Uterine fibroids

A 30-year-old woman with, hematuria and anemia was presented with skin spots. Ultrasound of abdomen detected normal kidneys; at the pelvis, there was a big mass with size of 25 cm from pubis to umbilicus. Suggest the treatment for the same?

A 52 y/o postmenopausal gravida 8, para 5, aborta 3 presented with a history of lower abdominal pain and distension for about 10 months. The patient's personal history revealed fatigue, loss of appetite, dyspnea and chronic constipation. LMP 1 year back and she had no post-menopausal bleeding. But her menstruation was 7-8 days of the 21-day menstrual cycle. On physical examination, an abdominopelvic mass with dullness on percussion - a solid mass was palpated. Abdominal tenderness was not present. Gynecologic examination revealed a large, mobile abdominopelvic mass with a normal external genitalia and uterine cervix. Lab tests normal except the Hb level, which was 8 g/dl.

53 yr Female with complain of uterine fibroid without any physical complaints. is it necessary to operate her?

A 44 y/o female presented with abdominal pain & heaviness. She complain of this pain for a year which was very mild and resolve at its own. But now it is not going away. Her CT scan images are posted below. What is the diagnosis?

can anyone Guess what I'm holding? And what is that blue arrow pointing to?