title: Giant uterine leiomyoma.
abstract: Uterine leiomyomas represent the most common benign tumors of the female reproductive tract. Giant uterine leiomyomas are very rare neoplasms and represents a great diagnosis and therapeutic challenge. This article illustrates a case of a 45-year old woman presented to our surgery department with a 10-month history of progressive increasing abdominal size, back pain, vague abdominal pressure sensations, weight loss, constipation and urinary frequency. Physical examination, laboratory evaluation, transabdominal ultrasound and computed tomography scanning suggested a giant abdominopelvic mass. Abdominal supracervical hysterectomy with bilateral salpingo-oophorectomy was performed. Histologically, the specimen was a 18.1 Kg uterine leiomyoma measuring 33/28/22 cm. The patient's postoperative course was uneventful and she was discharged from the hospital on the sixth postoperative day.
authors.affiliation: Second Surgical Department, Carol Davila Central Military Hospital, Bucharest, Romania. savfl@yahoo.com
authors.forename: F
authors.initials: F
authors.lastname: Săvulescu
authors.forename: I
authors.initials: I
authors.lastname: Iordache
authors.forename: O
authors.initials: O
authors.lastname: Albiţa
authors.forename: R
authors.initials: R
authors.lastname: Hristea
authors.forename: C
authors.initials: C
authors.lastname: Dumitru
authors.forename: A
authors.initials: A
authors.lastname: Iordache
authors.forename: G
authors.initials: G
authors.lastname: Bălaşa
authors.forename: C
authors.initials: C
authors.lastname: Iordache
authors.forename: D
authors.initials: D
authors.lastname: Leau
authors.forename: T
authors.initials: T
authors.lastname: Rogin
authors.forename: V
authors.initials: V
authors.lastname: Vîrjoghe
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007889:Leiomyoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D010052:Ovariectomy / Q000379:methods; D058994:Salpingectomy / Q000379:methods; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*