GIANT UTERINE FIBROMYOMA ASSOCIATED WITH SECONDARY POLYCYTHEMIA.
Demetra Socolov, D. Andronic*, A. Carauleanu,
C. Lupascu*, Maria Magdalena Carauleanu
Second Obstetrics-Gynecology Clinic
*First Surgical Clinic, „St. Spiridon” Hospital Iasi
University of Medicine and Pharmacy Iasi
Jurnalul de chirurgie 2005; 1 (1):203-205
Full text: Format
Background: Giant uterine fibromyomas are very rare; there
are difficulties in diagnosis and surgical treatment. There is a known
association between large uterine fibromyomas and polycythemia.
Case: A 46-year old woman presented with a large lower abdominal
mass. Laboratory evaluation revealed a haemoglobin of 18.3 g/dl and
a hematocrit of 51.7%. The ultrasound scan showed a large abdominal
mass arising in the pelvis and with the upper pole at the xiphoid
appendix, compressing both ureters.
A complex team of gynecologists and general surgeons performed a
total abdominal hysterectomy. Pathology confirmed a uterine leiomyoma
weighing 17.8 kg.
Two and six months after operation, the patient was asymptomatic
and the haematological values within normal range.
KEYWORDS: GIANT UTERINE FIBROMYOMA, POLYCYTHEMIA, HYSTERECTOMY
Correspondence: Dr. D. Andronic, Clinica I Chirurgie, Spitalul
„Sf. Spi ridon” Iasi, Bd. Independentei, nr. 1, 700111