BACKGROUND The association between uterine myoma and infertility is still controversial. The anatomical defect of endometrium by uterine fibroids could be a factor for reducing pregnancy rates and increasing miscarriage rates. However, pregnancy and implantation rates were found to be significantly lower in women with intramural myomas (IMMs), when there was no deformity of uterine cavity. This...

A 59-years-old woman with the past history of uterine myoma post hysterectomy presented complaint lower abdominal pain for 3 months. The was vague and intermittent no aggravating or alleviating factors. scale about out 10. She denied neither bloody stools nor changes in bowel habits. Physical examination unremarkable. Subsequent colonoscopy showed an elongated “worm-like” polyp overlying normal...

A 50-year-old peri-menopausal woman presented with hard palpable mass on her lower abdomen and anemia from heavy menstrual bleeding. Ultrasonography showed a 13×12 cm sized hypoechoic solid mass in pelvis and a 2.5×2 cm hypoechoic cystic mass in uterine endometrium. Abdomino-pelvic computed tomography revealed a hypodense pelvic mass without enhancement, suggesting a leiomyoma of intraligamenta...

Endometrioid stromal sarcoma is a rare malignancy that originates from mesenchymal cells. It is classified into low-grade endometrioid stromal sarcoma (LGESS) and high-grade endometrioid stromal sarcoma. Ultrasonographic findings of LGESS resemble those of submucosal myomas, leading to the possible preoperative misdiagnosis of LGESS as uterine leiomyoma. Electronic morcellation during laparosco...

OBJECTIVE To evaluate if uterine myoma is associated with breast cancer. METHODS This case-control study used a nationwide database in Taiwan. We identified 24,315 patients with newly diagnosed breast cancer as cases and matched them with 24,281 patients without breast cancer on age, sex, urbanization, income, and initial diagnosis date. Patients with prior mastectomy were excluded. We used l...

We present a case of retained placenta accreta treated by high-intensity focused ultrasound (HIFU) ablation followed by hysteroscopic resection. The patient was diagnosed as submucosal myoma based on ultrasonography in local clinic. Pathologic examination of several pieces of tumor mass from the hysteroscopic procedure revealed necrotic chorionic villi with calcification. HIFU was performed usi...

Tuboovarian abscess is a well-known sequela of acute or chronic salpingitis. In a small percentage of patients, these inflammatory masses compress or even rupture into the adjacent viscera, thus simulating the condition of pelvic malignancy, particularly when the clinical presentations are indolent. We describe two cases of tuboovarian abscess mimicking malignancy. Case 1: A 39-year-old woman w...

A thirty-five-year-old infertile woman underwent two trials of hysteroscopic resection of a large calcified submucous myoma. During the first surgery, a resectoscope and an orthopedic rongeru forceps were used. Fifty-one grams of myoma were removed. During the second operation, a pneumatic urological lithotriptor (Swiss LithoClast) was used. Only fourteen grams of myoma were removed. Because th...

INTRODUCTION In Mexico, the information available about the prevalence of uterine anatomical anomalies as the direct and indirect cause of recurrent pregnancy loss (RPL) is limited. OBJECTIVE To know the prevalence and types of uterine anatomical anomalies in Mexican women with RPL. METHODS In a cross-sectional study, we included women attending a clinic for RPL from 2008 to 2013, with a hi...