Case Report
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Large cervical myoma originating from the uterine corpus

Year 2022, Volume: 39 Issue: 3, 916 - 918, 30.08.2022

Abstract

This case report aimed to present a case of large cervical myoma that obliterated the ureterovesical area and filled the entire cervix.
A 33-year-old patient had a tumoral lesion of approximately 80x60 mm, compatible with myoma, that filled the cervical cavity. On vaginal examination, a barrel-shaped, immobile and large cervix was palpated. A preoperative bilateral double J catheter was applied to the patient. While the uterine cervix was barrel-shaped due to myoma and was palpable from Douglas, it was firmly fixed anteriorly to the bladder and corpus. During bladder dissection, approximately 4 cm defect was formed in the isthmus, and the uterine cavity was entered. A myoma with a diameter of approximately 9 cm, which filled the entire cervix from the uterine isthmus and had a stem attached to the fundus, was observed in the cavity, and the myoma was pulled out from the defect with a tenaculum and removed. Since the anterior cervix could not be reached and bladder dissection could not be achieved, a subtotal hysterectomy was performed.
Although they are mainly treated surgically, there is no standard treatment for cervical myomas. Due to its proximity to vital organs, care should be taken against the risk of organ injury.

References

  • 1. Tiltman AJ. Leiomyomas of the uterine cervix: a study of frequency. Int J Gynecol Pathol. 1998;17(3):231-4.
  • 2. Chang WC, Chen SY, Huang SC, Chang DY, Chou LY, Sheu BC. Strategy of cervical myomectomy under laparoscopy. Fertil Steril. 2010;94(7):2710-5.
  • 3. Laganà AS, Ciancimino L, Mancuso A, Chiofalo B, Rizzo P, Triolo O. 3D sonohysterography vs hysteroscopy: a cross-sectional study for the evaluation of endouterine diseases. Arch Gynecol Obstet. 2014;290(6):1173-8.
  • 4. Chang W-C, Chen S-y, Huang S-C, Chang D-Y, Chou L-Y, Sheu B-C. Strategy of cervical myomectomy under laparoscopy. Fertility and sterility. 2010;94(7):2710-5.
  • 5. Giannella L, Mfuta K, Tuzio A, Cerami LB. Dyspareunia in a Teenager Reveals a Rare Occurrence: Retroperitoneal Cervical Leiomyoma of the Left Pararectal Space. J Pediatr Adolesc Gynecol. 2016;29(1):e9-e11.
  • 6. Liu WM, Wang PH, Chou CS, Tang WL, Wang IT, Tzeng CR. Efficacy of combined laparoscopic uterine artery occlusion and myomectomy via minilaparotomy in the treatment of recurrent uterine myomas. Fertil Steril. 2007;87(2):356-61.
  • 7. Sims JA, Brzyski R, Hansen K, Coddington CC, 3rd. Use of a gonadotropin releasing hormone agonist before vaginal surgery for cervical leiomyomas. A report of two cases. J Reprod Med. 1994;39(8):660-2.
  • 8. Sinha R, Sundaram M, Lakhotia S, Hegde A. Cervical myomectomy with uterine artery ligation at its origin. J Minim Invasive Gynecol. 2009;16(5):604-8.
  • 9. Takeuchi H, Shimanuki H, Kobori H, Kitade M, Kikuchi I, Kinoshita K. Effect of vasopressin on blood flow and RI of the uterine artery during laparoscopic myomectomy. J Minim Invasive Gynecol. 2005;12(1):10-1.
  • 10. Kilpatrick CC, Adler MT, Chohan L. Vaginal myomectomy in pregnancy: a report of two cases. South Med J. 2010;103(10):1058-60.
  • 11. Monaghan J, Lopes A, Naik R. Total hysterectomy for cervical and broad ligament fibroids.[In:] Huxley R., Taylor S., Chandler K.(ed.) Bonney’s gynaecological surgery 10th ed. Blackwell Publishing; 2004.
  • 12. Ferrari F, Forte S, Valenti G, Ardighieri L, Barra F, Esposito V, et al. Current Treatment Options for Cervical Leiomyomas: A Systematic Review of Literature. Medicina (Kaunas). 2021;57(2).
  • 13. Wong J, Tan GHC, Nadarajah R, Teo M. Novel management of a giant cervical myoma in a premenopausal patient. BMJ Case Rep. 2017;2017.
Year 2022, Volume: 39 Issue: 3, 916 - 918, 30.08.2022

Abstract

References

  • 1. Tiltman AJ. Leiomyomas of the uterine cervix: a study of frequency. Int J Gynecol Pathol. 1998;17(3):231-4.
  • 2. Chang WC, Chen SY, Huang SC, Chang DY, Chou LY, Sheu BC. Strategy of cervical myomectomy under laparoscopy. Fertil Steril. 2010;94(7):2710-5.
  • 3. Laganà AS, Ciancimino L, Mancuso A, Chiofalo B, Rizzo P, Triolo O. 3D sonohysterography vs hysteroscopy: a cross-sectional study for the evaluation of endouterine diseases. Arch Gynecol Obstet. 2014;290(6):1173-8.
  • 4. Chang W-C, Chen S-y, Huang S-C, Chang D-Y, Chou L-Y, Sheu B-C. Strategy of cervical myomectomy under laparoscopy. Fertility and sterility. 2010;94(7):2710-5.
  • 5. Giannella L, Mfuta K, Tuzio A, Cerami LB. Dyspareunia in a Teenager Reveals a Rare Occurrence: Retroperitoneal Cervical Leiomyoma of the Left Pararectal Space. J Pediatr Adolesc Gynecol. 2016;29(1):e9-e11.
  • 6. Liu WM, Wang PH, Chou CS, Tang WL, Wang IT, Tzeng CR. Efficacy of combined laparoscopic uterine artery occlusion and myomectomy via minilaparotomy in the treatment of recurrent uterine myomas. Fertil Steril. 2007;87(2):356-61.
  • 7. Sims JA, Brzyski R, Hansen K, Coddington CC, 3rd. Use of a gonadotropin releasing hormone agonist before vaginal surgery for cervical leiomyomas. A report of two cases. J Reprod Med. 1994;39(8):660-2.
  • 8. Sinha R, Sundaram M, Lakhotia S, Hegde A. Cervical myomectomy with uterine artery ligation at its origin. J Minim Invasive Gynecol. 2009;16(5):604-8.
  • 9. Takeuchi H, Shimanuki H, Kobori H, Kitade M, Kikuchi I, Kinoshita K. Effect of vasopressin on blood flow and RI of the uterine artery during laparoscopic myomectomy. J Minim Invasive Gynecol. 2005;12(1):10-1.
  • 10. Kilpatrick CC, Adler MT, Chohan L. Vaginal myomectomy in pregnancy: a report of two cases. South Med J. 2010;103(10):1058-60.
  • 11. Monaghan J, Lopes A, Naik R. Total hysterectomy for cervical and broad ligament fibroids.[In:] Huxley R., Taylor S., Chandler K.(ed.) Bonney’s gynaecological surgery 10th ed. Blackwell Publishing; 2004.
  • 12. Ferrari F, Forte S, Valenti G, Ardighieri L, Barra F, Esposito V, et al. Current Treatment Options for Cervical Leiomyomas: A Systematic Review of Literature. Medicina (Kaunas). 2021;57(2).
  • 13. Wong J, Tan GHC, Nadarajah R, Teo M. Novel management of a giant cervical myoma in a premenopausal patient. BMJ Case Rep. 2017;2017.
There are 13 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Özlem Kayacık Günday 0000-0002-9249-679X

Early Pub Date August 30, 2022
Publication Date August 30, 2022
Submission Date July 2, 2022
Acceptance Date July 8, 2022
Published in Issue Year 2022 Volume: 39 Issue: 3

Cite

APA Kayacık Günday, Ö. (2022). Large cervical myoma originating from the uterine corpus. Journal of Experimental and Clinical Medicine, 39(3), 916-918.
AMA Kayacık Günday Ö. Large cervical myoma originating from the uterine corpus. J. Exp. Clin. Med. August 2022;39(3):916-918.
Chicago Kayacık Günday, Özlem. “Large Cervical Myoma Originating from the Uterine Corpus”. Journal of Experimental and Clinical Medicine 39, no. 3 (August 2022): 916-18.
EndNote Kayacık Günday Ö (August 1, 2022) Large cervical myoma originating from the uterine corpus. Journal of Experimental and Clinical Medicine 39 3 916–918.
IEEE Ö. Kayacık Günday, “Large cervical myoma originating from the uterine corpus”, J. Exp. Clin. Med., vol. 39, no. 3, pp. 916–918, 2022.
ISNAD Kayacık Günday, Özlem. “Large Cervical Myoma Originating from the Uterine Corpus”. Journal of Experimental and Clinical Medicine 39/3 (August 2022), 916-918.
JAMA Kayacık Günday Ö. Large cervical myoma originating from the uterine corpus. J. Exp. Clin. Med. 2022;39:916–918.
MLA Kayacık Günday, Özlem. “Large Cervical Myoma Originating from the Uterine Corpus”. Journal of Experimental and Clinical Medicine, vol. 39, no. 3, 2022, pp. 916-8.
Vancouver Kayacık Günday Ö. Large cervical myoma originating from the uterine corpus. J. Exp. Clin. Med. 2022;39(3):916-8.