Uterine Leiomyoma in a 14-Year-Old Girl

Abstract

Uterine leiomyomas are common benign tumors of the uterus in adult females but are rare in adolescents. This is a review of the literature and a case report of a 14-year-old female who presented with increasing, intermittent back pain and abdominal distention due to a large uterine leiomyoma treated by myomectomy. This is the 9th reported case of a uterine leiomyoma in an adolescent female under the age of 18 years in the English literature.

uterine leiomyoma - myomectomy - uterine myoma - adolescent

References

• 1 Augensen K. Uterine myoma in a 15-year-old girl.  Acta Obstet Gynecol Scand. 1981;  60 591
• 2 Bekker G, Gavrilescu T, Rickets-Holcomb L. et al . Symptomatic fibroid uterus in a 15-year-old girl.  Int Surg. 2004;  89 80-82
• 3 Botting A J, Soule E H, Brown Jr A L. Smooth muscle tumors in children.  Cancer. 1965;  18 711-720
• 4 Chiaffarino F, Parazzini F, La Vecchia C. et al . Diet and uterine myomas.  Obstet Gynecol. 1999;  94 395-398
• 5 de Rooy C G, Wiegerinck M A. A 15-year-old girl with an expansively growing tumour.  Eur J Obstet Gynecol Reprod Biol. 1986;  22 373-377
• 6 Fields K R, Neinstein L S. Uterine myomas in adolescents: case reports and a review of the literature.  J Pediatr Adolesc Gynecol. 1996;  9 195-198
• 7 Grapsa D, Smymiotis V, Hasiakos D, Kontogianni-Katsarou K, Kondi-Pafiti A. A giant uterine leiomyoma simulating an ovarian mass in a 16-year-old girl: a case report and review of the literature.  Eur J Gynaecol Oncol. 2006;  27 294-296
• 8 Heimer G, Axelsson O, Johnson P. Uterine myoma causing uremia in a 15-year-old girl.  Gynecol Obstet Invest. 1991;  32 247-248
• 9 Morad N A, el-Said M M. Cellular uterine myoma causing vaginal bleeding in a 15-year-old girl.  Aust N Z J Obstet Gynaecol. 1993;  33 211-213
• 10 Parazzini F, Negri E, La Vecchia C. et al . Uterine myomas and smoking. Results from an Italian study.  J Reprod Med. 1996;  41 316-320
• 11 Rock J A, Thompson J D. Te Linde's Operative Gynecology. 8th ed. Philadelphia (PA); Lippincott-Raven 1997: 723-733
• 12 Ross R K, Pike M C, Vessey M P. et al . Risk factors for uterine fibroids: reduced risk associated with oral contraceptives.  Br Med J. 1986;  293 359-362
• 13 Tamathis G. Ackerman's Surgical Pathology. 7th ed. Washington D.C.; Mosby 1989: 1083-1085
• 14 Wise L A, Palmer J R, Harlow B L. et al . Risk of uterine leiomyomata in relation to tobacco, alcohol and caffeine consumption in the Black Women's Health Study.  Hum Reprod (Oxford). 2004;  19 1746-1754
• 15 Wisot A L, Neimand K M, Rosenthal A H. Symptomatic myoma in a 13-year-old girl.  Am J Obstet Gynecol. 1969;  105 639-641