Abstract:

Uterine myomas, composed of smooth muscle and fibrous connective tissue, are the most common benign tumors in women, and can be classified according to their size and location of growth site. In China, giant uterine myoma is defined as leiomyoma with a diameter greater than 12 cm, which is rare clinically. A case of patient diagnosed with a giant uterine myoma, whose diameter was more than 20 cm, admitted to the First Affiliated Hospital of Harbin Medical University in 2021 was reported. This patient had found out about her uterine myomas many years ago, with the preoperative auxiliary examinations indicating that the uterus was large and compressed the surrounding organs. The giant uterine and bilateral fallopian tubes were removed with the assistance of urologists, and the patient recovered well after surgery. Through analyzing this case, we aim to summarize the clinical characteristics, study the perioperative management of the patient, and discuss the surgical and non-surgical treatment options of this disease.

Key words: Uterine neoplasms, Leiomyoma, Hysterectomy, Gynecologic surgical procedures, Clinical decision-making, Case reports