Question:medium
In a woman complaining of abnormal uterine bleeding (AUB), the following image was seen on endoscopic (hysteroscopic) examination of the uterus. What will be the diagnosis?
In a woman complaining of abnormal uterine bleeding (AUB), the following image was seen on endoscopic (hysteroscopic) examination of the uterus. What will be the diagnosis?
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Smooth pale rounded nodule bulging into the cavity in a woman with AUB.
Updated On: Jun 24, 2026
- Leiomyoma
- Adenomyosis
- Ovarian neoplasm
- Carcinoma of uterus
Show Solution
The Correct Option is A
Solution and Explanation
Step 1: Read the hysteroscopic view: a single, smooth, rounded mass bulging into the cavity in a patient with abnormal bleeding.
Step 2: That morphology is classic for a submucous leiomyoma, the most frequent uterine tumour, made of myometrial smooth muscle and a well-known cause of AUB, pressure symptoms and subfertility.
Step 3: The competitors are excluded: adenomyosis thickens the wall diffusely with no discrete cavity mass, an ovarian tumour is extrauterine and invisible on hysteroscopy, and endometrial carcinoma looks irregular and friable rather than a smooth nodule.
\[\boxed{\text{Leiomyoma}}\]
Step 2: That morphology is classic for a submucous leiomyoma, the most frequent uterine tumour, made of myometrial smooth muscle and a well-known cause of AUB, pressure symptoms and subfertility.
Step 3: The competitors are excluded: adenomyosis thickens the wall diffusely with no discrete cavity mass, an ovarian tumour is extrauterine and invisible on hysteroscopy, and endometrial carcinoma looks irregular and friable rather than a smooth nodule.
\[\boxed{\text{Leiomyoma}}\]
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