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Khandzad B, Sanaye Naderi M, Mohammadin H, Nateghi M R. The Report of a Case of Multiple Myomas at Sarem Women’s Hospital in Tehran. SJMR 2025; 10 (1) : 6
URL: http://saremjrm.com/article-1-359-en.html
URL: http://saremjrm.com/article-1-359-en.html
1- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Sciences, Tehran, Iran.
2- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Sciences, Tehran, Iran. & Sarem Cell Research Center (SCRC), Sarem Women’s Hospital, Tehran, Iran.
2- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Sciences, Tehran, Iran. & Sarem Cell Research Center (SCRC), Sarem Women’s Hospital, Tehran, Iran.
Abstract: (411 Views)
Introduction: Uterine fibroids (leiomyomas) are the most common benign tumors of the female reproductive system, affecting approximately 20% of women of reproductive age. These tumors can be single or multiple, and depending on their size and location, they may be asymptomatic or present with symptoms such as abnormal uterine bleeding, pelvic pain, infertility, or pressure effects on adjacent organs. In symptomatic cases, especially when fertility preservation is desired, accurate diagnosis and individualized treatment planning are essential.
Case Presentation: A 42-year-old woman with a history of two cesarean deliveries and symptoms of abnormal uterine bleeding including prolonged heavy menstruation with clot passage was referred to Sarem Women’s Hospital. Imaging revealed multiple myomas of varying types and locations, including a large submucosal fibroid extending into the endometrial cavity, intramural myomas in both anterior and posterior uterine walls, and hypoechoic intracavitary structures suggestive of additional myomas. Nabothian cysts and small endometrial polyps were also identified. The final diagnosis was intracavitary myoma, and the patient underwent hysteroscopic myomectomy and polypectomy.
Conclusion: The successful management of this patient using minimally invasive hysteroscopic surgery highlights the importance of precise evaluation of fibroid type, size, and location in determining the most appropriate treatment approach. Advanced imaging techniques, such as Saline Infusion Sonohysterography (SIS), combined with comprehensive clinical assessment, play a pivotal role in surgical planning, particularly for women seeking to preserve their uterus and fertility potential.
Case Presentation: A 42-year-old woman with a history of two cesarean deliveries and symptoms of abnormal uterine bleeding including prolonged heavy menstruation with clot passage was referred to Sarem Women’s Hospital. Imaging revealed multiple myomas of varying types and locations, including a large submucosal fibroid extending into the endometrial cavity, intramural myomas in both anterior and posterior uterine walls, and hypoechoic intracavitary structures suggestive of additional myomas. Nabothian cysts and small endometrial polyps were also identified. The final diagnosis was intracavitary myoma, and the patient underwent hysteroscopic myomectomy and polypectomy.
Conclusion: The successful management of this patient using minimally invasive hysteroscopic surgery highlights the importance of precise evaluation of fibroid type, size, and location in determining the most appropriate treatment approach. Advanced imaging techniques, such as Saline Infusion Sonohysterography (SIS), combined with comprehensive clinical assessment, play a pivotal role in surgical planning, particularly for women seeking to preserve their uterus and fertility potential.
Article number: 6
Article Type: Case Report |
Subject:
Women Diseases
Received: 2025/05/9 | Accepted: 2025/06/15 | Published: 2025/07/1
Received: 2025/05/9 | Accepted: 2025/06/15 | Published: 2025/07/1
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