title: [Large uterine leiomyoma in a young patient].
abstract: 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.
authors.affiliation: Hospital General de Zona 15, Instituto Mexicano del Seguro Social, Tehuacán, Puebla, México. dralmoja@hotmail.com
authors.forename: Alvaro José
authors.initials: AJ
authors.lastname: Montiel-Jarquín
authors.forename: Ulises Noel
authors.initials: UN
authors.lastname: García-Ramírez
authors.forename: José Carlos
authors.initials: JC
authors.lastname: Morales-Castillo
authors.forename: Rigoberto
authors.initials: R
authors.lastname: Bobadilla-Valenzuela
authors.forename: Aurelio Valentín
authors.initials: AV
authors.lastname: Mendoza-García
authors.forename: Abel
authors.initials: A
authors.lastname: López-Hernández
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis / Q000601:surgery; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000601:surgery