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Cavaliere AF, Vidiri A, Gueli Alletti S, Fagotti A, La Milia MC, Perossini S, Restaino S, Vizzielli G, Lanzone A, Scambia G. Surgical Treatment of "Large Uterine Masses" in Pregnancy: A Single-Center Experience. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182212139. [PMID: 34831895 PMCID: PMC8618779 DOI: 10.3390/ijerph182212139] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 11/15/2021] [Accepted: 11/16/2021] [Indexed: 11/16/2022]
Abstract
Uterine myomas or uterine fibroids are the most common benign uterine masses affecting women. The management of large myoma during pregnancy is challenging, and surgical treatment is a possible option. We report nine cases of pregnant women affected by uterine masses larger than 10 cm, who underwent surgical treatment during the second trimester of pregnancy. In all cases, the masses were preconceptionally unknown and diagnosed during the first trimester. In eight cases, no maternal and fetal complications arose during or after surgical treatment and delivery occurred at full term of pregnancy. In one case, spontaneous abortion was recorded. In all cases, histologic diagnosis demonstrated the benign nature. Women affected by large uterine masses diagnosed for the first time in pregnancy could be taken into consideration for surgical treatment in a referral center during the second trimester.
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Affiliation(s)
- Anna Franca Cavaliere
- Obstetrics and Gynaecology Unit, Santo Stefano Hospital, AUSL Toscana Centro, 59100 Prato, Italy
- Correspondence: ; Tel.: +39-338-315-3054
| | - Annalisa Vidiri
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (A.V.); (M.C.L.M.); (S.P.); (A.L.); (G.S.)
| | - Salvatore Gueli Alletti
- Division of Gynecologic Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (S.G.A.); (A.F.)
| | - Anna Fagotti
- Division of Gynecologic Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (S.G.A.); (A.F.)
| | - Maria Concetta La Milia
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (A.V.); (M.C.L.M.); (S.P.); (A.L.); (G.S.)
| | - Silvia Perossini
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (A.V.); (M.C.L.M.); (S.P.); (A.L.); (G.S.)
| | - Stefano Restaino
- Division of Obstetrics and Gynecology, University Hospital of Udine, Azienda Sanitaria Universitaria Friuli Centrale, 33100 Udine, Italy; (S.R.); (G.V.)
| | - Giuseppe Vizzielli
- Division of Obstetrics and Gynecology, University Hospital of Udine, Azienda Sanitaria Universitaria Friuli Centrale, 33100 Udine, Italy; (S.R.); (G.V.)
| | - Antonio Lanzone
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (A.V.); (M.C.L.M.); (S.P.); (A.L.); (G.S.)
- Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
| | - Giovanni Scambia
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (A.V.); (M.C.L.M.); (S.P.); (A.L.); (G.S.)
- Division of Gynecologic Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (S.G.A.); (A.F.)
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