Update September 1, 2018
On his day for covering frozen sections, a pathology resident received a large uterus that has multiple well-circumscribed nodules within the myometrium, some of which bulge into the endometrium and some of which project from the serosal surface. Which of the following is NOT a common complication of this condition?
The correct answer is A.
The patient has multiple uterine leiomyomas. Uterine leiomyomas can produce pelvic pain, ulceration of overlying endometrium leading to vaginal bleeding, and infertility due to inability of uterus to expand in size, as is normally required during pregnancy. Although rare case reports of metastasizing benign leiomyomas have been reported, it is definitely not a common complication.
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