The frequency of fibroids during pregnancy varies between 0.1-4.0%. It is presumed, that uterine leiomyomas may rapidly increase in size during pregnancy and could be associated with pathological nidation, spontaneous pregnancy loss, preterm labour, placental insufficiency, abnormal fetal lie and pathological labour. The authors present a case of a 38 years old primipara admitted to their department with a giant subserosal fibroid at the sixth gestational week. After enucleation of the histologically proved, 870 g leiomyoma and leaving behind a small, intramural fibroid, the patient was discharged with an intact pregnancy without any complaints. As opposed to the relatively few available data it seems beneficial to remove subserosal fibriods exceeding 200 cm3 size, in early pregnancy, while in the case of smaller than 100 cm3 fibroids a conservative treatment with ultrasonographic and cardiotocographic follow-up is recommended, offering good results.
|Number of pages||3|
|Journal||Magyar Noorvosok Lapja|
|Publication status||Published - Jan 1 2006|
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynaecology