Rapidly progressive, large nascent cervical myoma with intrauterine device – case report and review of literature
This report presents the case of a 38-year-old woman with an uncomplicated intrauterine device in the uterine cavity diagnosed with a rapidly progressing, nascent myoma of cervical origin, finally managed by abdominal hysterectomy. The observation is unique due to the demonstration of a rapid tumour...
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2017-03-01
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| Series: | Studia Medyczne |
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| Online Access: | https://www.termedia.pl/Rapidly-progressive-large-nascent-cervical-myoma-with-intrauterine-device-case-report-and-review-of-literature,67,29743,1,1.html |
| Summary: | This report presents the case of a 38-year-old woman with an uncomplicated intrauterine device in the uterine cavity diagnosed with a rapidly progressing, nascent myoma of cervical origin, finally managed by abdominal hysterectomy. The observation is unique due to the demonstration of a rapid tumour growth pace in a 2-year interval, documented by transvaginal ultrasound scans, evolution of its vascularisation with a consistent high resistance index measured by spectral Doppler, unusual (cervical) primary location with no myometrial cells shedding during the aspiration biopsy, nascent character behaviour while being non-pedunculated, coexistence with an intrauterine device, and the approach to definite clinical management after failure of the attempt to perform a vaginal myomectomy. The study points out obstacles in obtaining reassurance of a benign character of rapidly progressing tumours of mesenchymal origin before surgery. |
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| ISSN: | 1899-1874 2300-6722 |