Uterine fibroid measuring 6.7*5.0*5.8—Is surgery required?

Uterine fibroids are benign tumors that develop in the smooth muscle tissue of the uterus. In principle, when a uterine fibroid measures 6.7 cm × 5.0 cm × 5.8 cm, and symptoms or location meet other surgical indications, surgery is recommended. However, if neither symptoms nor tumor location meet additional surgical criteria, immediate surgery may be deferred. The decision should be made based on a comprehensive assessment of the patient's individual circumstances, as detailed below:

Generally, surgery may be considered when the diameter of a uterine fibroid exceeds 5 cm. In this case, the fibroid size of 6.7 cm × 5.0 cm × 5.8 cm already meets the size criterion for intervention. However, if the fibroid is confined to the uterus without compressing adjacent structures, and the patient has no significant symptoms—such as heavy menstrual bleeding or urinary abnormalities—and desires future fertility, observation without immediate surgery may be appropriate.

If the fibroid measures 6.7 cm × 5.0 cm × 5.8 cm and its location causes compression of surrounding organs such as the bladder or rectum, leading to noticeable symptoms like frequent urination, urgency, or incomplete bladder emptying, surgical treatment is recommended even if size criteria alone might not indicate surgery. Procedures such as myomectomy may be performed; hysterectomy may be considered for women who do not wish to preserve fertility.

Although uterine fibroids carry a small risk of malignant transformation, the probability is very low, so excessive concern is unnecessary. Timely management according to individual conditions is sufficient. Additionally, maintaining good personal hygiene and undergoing regular follow-up examinations are important to monitor recovery and disease progression.