Uterine myomas in adolescents: case reports and a review of the literature.

Uterine myomas are less common in adolescents than in adults. However, they should be considered in adolescent females who present with pelvic mass, abdominal pain, or abnormal uterine bleeding. The diagnosis is based on pelvic examination and ultrasound. Management is observation for small lesions and surgery for larger masses with myomectomy the choice for preservation of fertility. Medical treatments are currently under investigation as adjuncts to surgery. Ten cases of uterine myomas in adolescent and young-adult women between the ages of 13 and 21 are discussed. The clinical presentation and management is compared with the adult population.