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Giant uterine leiomyoma.
F Săvulescu1, I Iordache, O Albiţa
1Second Surgical Department, Carol Davila Central Military Hospital, Bucharest, Romania. savfl@yahoo.com
Chirurgia (Bucharest, Romania : 1990)
|December 15, 2011
Summary
Giant uterine leiomyomas, rare tumors, pose diagnostic and therapeutic challenges. This case highlights the successful surgical removal of an 18.1 kg uterine leiomyoma in a 45-year-old woman.
Area of Science:
- Gynecology
- Surgical Oncology
- Pathology
Background:
- Uterine leiomyomas are the most common benign tumors in the female reproductive system.
- Giant uterine leiomyomas are exceptionally rare and present significant diagnostic and therapeutic challenges.
Observation:
- A 45-year-old woman presented with a 10-month history of progressive abdominal distension, back pain, abdominal pressure, weight loss, constipation, and urinary frequency.
- Clinical evaluation, including physical examination, laboratory tests, transabdominal ultrasound, and computed tomography, indicated a large abdominopelvic mass.
Findings:
- Surgical intervention involved an abdominal supracervical hysterectomy with bilateral salpingo-oophorectomy.
- Histological examination confirmed an 18.1 kg uterine leiomyoma measuring 33x28x22 cm.
Implications:
- This case underscores the importance of considering rare, large pathologies in patients with significant abdominal symptoms.
- Successful surgical management of extremely large uterine leiomyomas is achievable, leading to positive patient outcomes.
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