Surgical treatment of large smooth muscle tumor of uncertain malignant potential during pregnancy

Abstract

This paper presents a case of a 37-year old pregnant woman with a large tumor extending from pelvis to xyphoid, diagnosed at 14 weeksof pregnancy. At 18 weeks myomectomy was performed and the tumor weighing 4250 g was removed. Hystopathological findings showed auterine smooth muscle tumour of uncertain malignant potential. Due to preeclampsia an urgent caesarean section was performed at 34 weeks of gestational age. A live and healthy female neonate was delivered. According to hystopathological findings and in agreement with the patient hysterectomy without adnexectomy was performed inthe same act.

Keywords

• uterine tumour
• pregnancy
• myomectomy
• hysterectomy