[Large uterine leiomyoma in a young patient].
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.


METHODS
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.
Montiel-Jarquín
Alvaro José
AJ
Hospital General de Zona 15, Instituto Mexicano del Seguro Social, Tehuacán, Puebla, México. dralmoja@hotmail.com
García-Ramírez
Ulises Noel
UN
Morales-Castillo
José Carlos
JC
Bobadilla-Valenzuela
Rigoberto
R
Mendoza-García
Aurelio Valentín
AV
López-Hernández
Abel
A
D000293:Adolescent; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis / Q000601:surgery; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000601:surgery