Doctors dilemmas

a53-year-old nullipara who is three years posimenopause. One year ago, at the time of an “¿ annual checkup,― a small (2 X 2 cm.) fibroid-like tumor could be felt on tile anterior surface of the aldus. S/Ic was asymptomnatic at that time. In tile last month, however, she has had two episodes of sligh t-to-mnoderate vaginal bleeding. The cervix is clean and the mass is unchanged in size and consistency. Be cause of a mild, diet-controlled diabeles, surgery has been deferred for what is an apparent benign fibroid. As long as i/ic bleeding can be controlled, is there cause for concern about i/ic possibility of ma lignant ciiange in the tumor?