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[Giant uterine fibroma. Case report]
E Crauciuc1, Simona Niculescu, R Balan
1Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi, Facultatea de Medicină, Clinica a IIIa Obstetrică-Ginecologie.
Summary
Giant uterine fibromas are rare due to early diagnosis but can present diagnostic and surgical challenges. This case highlights the complexities of managing these large tumors when pelvic anatomy is significantly altered.
Area of Science:
- Gynecology
- Surgical Oncology
- Pathology
Background:
- Giant uterine fibromas, though rare due to advanced diagnostics, still pose clinical challenges.
- Early detection methods have significantly reduced the incidence of large abdominal-pelvic tumors.
Observation:
- A rare case of a giant uterine fibroma (23x21x20 cm) was identified.
- The tumor caused significant distortion of the pelvic anatomical structures.
Findings:
- Comprehensive clinical, imaging, and pathological investigations were performed.
- A two-stage surgical procedure was necessary due to the tumor's size and anatomical distortion.
Implications:
- Management of giant uterine fibromas requires specialized, potentially high-risk surgical techniques.
- This case underscores the importance of considering atypical surgical approaches for rare, large gynecological masses.