What is typically characterized by multiple, well-defined, white, whorled masses in the female genital system?

Prepare for USMLE Step 1 Pathology Exam with comprehensive quizzes, flashcards, and detailed explanations. Enhance your understanding and be exam-ready!

Multiple, well-defined, white, whorled masses in the female genital system are typically indicative of leiomyomas, also known as uterine fibroids. These benign tumors of smooth muscle origin can vary in size and are commonly found within the uterus. Their characteristic whorled appearance is due to the interlacing bundles of smooth muscle fibers, which can present as distinct masses that may be seen clearly on imaging studies or during an examination.

Leiomyomas are often asymptomatic, but they can lead to symptoms such as heavy menstrual bleeding, pelvic pain, and pressure symptoms depending on their size and location within the uterus. The distinction between leiomyomas and other conditions, such as fibromas or ovarian cysts, is important as the underlying tissue structure and presentation differ significantly.

Ovarian cysts typically do not present as well-defined, whorled masses; instead, they are usually fluid-filled sacs that can vary in appearance. While fibromas are sometimes used interchangeably with leiomyomas, especially in lay terminology, they are not generally described in the same manner within a clinical context. Cervical polyps, on the other hand, are usually small, soft, and may appear as stalked lesions but do not have

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