GIANT UTERINE MYOMA AND OVARIAN MYOMA - ASSOCIATION OF TWO RARE ENTITIES. CASE REPORT AND LITERATURE REVIEW

Authors

  • Anda PRISTAVU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Alina MARES “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • A. NANDREAN “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • A. CARAULEANU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Demetra SOCOLOV “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • V.G. RUGINA “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • A. HAMOD “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Mihaela GRIGORE “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Keywords:

UTERINE LEIOMYOMA, GIANT LEIOMYOMA, GIANT MYOMA, LARGE MYOMA, OVARIAN MYOMA

Abstract

Uterine myomas are the most common benign tumors of female reproductive system. They affect 25% of women of reproductive age. Giant uterine myomas are quite rare and are a challenge both for a complete diagnosis and for surgical management. Extra-uterine myomas are rare and they usually appear in the genitourinary tract (ovaries, vulva, broad ligament, round ligament, urethra). Primary ovarian leiomyoma is one of the rarest solid tumors of the ovary accounting for 0.5%–1% of all benign ovarian neoplasms. We report a 45-years-old nulliparous woman who came with abdominal distension and fatigue for several months. Abdominal-pelvic ultrasound and computer tomography showed a large myoma-like mass that filled the pelvis and abdomen. The diagnosis of giant uterine myoma was established and after careful discussion with the patient total hysterectomy was proposed. Surgery confirmed the diagnosis of a giant uterine myoma with several parasitic omental blood supplies. An additional ovarian myoma was discovered and total hysterectomy with right adnexectomy was performed. Our case stresses several clinical points that should be kept in mind before planning a surgery for a giant myoma - the possible presence of parasitic blood vessels and adherences which can pose some difficulties for the surgical team and the coexistence of different pathologies masked under the size of the tumor. It is important before planning a surgery to discuss with the patient the possibility to adapt the surgery according to associated pathology.

Author Biographies

  • Anda PRISTAVU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

    Faculty of Medicine
    Department of Mother and Child Medicine

  • Alina MARES, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

    1. Medis Medical Centre, Iasi
    2. Arcadia Medical Hospital, Iasi

  • A. NANDREAN, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

    Faculty of Medicine
    Department of Mother and Child Medicine

  • A. CARAULEANU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

    Faculty of Medicine
    Department of Mother and Child Medicine

  • Demetra SOCOLOV, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

    Faculty of Medicine
    Department of Mother and Child Medicine

  • V.G. RUGINA, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

    Faculty of Medicine
    Department of Mother and Child Medicine

  • A. HAMOD, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

    Faculty of Medicine
    Department of Mother and Child Medicine

  • Mihaela GRIGORE, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

    Faculty of Medicine
    Department of Mother and Child Medicine
    Medis Medical Centre, Iasi

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Additional Files

Published

2017-12-22