Management in cases of large uterine myomas in pregnancy

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY

Case Reports in Perinatal Medicine Pub Date : 2020-01-01 DOI:10.1515/crpm-2019-0059

A. Stupak, M. Bobiński, Andrzej Miturski, Barbara Kalbarczyk, A. Kwaśniewska, J. Kotarski

引用次数: 1

Abstract

Abstract Objectives Uterine fibroids are the most common benign tumors in women of procreative age. The effects of their occurrence affect the course of pregnancy by increasing the frequency of abortions, premature delivery or premature abruption of the placenta. Medical treatment includes clinical observation, pharmacological pain control, myomectomy during pregnancy or perinatal hysterectomy. Case presentation We present a survey of literature and the case of a pregnant woman with an enormous uterine fibroid 23×13×16 cm on the basis of which a diagnostic-therapeutic scheme for tumors of the reproductive organs during pregnancy has been developed. Conclusions The study presents improved recommendations for management the pregnancies in presence of the uterine myomas based on clinical practice.

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妊娠期大子宫肌瘤的处理

摘要目的子宫肌瘤是育龄妇女最常见的良性肿瘤。其发生的影响通过增加流产、早产或胎盘早剥的频率来影响妊娠过程。医学治疗包括临床观察、药物止痛、妊娠期子宫肌瘤切除或围产期子宫切除术。病例介绍我们提出了一项文献调查和一个巨大的子宫肌瘤23×13×16厘米孕妇的情况下，在此基础上诊断治疗方案的生殖器官肿瘤在怀孕期间已经发展。结论基于临床实践，本研究提出了子宫肌瘤妊娠处理的改进建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Perinatal Medicine OBSTETRICS & GYNECOLOGY-

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期刊介绍： Case Reports in Perinatal Medicine is a double-blind peer-reviewed journal. The objective of the new journal is very similar to that of JPM. In addition to evidence-based studies, practitioners in clinical practice esteem especially exemplary reports of cases that reveal specific manifestations of diseases, its progress or its treatment. We consider case reports and series to be brief reports describing an isolated clinical case or a small number of cases. They may describe new or uncommon diagnoses, unusual outcomes or prognosis, new or infrequently used therapies and side effects of therapy not usually discovered in clinical trials. They represent the basic concept of experiences for studies on representative groups for further evidence-based research. The potential roles of case reports and case series are: Recognition and description of new diseases Detection of drug side effects (adverse or beneficial) Study of mechanisms of disease Medical education and audit Recognition of rare manifestations of disease.

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