Abstract

To describe a rare finding of a large leiomyoma and recurrence in an adolescent. Case report. Major academic medical center. A 14-year-old gravida 0 presented with a 16-cm pelvic mass that was found to be an anterior uterine leiomyoma. Exploratory laparotomy with resection of leiomyoma followed by robotic myomectomy when the mass recurred. The incidence, pathogenesis, fertility implications, and treatment options for leiomyomas in adolescents. Leiomyomas are rare in adolescents. The mass was resected and recurred within 1 year. There are no prior cases of recurrence in an adolescent. Benign leiomyomas should be considered in adolescents presenting with uterine masses, as malignancies are even less common. Myomectomy is the procedure of choice to preserve fertility in this population.

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