Revista Brasileira de Ginecologia e Obstetrícia (Mar 2021)

Does Big Mean Evil? Giant, but Benign Uterine Leiomyoma: Case Report and Review of the Literature

  • Luiz Gustavo Oliveira Brito,
  • Natalia Lysei Ueno,
  • Maira Rossmann Machado

DOI
https://doi.org/10.1055/s-0040-1721351
Journal volume & issue
Vol. 43, no. 1
pp. 66 – 71

Abstract

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Abstract Uterine leiomyoma is themost prevalent benign type of gynecological tumor. It affects more than 80% of women worldwide and, within this group, more than 50% may be asymptomatic. However, large fibroid volumes may be associated with symptoms of extrinsic compression, and most of the cases do not present atypical cells. We present the case of a 49-year-old woman who underwent a total abdominal hysterectomy of a 13.5-kg uterine leiomyoma with no malignancies at histopathology and review the literature about giant uterine leiomyomas and their clinical repercussion. We concluded that large volumes do not always pose a threat regarding malignancy; however, future molecular studies are needed to investigate giant uterine fibroids.

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