Myomectomy as a pregnancy-preserving option in the carefully selected patient

Objectives: To present the indications for myomectomy during
pregnancy and to discuss complications possibly related and
unrelated to the procedure. Method and Results: A 33-year-old
patient at 18 weeks of gestation underwent removal of a 1,570-gram
symptomatic fundic myoma. Histologically the patient had a
leiomyomatous neoplasm of uncertain malignant potential. The
pregnancy was continued under sequential observation with magnetic
resonance imaging and ultrasound. At 36 weeks of gestation a
healthy girl with an upper extremity limb defect was born via
cesarean section. Follow-up of the mother and the child was
uneventful. Conclusions: Certain known risk factors in pregnant
women with myomas can predispose to complications during pregnancy.
Women with such risk factors or women who have failed medical
therapy should be offered the option of undergoing myomectomy as a
pregnancy-preserving procedure. Copyright (C) 2002 S. Karger AG,
Basel.