Surgical Treatment of “Large Uterine Masses” in Pregnancy: A Single-Center Experience

Anna Franca Cavaliere, Annalisa Vidiri, Salvatore Gueli Alletti, Anna Fagotti, Maria Concetta La Milia, Silvia Perossini, Stefano Restaino, Giuseppe Vizzielli, Antonio Lanzone and Giovanni Scambia
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Anna Franca Cavaliere: Obstetrics and Gynaecology Unit, Santo Stefano Hospital, AUSL Toscana Centro, 59100 Prato, Italy
Annalisa Vidiri: Università Cattolica del Sacro Cuore, 00168 Rome, Italy
Salvatore Gueli Alletti: Division of Gynecologic Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
Anna Fagotti: Division of Gynecologic Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
Maria Concetta La Milia: Università Cattolica del Sacro Cuore, 00168 Rome, Italy
Silvia Perossini: Università Cattolica del Sacro Cuore, 00168 Rome, Italy
Stefano Restaino: Division of Obstetrics and Gynecology, University Hospital of Udine, Azienda Sanitaria Universitaria Friuli Centrale, 33100 Udine, Italy
Giuseppe Vizzielli: Division of Obstetrics and Gynecology, University Hospital of Udine, Azienda Sanitaria Universitaria Friuli Centrale, 33100 Udine, Italy
Antonio Lanzone: Università Cattolica del Sacro Cuore, 00168 Rome, Italy
Giovanni Scambia: Università Cattolica del Sacro Cuore, 00168 Rome, Italy

IJERPH, 2021, vol. 18, issue 22, 1-8

Abstract: Uterine myomas or uterine fibroids are the most common benign uterine masses affecting women. The management of large myoma during pregnancy is challenging, and surgical treatment is a possible option. We report nine cases of pregnant women affected by uterine masses larger than 10 cm, who underwent surgical treatment during the second trimester of pregnancy. In all cases, the masses were preconceptionally unknown and diagnosed during the first trimester. In eight cases, no maternal and fetal complications arose during or after surgical treatment and delivery occurred at full term of pregnancy. In one case, spontaneous abortion was recorded. In all cases, histologic diagnosis demonstrated the benign nature. Women affected by large uterine masses diagnosed for the first time in pregnancy could be taken into consideration for surgical treatment in a referral center during the second trimester.

Keywords: myomectomy during pregnancy; large mass; obstetric complications; uterine myomas (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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