Giant uterine fibroid – case report


Authors: R. Müller;  P. Břeský
Authors‘ workplace: Gynekologicko-porodnické oddělení Masarykovy městské nemocnice, Jilemnice, prim. MUDr. Z. Vocásek
Published in: Ceska Gynekol 2016; 81(1): 71-75

Overview

Objective:
The aim of this article is to present a patient with a giant uterine fibroid who underwent surgery in our department. Uniqueness of this case is the extent of uterine fibroid.

Design:
Case report.

Setting:
Department of Obstetrics and Gynaecology, Masaryk Municipal Hospital Jilemnice.

Case report:
We report a case of 42 years old female patient with a giant myoma who underwent surgery in our department. Fibroid weihgt was more than 15 kg.

Conclusion:
Fibroids gigantic proportions are extreme and rare benign tumor variant of normal uterine muscle. Their formation is possible inertia or disimulation patients and their treatment is mostly surgical.

KEYWORDS:
giant uterine fibroid, xipho-pubic laparotomy, hysterectomy


Sources

1. Boosz, AS., Reimer, P., Matzko, M., Römer, T., et al. The conservative and interventional treatment of fibroids. Dtsch Arztebl Int. 2014, 111(51–52): p. 877–883.

2. Ciavattini, A., Di Giuseppe, J., Stortoni, P., Montik, N., et al. Uterine fibroids: pathogenesis and interactions with endometrium and endomyometrial junction. Obstet Gynecol Int, 2013, 3: 173184. doi: 10.1155/2013/173184. Epub 2013 Sep 12.

3. Cramer, SF., Patel, A. The frequency of uterine leiomyomas. Am J Clin Pathol, 1990, 94(4), p. 435–438.

4. Donnez, J., Donnez, O., Matule, D., Arhendt, H., et al. Long-term medical management of uterine fibroids with ulipristal acetate. Fertil Steril, 2016, 105(1), p. 165–173.

5. Fait, T., Hudeček, R., Kopecký, P., Ožana, M., et al. Diagnostika a léčba děložních myomů v ambulanci gynekologické péče. Čes Gynek, 2015, 80(4), s. 309–312.

6. Flake, GP., Andersen, J., Dixon, D. Etiology and pathogenesis of uterine leiomyomas: a review. Environ Health Perspect, 2003, 111(8), p. 1037–1054.

7. Kučera, E., Fait, T., a kol. Hyperestrogenní stavy v gynekologii. Praha: Maxdorf, 2011, s. 236. ISBN 978-80-7345-235-3.

8. Laughlin, SK., Stewart, EA. Uterine leiomyomas: individualizing the approach to a heterogeneous condition. Obstet Gynecol, 2011, 117, (2 Pt 1), p. 396–403.

9. Lethaby, A., Vollenhoven, B. Fibroids (uterine myomatosis, leiomyomas). BMJ Clin Evid, 2011, 11.

10. Mára, M., Holub, Z., a kol. Děložní myomy. Moderní diagnostika a léčba. Praha: Grada Publishing, 2009, s. 228 + 8 stran barevných příloh. ISBN 978-80-247-1854-5.

11. Parazzini, F., Di Martino, M., Candiani, M., Vigano, P. Dietary components and uterine leiomyomas: a review of published data. Nutr Cancer, 2015, 67(4), p. 569–579.

12. Roztočil, A., a kol. Moderní gynekologie. Praha: Grada Publishing, 2011, s. 260. ISBN 978-80-247-2832-2

13. Tan, N., McClure, TD., Tarnay, C., Johnson, MT., et al. Women seeking second opinion for symptomatic uterine leiomyoma: role of comprehensive fibroid center. J Ther Ultrasound, 2014, 15, 2–3, eCollection 2014.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

Article was published in

Czech Gynaecology

Issue 1

2016 Issue 1

Most read in this issue
Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account