Giant myomas of the uterus

Abstract

Uterine myomas weighing more than 11.3 kg are rarely seen in developed countries. Reported are here two patients in Japan with giant uterine myomas.A 41-year-old woman presented with an abdominal enlargement first noted 13 months earlier. Her arterial oxygen pressure was 77.4 mm Hg and oxygen saturation was 96.2 %. Serum tumor markers were normal. Computed tomography (CT) revealed a multilocular mass. A laparotomy was performed under general anesthesia. The tumor was a subserosal myoma node that compressed the diaphragm upward. The resected myoma node was 34Â27Â23 cm and weighed 19.6 kg (Fig. 1).A 63-year-old woman who had been aware of an abdominal tumor for 14 years was transferred to our clinic. For religious reasons, she had refused to see a physician earlier. The patient was unconscious. Her blood pressure was 79/57 mm Hg, the heart rate was 36/min, and the pulse oxymeter saturation was 77% with 10 L/min of oxygen. Emergency CT scan revealed a huge abdominal mass that compressed the lungs and diaphragm upward. She fell suddenly into cardiac and respiratory arrest. Treatment was unsuccessful and the 0020-7292/$ -see front matter D Figure 1 Magnified photograph of the tumor of Case 1 before hysterectomy and excision. The tumor was a subserosal myoma derived from the posterior side of the uterine body.

Клиничен Случай – Гигантска Лейомиома, Маскирана Като Малигнен Яйчников Тумор

“…Виктория Спасова 1 , Весела Карамишева 2,3 , Алън Начев 2,3 , Лилия Колева 4 , Юрий Тодоров 5 , Драга Тончева 1 1 Катедра по Медицинска генетика, Медицински университет -София 2 Катедра по Акушерство и гинекология, Медицински университет -София 3 Втора гинекологична клиника, СБАЛАГ "Майчин дом" 4 Клиника по оперативна гинекология, УМБАЛСП "Пирогов" 5 Отделение по образна диагностика, УМБАЛ "Св. Иван Рилски"…”

Management of Uterine Giant Myoma: Case Report

“…Dev myomlarda perioperatif mortalite oranları % 16'lardadır. 4 Görüntüleme yöntemleri ve tümör belirteçleri, kitlenin boyutları, çevre organlarla ilişkisi ve malignite riskiyle ilgili bize bilgi verir. Preoperatif pelvik anjiyografi ve arteriyal embolizasyon yapılarak kanama azaltılabilir.…”

“…Uygun cerrahi tedavi ve dikkatli perioperatif bakımla postoperatif iyi sonuçlar elde edilebilir. 4 Biz burada tüm batını dolduran dev myomu olan bir olgunun klinik ve cerrahi yönetimini sunmayı amaçladık. Myomlar çoğunlukla asemptomatiktir, ancak tümör büyüklü-ğü ve lokalizasyonu ile ilişkili olarak çeşitli semptomlara yol açabilirler.…”

A rare case of leiomyoma of uterus with cystic degeneration

“…5 Appropriate surgical management and careful perioperative care are necessary to obtain a good result after removal. 6 Here, we present a case of a woman with uterine myoma that had undergone cystic degenerative changes, mimicking an ovarian malignancy.…”