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Research Article| Volume 1, ISSUE 2, P109-113, 1988

Leiomyoma in a 15-year-old girl

  • Walter D. Rosenfeld
    Affiliations
    Departments of Pediatrics, Surgery, Radiology, Pathology, and Obstetrics and Gynecology, Montefiore Medical Center/North Central Bronx Hospital and Albert Einstein College of Medicine, Bronx, New York
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  • Sylvan Kleinhaus
    Affiliations
    Departments of Pediatrics, Surgery, Radiology, Pathology, and Obstetrics and Gynecology, Montefiore Medical Center/North Central Bronx Hospital and Albert Einstein College of Medicine, Bronx, New York
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  • Rosalyn Kutcher
    Affiliations
    Departments of Pediatrics, Surgery, Radiology, Pathology, and Obstetrics and Gynecology, Montefiore Medical Center/North Central Bronx Hospital and Albert Einstein College of Medicine, Bronx, New York
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  • Sumi M. Mitsudo
    Affiliations
    Departments of Pediatrics, Surgery, Radiology, Pathology, and Obstetrics and Gynecology, Montefiore Medical Center/North Central Bronx Hospital and Albert Einstein College of Medicine, Bronx, New York
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  • Wilma Markus Greston
    Affiliations
    Departments of Pediatrics, Surgery, Radiology, Pathology, and Obstetrics and Gynecology, Montefiore Medical Center/North Central Bronx Hospital and Albert Einstein College of Medicine, Bronx, New York
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  • George J. Kleiner
    Correspondence
    Address reprint requests to: George J. Kleiner, M.D., Department of Obstetrics and Gynecology, Montefiore Medical Center/North Central Bronx Hospital, 3424 Kossuth Avenue, Bronx, NY 10467, USA.
    Affiliations
    Departments of Pediatrics, Surgery, Radiology, Pathology, and Obstetrics and Gynecology, Montefiore Medical Center/North Central Bronx Hospital and Albert Einstein College of Medicine, Bronx, New York
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      Abstract

      A case of uterine leiomyoma in an adolescent, which presented as a pelvic mass with lower abdominal pain, is described. Such benign masses are exceedingly uncommon in this age group, and, when present, may be mistaken for malignant tumors. The difficulties both in making an appropriate preoperative diagnosis and in choosing the optimal surgical procedure in the absence of malignancy are discussed. Early cooperation between the pediatrician, the pediatric surgeon, and the gynecologist in managing the adolescent with a pelvic tumor is advised and conservative management, whenever possible, is stressed. Benign leiomyomas in the adolescent should be included in the differential diagnosis of a pelvic mass in standard textbooks of adolescent medicine and gynecology.

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