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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.

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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.