Benign neoplasms refer to new irregular growths that do not spread to other areas in the body or to permeating tissue. In this case, it refers to the breast, and the organs associated with childbearing, which include the uterus, ovaries and fallopian tubes.

Benign neoplasms of the gynecological system may include: cysts, polyps, fibroids, or hydatidiform mole which may be caused by hormonal changes, obstructed mucus gland, or abnormal tissue growth in pregnancy. Other causes may be infection or trauma.

Examples of benign neoplasms include but are not limited to uterine corpus leiomyoma (also known as uterine fibroids), endocervical polyp, and ovarian cysts.

In some cases, there may be no symptoms. Symptoms may vary depending on the location of the neoplasm. These symptoms may include abnormal bleeding between menses, after intercourse, or after menopause. The menses may be abnormally heavy, irregular or absent, and there may be a heavy, watery, bloody vaginal discharge. Other symptoms include: cramping pelvic pain, a fluid-filled lump, a dull abdominal ache, painless swelling of the lower abdomen, or an abrupt sharp pain. Infertility or an abnormal amount of facial hair may occur. In pregnancy, there may be abnormal uterine growth, vaginal bleeding, severe nausea and vomiting, lack of fetal movement, high blood pressure, or vaginal excretion of grape-like tissue.

Physical and pelvic examinations, papanicolaou (PAP) smear, tissue biopsy, blood tests, infertility studies, ultrasound, computed tomography (CT) scan, or magnetic resonance imaging (MRI) may be done.

Depending on the location of the neoplasm and its cause, no treatment may be needed. Otherwise, treatment may include hormone therapy, fertility medication, or medication for pain and discomfort. In some cases, surgery may be indicated.

Polyps may recur, and there may be infertility associated with the neoplasm. There may also be bone loss from certain medications or from surgery due to loss of estrogen, resulting in a potential for osteoporosis to develop. Education related to the use of good, supportive undergarments and nutrition counseling is indicated. Long-term follow-up care may be necessary. Counseling, psychotherapy, and support groups may be indicated to assist the patient in dealing with the diagnosis and/or residuals associated with the disease.

• None.

• Natural menopause, primary amenorrhea, and pregnancy and childbirth are not disabilities for rating purposes. Chronic residuals of medical or surgical complications of pregnancy may be disabilities for rating purposes.
• When evaluating any claim involving loss or loss of use of one or more creative organs or anatomical loss of one or both breasts, refer to 38 CFR 3.350 to determine whether the Veteran may be entitled to special monthly compensation. Footnotes in the schedule indicate conditions which potentially establish entitlement to special monthly compensation; however, almost any condition in 38 CFR 4.116 might, under certain circumstances, establish entitlement to special monthly compensation.
• Rate chronic residuals to include scars, lymphedema, disfigurement, and/or other impairment of function under the appropriate diagnostic code(s) within the appropriate body system.