title: Hysteroscopic resection of a symptomatic uterine leiomyoma in an adolescent.
abstract: BACKGROUND
  Uterine leiomyomas or fibroids are rare in the adolescent population. Hysteroscopic resection is an ideal approach for adolescents with symptomatic intracavitary myomas.
  
  
  METHODS
  A 17-year-old female had a history of menometrorrhagia and symptomatic anemia, and had been hospitalized twice for acute management of heavy bleeding. On pelvic ultrasound and subsequent MRI, a 2 × 3 cm mass was visualized and appeared to distort the uterine cavity. Due to recurrent heavy bleeding, operative hysteroscopy was performed, and a 3-cm intracavitary mass was identified and resected; pathology evaluation confirmed a leiomyoma.
  
  
  CONCLUSIONS
  Surgical intervention for abnormal bleeding due to a submucosal myoma was more successful than medical treatment. In adolescents, hysteroscopic resection of a symptomatic submucosal myoma is a reasonable minimally invasive management option.
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut, USA.
authors.forename: Homa
authors.initials: H
authors.lastname: Khorrami
authors.forename: Beth W
authors.initials: BW
authors.lastname: Rackow
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D007889:Leiomyoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008595:Menorrhagia / Q000209:etiology; D008796:Metrorrhagia / Q000209:etiology; D014594:Uterine Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*