Most common fibroid associated with malignancy is :
Ans. is b i.e. Intramural Well friends, we will have to rely on logic and the little text available in Shaw Gynae for this answer. I have searched in all books including Novak's Gynecology and Devita - Tumours but without any success. Only Shaw's throws some light on this issue. "Intramural and submucous tumours have a higher potential for Sarcomatous change than Subserous tumour." ... Shaw 14/e. p 319 Since percentage of intramural tumours is much higher than submucous, so we take Intramural as the correct option. But finally it is upto you to decide. Also know : Sarcomatous change is seen in only 0.2 - 0.5% of cases. The malignant process begins from the centre.deg Diagnosis is made by histological examination of the removed myoma.deg Changes seen in Myoma are : - Sarcomatous Myoma is yellowish grey in colour (Normally pinkish white), with soft and friable consistency (Instead of firm consistency). Non encapsulation of the tumour. (Normally fibroid is surrounded by a pseudo capsule made of connective tissue). Sarcomas with malignant behavior have 10 or more Mitosis per high power field. becomes painful, tender, grows rapidly and produces systematic upset and pyrexia.
Submucus
Intramural
Ovarian
Subserous