What items should be checked for fibroids

In many cases, we will suffer from fibroids due to different factors. Fibroma is a benign tumor. After people find the symptoms of fibroids, they must take timely measures to treat it and prevent it from worsening. So what items should be checked for fibroids? Let's take a closer look.

1. X-ray examinations for the diagnosis of neurofibromatosis (NF-1) mainly rely on periorbital bone loss, orbital and temporal subcutaneous soft tissue thickening or cord-like soft tissue masses. Congenital bone defects, manifested as bone hypertrophy and erosion, similar to osteitis fibrosa cystica, special attention should be paid to the greater wing of the sphenoid bone and the orbit.

2. Ultrasound or CT scan can clarify the condition of the optic nerve and retina, and X-ray can examine the condition of the optic nerve foramen.

3. Pay attention to monitoring intraocular pressure when glaucoma occurs.

4. MRI examination of NF-1 neurological lesions mainly includes gliomas, non-neoplastic hamartomas, optic pathway gliomas, plexiform neurofibromas, scattered intraspinal neurofibromas and dural ectasia. Various structural abnormalities are also often found, such as macrocephaly. NF-1 can be diagnosed by simply using the many hamartomas or high-signal lesions in the child's brain shown on MRI. These lesions are typically manifested in T2WI as focal high-signal areas combined with space-occupying effects, and such lesions are generally not accompanied by local edema. They are mainly located in the basal ganglia and internal capsule areas, but can also be found in the midbrain, cerebellum and subcortical white matter. Such lesions cannot be displayed on non-enhanced CT and are not enhanced on MRI.

Bilateral acoustic neuromas are the most common and typical sign of NF-2, but some patients are diagnosed with only unilateral acoustic neuromas. Patients with NF-2 tend to develop meningiomas, schwannomas, and spinal cord ependymomas, rather than optic nerve gliomas, astrocytomas, or hamartomas. Only a small number of patients may have orbital tumors, so patients with orbital neurogenic tumors should be asked about their history of other surgeries, especially acoustic neuromas. They should also be asked about symptoms such as hearing impairment.