Revista medica del Instituto Mexicano del Seguro Social · 2008
[Large uterine leiomyoma in a young patient].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Montiel-Jarquín Alvaro José, García-Ramírez Ulises Noel, Morales-Castillo José Carlos, Bobadilla-Valenzuela Rigoberto, Mendoza-García Aurelio Valentín, López-Hernández Abel
Аннотация
BACKGROUND: Great elements uterine leiomyomas are the most common tumours in the reproductive life affecting up to 30 % of the women in the United States. Its aetiology remains uncertain; cytogenic studies suggest that 40 to 50% present chromosomic abnormalities. Clinical manifestations are: hypermenorrhea and abdominal pain. In the great element cases, patients suffered intestinal constipation and rectal tenesm. The treatment includes analogous of human chorionic gonadotrophin liberation hormone (GnRH), progesterone, surgical treatment, myomectomy and hysterectomy, uterine artery embolization, high frequency ultrasound, laser, cryotherapy and thermoablation.
CLINICAL CASE: An 18 year-old female, menarquia at 12, periods 28/4, nubil. 6 months previous: intestinal constipation, tumour-like mass in hypogastrium, of about 8 cm in diameter, which increased gradually up to 18 cm, smooth, movile and irregular. The pelvic ultrasound showed a tumour of 140 mm dependent of uterus. Myomectomy was performed. The histopathologic report was a 19.9 cm uterine leiomyoma, weighing 949 g and with hyaline degeneration. The patient was asymptomatic and without relapse a year later.
CONCLUSIONS: Myomectomy is the choice treatment for the large uterine myomatosis when the patient's fertility is to be preserved.
CLINICAL CASE: An 18 year-old female, menarquia at 12, periods 28/4, nubil. 6 months previous: intestinal constipation, tumour-like mass in hypogastrium, of about 8 cm in diameter, which increased gradually up to 18 cm, smooth, movile and irregular. The pelvic ultrasound showed a tumour of 140 mm dependent of uterus. Myomectomy was performed. The histopathologic report was a 19.9 cm uterine leiomyoma, weighing 949 g and with hyaline degeneration. The patient was asymptomatic and without relapse a year later.
CONCLUSIONS: Myomectomy is the choice treatment for the large uterine myomatosis when the patient's fertility is to be preserved.