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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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References
- WB Saunders Company, Philadelphia1981: 262 The Gynecology of Childhood and Adolescence. 2nd ed.
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Article info
Footnotes
1Supported in part by Grant #4858 from the Robert Wood Johnson Foundation.
Identification
Copyright
© 1988 Springer-Verlag New York Inc. Published by Elsevier Inc. All rights reserved.