Related Experiment Video
Updated: Jun 3, 2026

Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Leiomyomas in adolescents
Kelly Nicole Wright1, Marc R Laufer
1Division of Gynecology, Children's Hospital Boston, and Harvard Medical School, Boston, Massachusetts 02115, USA.
Objective:
To describe a rare finding of a large leiomyoma and recurrence in an adolescent.
Design:
Case report.
Setting:
Major academic medical center.
Patient(S):
A 14-year-old gravida 0 presented with a 16-cm pelvic mass that was found to be an anterior uterine leiomyoma.
Intervention(S):
Exploratory laparotomy with resection of leiomyoma followed by robotic myomectomy when the mass recurred.
Main Outcome Measure(S):
The incidence, pathogenesis, fertility implications, and treatment options for leiomyomas in adolescents.
Result(S):
Leiomyomas are rare in adolescents. The mass was resected and recurred within 1 year. There are no prior cases of recurrence in an adolescent.
Conclusion(S):
Benign leiomyomas should be considered in adolescents presenting with uterine masses, as malignancies are even less common. Myomectomy is the procedure of choice to preserve fertility in this population.
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