TY - JOUR T1 - Novel management of a giant cervical myoma in a premenopausal patient JF - BMJ Case Reports DO - 10.1136/bcr-2017-221408 VL - 2017 SP - bcr-2017-221408 AU - Jolene Wong AU - Grace Hwei Ching Tan AU - Ravichandran Nadarajah AU - Melissa Teo Y1 - 2017/10/07 UR - http://casereports.bmj.com/content/2017/bcr-2017-221408.abstract N2 - 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. ER -