Kelly Nicole Wright1, Marc R Laufer. 1. Division of Gynecology, Children's Hospital Boston, and Harvard Medical School, Boston, Massachusetts 02115, USA.
Abstract
OBJECTIVE: To describe a rare finding of a large leiomyoma and recurrence in an adolescent. DESIGN: Case report. SETTING: Major academic medical center. PATIENT(S): A 14-year-old gravida 0 presented with a 16-cm pelvic mass that was found to be an anterior uterine leiomyoma. INTERVENTION(S): Exploratory laparotomy with resection of leiomyoma followed by robotic myomectomy when the mass recurred. MAIN OUTCOME MEASURE(S): The incidence, pathogenesis, fertility implications, and treatment options for leiomyomas in adolescents. RESULT(S): Leiomyomas are rare in adolescents. The mass was resected and recurred within 1 year. There are no prior cases of recurrence in an adolescent. CONCLUSION(S): Benign leiomyomas should be considered in adolescents presenting with uterine masses, as malignancies are even less common. Myomectomy is the procedure of choice to preserve fertility in this population.
OBJECTIVE: To describe a rare finding of a large leiomyoma and recurrence in an adolescent. DESIGN: Case report. SETTING: Major academic medical center. PATIENT(S): A 14-year-old gravida 0 presented with a 16-cm pelvic mass that was found to be an anterior uterine leiomyoma. INTERVENTION(S): Exploratory laparotomy with resection of leiomyoma followed by robotic myomectomy when the mass recurred. MAIN OUTCOME MEASURE(S): The incidence, pathogenesis, fertility implications, and treatment options for leiomyomas in adolescents. RESULT(S): Leiomyomas are rare in adolescents. The mass was resected and recurred within 1 year. There are no prior cases of recurrence in an adolescent. CONCLUSION(S): Benign leiomyomas should be considered in adolescents presenting with uterine masses, as malignancies are even less common. Myomectomy is the procedure of choice to preserve fertility in this population.
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