尋求手術建議：多發性大個子宮肌瘤

我妹妹43歲，最近診斷出多發性子宮肌瘤，最大的10x7.2x8.7。附上MRI報告。
醫生建議子宮切除，請問從報告書看，是否可僅做肌瘤切除手術。

非常感謝!

43-year-old woman with fibroids.
 
TECHNIQUE: Multiplanar T1- and T2-weighted images of the pelvis
were obtained on a 1.5 Tesla scanner before and after uneventful
administration of 5 mL Magnevist IV contrast.
 
** FINDINGS **:
Pelvis
Bladder:  Unremarkable.
Pelvic organs:  Uterus is diffusely myomatous with several myomas.
There is a posterior T2 hypointense lower uterine segment
transmural myoma which measures approximately 6.6 x 5.8 x 5.8 cm .
There is a 2nd left transmural mid uterine segment T2 hypointense
myoma measuring approximately 4.4 x 5.9 x 5.8 cm . The dominant T2
isointense subserosal partly exophytic fundal myoma measures up to
10 x 7.2 x 8.7 cm. A few (at least 4) smaller anterior transmural
myomas including a mid uterine segment T2 hypointense myoma
measures up to 2.2 cm. There is a small submucosal left anterior
mid uterine segment myoma which measures up to 1.6 cm with
slightly increased T2 signal intensity. There is no MRI evidence
for central necrosis or degeneration myomas.
 
There is a 6 mm polyp versus submucosal myoma seen within the
anterior superior endometrial cavity.
 
Secondary mass effect with anterior displacement of the
endometrium and bladder.
Lymphadenopathy:  No suspicious lymph nodes.
Free fluid:  Small amount of physiologic fluid in the pelvic
cul-de-sac.
Other: None.
 
Bones:  Grossly unremarkable.
Soft tissues:  Grossly unremarkable.
 
** IMPRESSION **:
Diffusely myomatous uterus as described above.
 
6 mm left anterior T2 hypointense lesion seen within the left
superior endometrium compatible with a small endometrial polyp
versus submucosal myoma.