Department of Obstetrics and Gynecology, University of Toledo Medical Center, Toledo, Ohio.
Department of Obstetrics and Gynecology, University of Toledo Medical Center, Toledo, Ohio.
J Pediatr Adolesc Gynecol. 2021 Jun;34(3):427-431. doi: 10.1016/j.jpag.2020.12.016. Epub 2021 Feb 13.
Uterine fibroids are the most common benign tumor of the uterus in adult women. However, it is exceedingly rare in adolescents.
A 16-year-old girl presented with severe anemia and abnormal uterine bleeding. MRI of the pelvis demonstrated a 9-cm mass within the uterus concerning for leiomyoma or leiomyosarcoma. A fertility preserving myomectomy led to the final diagnosis of a benign uterine fibroid.
Despite the rare incidence of leiomyomas in adolescents, it is imperative that it is included in the differential diagnosis when young women present with abnormal uterine bleeding. A less common diagnosis to consider is leiomyosarcoma; however, this is histologically diagnosed. Thus, a fertility-preserving myomectomy permits for a diagnostic opportunity to rule out a potential malignancy.
子宫肌瘤是成年女性子宫中最常见的良性肿瘤。然而，在青少年中极其罕见。
一名 16 岁女孩因严重贫血和异常子宫出血就诊。骨盆 MRI 显示子宫内有 9 厘米大的肿块，考虑为子宫肌瘤或子宫平滑肌肉瘤。保留生育能力的子宫肌瘤剔除术导致最终诊断为良性子宫肌瘤。
尽管青少年子宫肌瘤的发病率罕见，但当年轻女性出现异常子宫出血时，必须将其纳入鉴别诊断。需要考虑的另一个不太常见的诊断是平滑肌肉瘤；然而，这是通过组织学诊断的。因此，保留生育能力的子宫肌瘤剔除术为排除潜在恶性肿瘤提供了诊断机会。
