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Novel treatment (new drug/intervention; established drug/procedure in new situation)
CASE REPORT
Novel management of a giant cervical myoma in a premenopausal patient
  1. Jolene Wong1,
  2. Grace Hwei Ching Tan1,
  3. Ravichandran Nadarajah2,
  4. Melissa Teo1
  1. 1Division of Surgical Oncology, National Cancer Centre Singapore, Singapore
  2. 2Department of Obstetrics and Gynecology, Singapore General Hospital, Singapore
  1. Correspondence to Dr Melissa Teo, melissa.teo.c.c{at}singhealth.com.sg

Summary

Cervical myomas are rare and account for <1% of uterine leiomyomas. Clinical complications include bulk-related symptoms of pelvic pain, abnormal bleeding and infertility. While hysterectomies may be readily performed for postmenopausal women; the management of women with cervical myomas of childbearing age remains a challenge.

Traditionally described fertility-preserving procedures such as myomectomy, endometrial ablation or myolysis may only be applied to leiomyomas within the uterine corpus. Little is known about the surgical management of its cervical counterpart.

Radical abdominal trachelectomy has been described as a potential fertility-preserving procedure in the management of women with early cervical cancer. As such, we present a case of a giant cervical myoma that was treated with an abdominal trachelectomy in an attempt to preserve fertility.

  • obstetrics, gynaecology and fertility
  • obstetrics and gynaecology
  • surgical oncology

https://doi.org/10.1136/bcr-2017-221408

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    Footnotes

    • Handling editor Seema Biswas

    • Contributors All authors: contributed to the production of this manuscript: JW: involved in data acquisition, analysis of case and drafting of the manuscript. G-HCT: involved in data acquisition and drafting of the manuscript. RN: involved in data acquisition and management of patient. MT: involved in data acquisition, management of the patient and final editing of the manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.