Nodul fibromatos gigant istmic cu dezvoltare la nivelul colului uterin – caz clinic

Abstract

Isthmic-cervical leiomyomas can grow very large and cause extreme discomfort. The surgical removal of these leio­myo­mas is a technical challenge, with an increased risk of operative and postoperative complications. This paper presents the case of a patient with a gynecopathy who presented herself to our clinic, having been diagnosed with a giant isthmic-cervical fibromatous nodule which was developing within the cervix and required extended surgery – i.e., the radical dissection of the pelvis, to ensure the suc­cess of the total en bloc hysterectomy. The radical pelvic dis­sec­tion at the time of the total en bloc hysterectomy is necessary in most cases of large isthmic-cervical fibroids, to minimize the risk of intraoperative and postoperative com­pli­ca­tions. These isthmic-cervical fibroids have a very dif­fi­cult surgical approach. Ideally, the medical team should be pluridisciplinary, and the gynecologist should do the sur­gery together with a general surgeon and a urologist. To con­clude, the surgical treatment of giant isthmic-cervical fi­bro­ids should be personalized and individualized.