Age | < 49 | 1 | > 49 | 2 |
Bleeding history | Regular or heavy menstrual bleeding | 1 | Irregular | 2 |
Growth history | “Static“ | 1 | “Fast“ or growth during therapy | 2 |
Myoma size | < 5 cm | 1 | > 5 cm | 2 |
Echogenicity | Ordered | 1 | Bizarre | 2 |
Borders | Sharp | 1 | Fuzzy | 2 |
Elastosonography | Hard | 1 | Soft | 2 |
Doppler power mode | Peripheral circular circulation patterns | 1 | Diffuse, disordered circulation | 2 |
Resistant index | RI > 0.4 | 1 | RI < 0.4 | 2 |
LDH 1.2 x reference | Lower | 1 | Higher | 2 |
Score | Score up to 12 points: morcellation possible (after consultation and explanation of a residual risk). | 13 points or higher: surgery with oncological caution. Risk counselling! |