Ahmed Samreen, Ahmed Saba, Gullabzada Mansoor, Gullabzada Uzma, Jobanputra Ketan
Medicine, Saint James School of Medicine, Arnos Vale, VCT.
Cardiology, Washington University of Health and Sciences, San Pedro, BLZ.
Cureus. 2024 Sep 11;16(9):e69153. doi: 10.7759/cureus.69153. eCollection 2024 Sep.
Uterine fibroids (UFs), or leiomyomas, are common benign tumors affecting a significant proportion of women by the age of 50 years. While typically non-cancerous, UFs can severely impact the quality of life (QoL) through symptoms such as heavy menstrual bleeding (HMB) and pelvic pain. We report a case of a 45-year-old Hispanic female with a history of hypertension, diabetes, nephrolithiasis, and a solitary kidney, who presented with symptomatic UFs and an ovarian cyst. Despite initial pharmacological treatment with Ortho Micronor and Myfembree, the patient experienced persistent symptoms, prompting surgical intervention. A supracervical hysterectomy, bilateral salpingectomy, lysis of adhesions, and left ovarian cystectomy were performed, resulting in symptom relief and benign postoperative findings. This case report highlights the need for personalized treatment plans and comprehensive patient counseling to manage complex gynecological conditions effectively.
子宫肌瘤（UFs），即平滑肌瘤，是常见的良性肿瘤，在50岁女性中相当一部分人会受到影响。虽然通常为非癌性，但子宫肌瘤可通过月经过多（HMB）和盆腔疼痛等症状严重影响生活质量（QoL）。我们报告一例45岁西班牙裔女性病例，她有高血压、糖尿病、肾结石病史且为单肾，因出现有症状的子宫肌瘤和卵巢囊肿前来就诊。尽管最初使用炔诺酮和Myfembree进行药物治疗，但患者症状持续，促使进行手术干预。实施了次全子宫切除术、双侧输卵管切除术、粘连松解术和左侧卵巢囊肿切除术，症状得以缓解，术后检查结果为良性。本病例报告强调了制定个性化治疗方案和为患者提供全面咨询以有效管理复杂妇科疾病的必要性。
