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P140A case of an old age postmenopausal woman with a giant myoma uteri
Author(s) -
Kavak Z. N.,
Başgül A.
Publication year - 2000
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.2000.00004-1-139.x
Subject(s) - medicine , myoma , pelvic examination , malignancy , uterus , menopause , endometrial biopsy , leiomyoma , hysterectomy , differential diagnosis , biopsy , vaginal bleeding , radiology , gynecology , pregnancy , pathology , genetics , biology
Background Since leiomyomas are estrogen dependent, the occurrence of myoma uteri in in a large size, in late postmenopausal years is unusual and should be evaluated carefully for underlying malignancy. We report here, a case of an old age postmenopausal woman with a giant myoma uteri. Ultrasonographic features, clinical presentation, differential diagnosis and treatment modalities of this rare case are presented and discussed. Case 74‐year‐old woman gravida 4 para 4 was referred to our clinic with the complaint of genital bleeding and pelvic discomfort. On her gynecologic examination a pelvic mass was discovered. Detailed sonographic examination of her showed solid uterine tumor, measuring 10 × 12 × 10 cm in diameter in fundo corporal portion of the uterus. It has got typical whorled appareance with increased echogenicity compared with the uterus. Irregular sonolucent areas were seen within the tumor and thought as a possible myoma uteri with cystic degeneration. Endometrial lining was distorted and 4 mm in size. Endometrial biopsy revealed no evidence of malignancy. Since a tumor with such a size in a postmenopausal woman should be encouraged for early surgery. Surgery was performed and total abdominal histerectomy with bilateral salphingooopherectomy was performed. Laparatomy revealed a solid tumor on the uterine corpus and histologically was diagnosed as leimyoma of uteri. Postoperative follow up of her was uneventful and hormone replacement therapy was given.