skip to main content

Cervical Leiomyoma in Pre-Menopausal Woman: A Case Report

1Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Islam Sultan Agung, Indonesia

2Faculty of Medicine, Universitas Diponegoro, Indonesia

3Faculty of Medicine, Public Health and Nursing (FK-KMK), Universitas Gadjah Mada, Indonesia

Received: 1 Dec 2022; Revised: 23 Dec 2022; Accepted: 18 Dec 2022; Available online: 30 Dec 2022; Published: 30 Dec 2022.
Open Access Copyright (c) 2022 Journal of Biomedicine and Translational Research
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:


Background: The most common pelvic tumors in women of reproductive age are uterine fibroids or known as leiomyomas, the frequency of cervical leiomyomas is about 1 to 2%. Leiomyoma which causes symptoms requires surgery, the most frequent surgical procedure is hysterectomy. Nevertheless, the management of cervical leiomyomas in premenopausal women remains a challenge in order to preserve the uterus whereas future pregnancy is still possible. Therefore, hysterectomy is not the preferred procedure. We present a case of a 47-year-old, multiparous woman with cervical leiomyoma that was treated with myomectomy and curettage to give an overview of how to treat cervical leiomyoma in patients who wanted to preserve their fertility.

Case Presentation: A 47-year-old woman, P3A0, presented to the emergency department at Sultan Agung Islamic Hospital with a mass spontaneously protruding from the vagina a few hours before admission with a mass spontaneously protruding from the vagina, lower abdominal and heavy vaginal bleeding. The gynecological examination revealed a mass with a reddish surface and blood protruding out of the introitus. The dimensions of the mass were 20 cm x 8 cm x 12 cm. The mass is mobile, painful, tender on palpation, and seemed to be originating from the cervix. Myomectomy and curettage were performed. The histopathology result was suggestive of benign leiomyoma.

Conclusion: In conclusion, this was a case of a patient with symptoms associated with cervical leiomyoma who was effectively treated with myomectomy and curettage. Myomectomy is considered the most frequent therapy for symptomatic myomas for women who desire to preserve their fertility.

Note: This article has supplementary file(s).

Fulltext View|Download |  Cover Letter
Cover Letter Cervical Leiomyoma in Pre-Menopausal Women
Subject cervical leiomyoma; fibroids; pre-menopausal; myomectomy
Type Cover Letter
  Download (22KB)    Indexing metadata
 Copyright Transfer Agreement
Copyright Transfer Agreement_Cervical Leiomyoma in Pre-menopausal women
Subject cervical leiomyoma; fibroids; pre-menopausal; myomectomy
Type Copyright Transfer Agreement
  Download (301KB)    Indexing metadata
 Cover Letter
Cover Letter Revision 1_Cervical Leiomyoma in Pre-Menopausal Women
Subject Cover Letter for Manuscript Revision_Cervical Leiomyoma in Pre-Menopausal Women
Type Cover Letter
  Download (27KB)    Indexing metadata
Copyright Transfer Agreement_Cervical Leiomyoma in Pre-Menopausal Women: A Case Report
Subject Copyright Transfer Agreement_Cervical Leiomyoma in Pre-Menopausal Women: A Case Report
Type Other
  Download (301KB)    Indexing metadata
Keywords: cervical leiomyoma; fibroids; pre-menopausal; myomectomy

Article Metrics:

  1. Khoiwal K, Gaurav A, Kumari P, Kumari A, Chaturvedi J. An Unusual Presentation of a Large Cervical Fibroid—Case Report. SN Compr Clin Med. 2019 Nov 15;1(11):969–71.
  2. Ernest A, Mwakalebela A, Mpondo BC. Uterine leiomyoma in a 19-year-old girl: Case report and literature review. Malawi Med J. 2016;28(1):31–3. doi: 10.4314/mmj.v28i1.8.PMID:27217916;PMCID:PMC4864391
  3. Stewart EA, Laughlin-Tommaso SK, Catherino WH, Lalitkumar S, Gupta D, Vollenhoven B. Uterine fibroids. Nat Rev Dis Prim. 2016;2:16043. doi: 10.1038/nrdp.2016.43.PMID:27335259
  4. Parker WH. Etiology, symptomatology, and diagnosis of uterine myomas. Fertil Steril. 2007 Apr;87(4):725–36. doi: 10.1016/j.fertnstert.2007.01.093.PMID:17430732
  5. Geethamala K, Murthy VS, Vani BR, Rao S. Uterine Leiomyomas: An ENIGMA. J Midlife Health. 7(1):22–7. DOI: 10.4103/0976-7800.179170
  6. Katke R. Rare case presentation of symplastic leiomyoma in nulliparous female. Clin Cancer Investig J. 2016;5(4):323. DOI: 10.4103/2278-0513.186100
  7. Sabry M, Al-Hendy A. Medical treatment of uterine leiomyoma. Reprod Sci. 2012 Apr;19(4):339–53. doi: 10.1177/1933719111432867
  8. Wilde S, Scott-Barrett S. Radiological appearances of uterine fibroids. Indian J Radiol Imaging. 19(3):222–31. doi: 10.4103/0971-3026.54887
  9. Singh SS, Belland L. Contemporary management of uterine fibroids: focus on emerging medical treatments. Curr Med Res Opin. 2015 Jan 2;31(1):1–12. DOI: 10.1185/03007995.2014.982246
  10. Freytag D, Günther V, Maass N, Alkatout I. Uterine Fibroids and Infertility. Diagnostics (Basel, Switzerland). 2021 Aug 12;11(8). doi: 10.3390/diagnostics11081455
  11. Wong J, Tan GHC, Nadarajah R, Teo M. Novel management of a giant cervical myoma in a premenopausal patient. BMJ Case Rep. 2017 Oct 9;2017. doi: 10.1136/bcr-2017-221408

Last update:

No citation recorded.

Last update:

No citation recorded.