Report of a case of fibromyoma of the uterus weighing 133 pounds removed at operation

Behrend, Moses

doi:10.1016/s0002-9378(30)90197-4

Cited by 8 publications

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“… 1 The first report of these cases occurred in 1888, with the highest reported uterine tumor (63.6 kg), which was operated by Hunt et al 3 after an autopsy. Behrend 4 operated a 60 kg tumor, and the patient died due to pneumonia 48 hours later. 4 Singhabhandhu et al 5 have described the largest uterine tumor removed with survival of the patient (45.5 kg).…”

Section: Discussionmentioning

confidence: 99%

“…Behrend 4 operated a 60 kg tumor, and the patient died due to pneumonia 48 hours later. 4 Singhabhandhu et al 5 have described the largest uterine tumor removed with survival of the patient (45.5 kg).…”

Section: Discussionmentioning

confidence: 99%

“…Of these studies, 19 case reports that described giant leiomyomas were selected for analysis, and Table 1 displays detailed data for 14 of them. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 …”

Section: Introductionmentioning

confidence: 99%

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Does Big Mean Evil? Giant, but Benign Uterine Leiomyoma: Case Report and Review of the Literature

Brito

Ueno

Machado

2021

Rev Bras Ginecol Obstet

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Uterine leiomyoma is the most prevalent benign type of gynecological tumor. It affects more than 80% of women worldwide and, within this group, more than 50% may be asymptomatic. However, large fibroid volumes may be associated with symptoms of extrinsic compression, and most of the cases do not present atypical cells. We present the case of a 49-year-old woman who underwent a total abdominal hysterectomy of a 13.5-kg uterine leiomyoma with no malignancies at histopathology and review the literature about giant uterine leiomyomas and their clinical repercussion. We concluded that large volumes do not always pose a threat regarding malignancy; however, future molecular studies are needed to investigate giant uterine fibroids.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Does Big Mean Evil? Giant, but Benign Uterine Leiomyoma: Case Report and Review of the Literature

Brito

Ueno

Machado

2021

Rev Bras Ginecol Obstet

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“…A weight of uterus is a main factor of preoperative assessment of hysterectomy, and several formulas of calculation of uterine weight are reported. To our knowledge, heaviest uterine weight of each surgical procedure is 2,421 g in vaginal hysterectomy [ 3 ], 3,200 g in laparoscopic hysterectomy [ 3 ], 3,543 g in robotic hysterectomy [ 4 ], and 60,700 g in conventional abdominal hysterectomy (death by pneumonia on 2nd postoperative day) [ 5 ]. Therefore, in the present case it was difficult to perform vaginal hysterectomy or laparoscopic hysterectomy; we selected minilaparotomy hysterectomy.…”

Section: Discussionmentioning

confidence: 99%

Minilaparotomy Hysterectomy as a Suitable Choice of Hysterectomy for Large Myoma Uteri: Literature Review

Sato¹,

Fukushima²

2016

Case Reports in Obstetrics and Gynecology

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The objective of this paper is to propose minilaparotomy hysterectomy as the suitable choice for large uterus on the basis of our experienced case of performed minilaparotomy hysterectomy to 4,500 g myoma uteri and review published cases about this clinical condition. We presented a 44-year-old woman (gravida 0, virgin) who consulted our hospital because of the chief complaints of abnormal genital bleeding and hypermenorrhea. Transabdominal ultrasonography revealed that abdominal solid tumor reached over the navel. Her tumor was an indication of surgery; to do minilaparotomy hysterectomy with laparoscope was decided because her informed consent was obtained. A 6 cm transverse incision (Maylard incision) was made to the skin above the pubic hairline. At the end of surgery, the length of abdominal wound was 8.5 cm, operating time was 128 min, weight of resected myoma uteri was 4,500 g, and intraoperative blood loss was 895 mL. Blood transfusion was not done; postsurgical course was not a problem without anemia. We propose that a large uterine case in which it is difficult to perform vaginal or laparoscopic hysterectomy should be considered in order to select minilaparotomy hysterectomy up to around 5 kg weight of uterus, and the length of skin incision in minilaparotomy hysterectomy is necessarily <9 cm particularly in large uterus.

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Parasitic fibroids

Rickles¹

1946

The American Journal of Surgery

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Report of a case of fibromyoma of the uterus weighing 133 pounds removed at operation

Cited by 8 publications

References 0 publications

Does Big Mean Evil? Giant, but Benign Uterine Leiomyoma: Case Report and Review of the Literature

Does Big Mean Evil? Giant, but Benign Uterine Leiomyoma: Case Report and Review of the Literature

Minilaparotomy Hysterectomy as a Suitable Choice of Hysterectomy for Large Myoma Uteri: Literature Review

Parasitic fibroids

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