title: A stepwise transcervical resection of a large uterine myoma after vaginal delivery.
abstract: METHODS
  This study reported a stepwise (4-times) transcervical resection (TCR) performed on a patient with a large uterine myoma. The patient (36 years old) was at 6 weeks of pregnancy when at the first medical examination a uterine myoma, as large as the head of newborn infant, was discovered. After the delivery, myomectomy was performed by way of conserving the uterine. Since the myoma nodule was large, TCR was performed several times to completely resect it.
  
  
  CONCLUSIONS
  TCR has been indicated only for small submucosal myoma; however, this study shows that TCR utilizing a stepwise technique can also be indicated for larger myoma.
authors.affiliation: Department of Obstetrics and Gynecology, Wakayama Medical College, Kihoku Hospital, 649-7113, Katsuragi-chou Wakayama, Japan.
authors.forename: Morihito
authors.initials: M
authors.lastname: Otakara
authors.forename: Yoshiya
authors.initials: Y
authors.lastname: Ando
authors.forename: Yoshinari
authors.initials: Y
authors.lastname: Matsumoto
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Kakimoto
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000601:surgery; D036861:Delivery, Obstetric; D003937:Diagnosis, Differential; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D008279:Magnetic Resonance Imaging; D009214:Myoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D049590:Postpartum Period; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D011296:Prenatal Diagnosis; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery