Citation, DOI, disclosures and article data
Citation:
Knipe H, Elfeky M, Rasuli B, FIGO classification system for uterine leiomyoma. Reference article, Radiopaedia.org (Accessed on 01 May 2024) https://doi.org/10.53347/rID-156167
Disclosures:
At the time the article was created Henry Knipe had the following disclosures:
- Radiopaedia Events Pty Ltd, Speaker fees (past)
- Integral Diagnostics, Shareholder (ongoing)
- Micro-X Ltd, Shareholder (ongoing)
These were assessed during peer review and were determined to
not be relevant to the changes that were made.
View Henry Knipe's current disclosures
The FIGO classification system for uterine leiomyoma (fibroids) classifies uterine leiomyomas based on location.
Usage
This classification system was developed for clinical and research purposes 2, however, in clinical use, there is significant variation in agreement 3.
Classification
Submucosal group
Other group
type 3: 100% intramural; contacts endometrium
type 4: intramural
type 5: subserosal ≥50% intramural
type 6: subserosal <50% intramural
type 7: subserosal pedunculated
type 8: other, e.g. cervical, parasitic
Hybrid leiomyoma group
leiomyomas that impact both the endometrium and serosa
two numbers listed separately separated by a hyphen with the first number indicating the endometrial relationship and the second number the serosal relationship
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1. Munro M, Critchley H, Broder M, Fraser I, for the FIGO Working Group on Menstrual Disorders. FIGO Classification System (PALM-COEIN) for Causes of Abnormal Uterine Bleeding in Nongravid Women of Reproductive Age. International Journal of Gynecology & Obstetrics. 2011;113(1):3-13. doi:10.1016/j.ijgo.2010.11.011 - Pubmed
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2. Gomez E, Nguyen M, Fursevich D, Macura K, Gupta A. MRI-Based Pictorial Review of the FIGO Classification System for Uterine Fibroids. Abdom Radiol. 2021;46(5):2146-55. doi:10.1007/s00261-020-02882-z - Pubmed
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3. Laughlin-Tommaso S, Hesley G, Hopkins M, Brandt K, Zhu Y, Stewart E. Clinical Limitations of the International Federation of Gynecology and Obstetrics (FIGO) Classification of Uterine Fibroids. Int J Gynecol Obstet. 2017;139(2):143-8. doi:10.1002/ijgo.12266 - Pubmed
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4. Munro M, Critchley H, Fraser I, the FIGO Menstrual Disorders Committee. The Two FIGO Systems for Normal and Abnormal Uterine Bleeding Symptoms and Classification of Causes of Abnormal Uterine Bleeding in the Reproductive Years: 2018 Revisions. Int J Gynecol Obstet. 2018;143(3):393-408. doi:10.1002/ijgo.12666 - Pubmed
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