Obstetrics & Gynaecology · Menstrual Disorders, Amenorrhea and Menopause

According to the FIGO classification system (PALM-COEIN) for abnormal uterine bleeding, which type of uterine leiomyoma is classified as a submucosal fibroid with intracavitary distortion?

  • A FIGO type 2
  • B FIGO type 0
  • C FIGO type 4
  • D FIGO type 7
Correct answer: A. FIGO type 2

Explanation

The FIGO leiomyoma classification system for submucosal fibroids defines type 0 as pedunculated intracavitary, type 1 as submucosal with <50% intramural extension, and type 2 as submucosal with >=50% intramural extension. Type 2 submucosal fibroids distort the endometrial cavity and are most strongly associated with heavy menstrual bleeding. Types 3 and above are intramural or subserosal; type 7 is subserosal pedunculated.

Reference: Berek and Novak's Gynecology, 16th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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