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Revista Cubana de Medicina Militar
On-line version ISSN 1561-3046
Abstract
GONZALEZ SANCHEZ, Rogelio; ROMERO REINALDO, Yanet and BELAUNDE CLAUSELL, Antonio. Therapeutic options for a nulliparous young woman with a giant intramural uterine myoma. Rev Cub Med Mil [online]. 2022, vol.51, n.2 Epub June 01, 2022. ISSN 1561-3046.
Introduction:
Uterine leiomyomas are the most common benign gynecological tumors; they are a cause of anemia, infertility, altered embryo implantation, recurrent gestational loss, premature delivery and urinary incontinence. Their malignant transformation is exceptional. Fertility impairment is associated with myomas in between 3 % and 31 % and depends on their location and size, especially in those that distort the uterine cavity.
Objective:
To describe the therapeutic options for a nulliparous girl with a giant intramural uterine fibroid.
Clinical Case:
A 30-year-old patient with a 5-year history of intramural uterine fibroid, in addition to iron deficiency anemia. She complains of heavy and painful periods, urinary incontinence and constipation. Treatment was staggered, using goserelin acetate, selective embolization of the uterine arteries, and subsequent myomectomy.
Conclusions:
The treatment of uterine fibroid in young, nulliparous women depends on the size, location, associated symptoms, age of the patient and desire to have offspring.
Keywords : myoma; fibroid; goserelin; therapeutic embolization; uterine myomectomy.