Hysteroscopic myomectomy in a submucous fibroid 3 mm from the serosa: A case report - Case report from the endoscopy service of Ginendo-RJ
Contribuinte(s) |
Universidade Estadual Paulista (UNESP) |
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Data(s) |
27/05/2014
27/05/2014
01/06/2007
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Resumo |
This is a case report of a 39-year-old black woman, nulliparous, married who presented a heavy menstrual flow with clots and dysmenorrhea. Gynaecological examination of the uterus revealed RVF, mobility, no pain, slight enlargement, and right displacement. Magnetic resonance imaging (MRI) of the pelvis showed a 40 mm submucous fibroid with intramural component less than 50%, type 1, with a 3 mm distance from serosa. In an office hysteroscopy, it was noted a 40 mm submucous fibroid with an intramural component with less than 50%, type 1, classified in STEP-W submucous fibroids classification as a Score 6, Group II. The patient was submitted to partial hysteroscopic myomectomy, removing 60% of the fibroid volume in a 48.75-minute surgery. GnRH analogue was indicated for 3 months before another intervention. In the second evaluation MRI revealed a 22 mm-fibroid with intramural component more than 50%, type 2, with a 7 mm distance from serosa. Hysteroscopy found a 20 mm submucous fibroid, with intramural component more than 50%, type 2, Score 4, Group I on STEP-W classification. The patient was submitted to a second hysteroscopic myomectomy with complete removal and 10.5 minutes operating time, without complications. © 2006 Springer-Verlag. |
Formato |
149-152 |
Identificador |
http://dx.doi.org/10.1007/s10397-006-0242-9 Gynecological Surgery, v. 4, n. 2, p. 149-152, 2007. 1613-2076 1613-2084 http://hdl.handle.net/11449/69672 10.1007/s10397-006-0242-9 2-s2.0-34250716396 |
Idioma(s) |
eng |
Relação |
Gynecological Surgery |
Direitos |
closedAccess |
Palavras-Chave | #Hysteroscopic myomectomy #Hysteroscopy #Submucous fibroid #gonadorelin derivative #adult #case report #disease classification #drug indication #female #gynecological examination #human #hysteroscopy #myomectomy #nuclear magnetic resonance imaging #patient safety #second look surgery #serosa #surgical technique #treatment outcome #uterus myoma |
Tipo |
info:eu-repo/semantics/article |