Question:
In a woman complaining of abnormal uterine bleeding (AUB), the image shown was seen on endoscopic (hysteroscopic) examination of the uterus. What is the diagnosis?
In a woman complaining of abnormal uterine bleeding (AUB), the image shown was seen on endoscopic (hysteroscopic) examination of the uterus. What is the diagnosis?
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A smooth, well-defined intracavitary mass causing AUB.
Updated On: Jun 24, 2026
- Leiomyoma
- Adenomyosis
- Ovarian neoplasm
- Carcinoma of uterus
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Verified By Collegedunia
The Correct Option is A
Solution and Explanation
Step 1: The hysteroscopic image shows a benign, well-circumscribed smooth-muscle tumour projecting into the uterine cavity, the appearance of a leiomyoma (fibroid).
Step 2: Leiomyomas are the most common pelvic tumour in women, arise from myometrial smooth muscle, and a submucous fibroid distorting the cavity readily produces abnormal uterine bleeding, matching this clinical picture.
Step 3: Therefore option A is correct. Adenomyosis is a diffuse myometrial process without a discrete intracavitary mass, an ovarian neoplasm would not be seen inside the uterine cavity on hysteroscopy, and carcinoma would show irregular friable tissue rather than a smooth fibroid.
Step 2: Leiomyomas are the most common pelvic tumour in women, arise from myometrial smooth muscle, and a submucous fibroid distorting the cavity readily produces abnormal uterine bleeding, matching this clinical picture.
Step 3: Therefore option A is correct. Adenomyosis is a diffuse myometrial process without a discrete intracavitary mass, an ovarian neoplasm would not be seen inside the uterine cavity on hysteroscopy, and carcinoma would show irregular friable tissue rather than a smooth fibroid.
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