrics and Gynecology
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How big a uterine fibroid can be without requiring treatment?

The size of uterine fibroids is one of the indicators we consider for whether treatment and surgery are necessary. It is generally believed that surgery is indicated when the diameter of a fibroid exceeds 6cm, or when the entire uterus is larger than the size it would be at ten weeks of pregnancy. However, in reality, the size of a uterine fibroid is not an absolute indicator for surgery. This means that even if the fibroid exceeds 6cm, or the entire uterus reaches around ten weeks in size, it doesn’t necessarily require surgery. At this point, other factors are usually also considered, such as whether there are symptoms, whether the large fibroids cause heavy menstruation and anemia, whether there are compression symptoms, the radiological appearance of the fibroids, whether they resemble malignant conditions, whether the fibroids are rapidly growing, and whether the fibroids are located in special areas like the cervix, the hip ligament, or submucosal. Thus, the size of the uterine fibroids is just one aspect we consider for treatment or surgery; the presence of symptoms and whether the fibroids are malignant, among others, are actually more important.

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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 Li Shun Hua
Obstetrics and Gynecology
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How to check for uterine fibroids?

Uterine fibroids can primarily be diagnosed through ultrasound and gynecological examinations. Uterine fibroids are relatively easy to diagnose; an ultrasound can reveal irregular masses on the uterus or solid echoes, with a fairly intact capsule, which could be either solitary or multiple, confirming the presence of uterine fibroids. During a gynecological examination, an irregular uterine shape with localized protrusions can be felt, which are fairly mobile and typically not associated with significant pain, further confirming the presence of uterine fibroids.