Giant myoma of uterine rudiments in uterovaginal aplasia


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Abstract

Objective. To optimize surgical treatment for uterine aplasia. Subjects and methods. Sixty-three patients with uterovaginal aplasia were examined and operated on at the Department of Operative Gynecology, Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, in 2016 to 2020. Results. Multiple uterine myoma was detected in 8 patients, which was 12.7%, of whom 3 patients had giant uterine myoma. The authors had not found similar cases in the literature. Uterine rudiments in complete uterovaginal aplasia had a certain proliferative potential, which was conf irmed by clinical cases of an increase and manifestations of functional activity, new formation of leiomyoma, including giant myoma of uterine rudiments. Conclusion. To optimize surgical treatment, it is advisable to verify clinical and anatomical options, to assess the likelihood of potential growth of pluripotent cells, and to expand indications for the preventive removal of uterine rudiments.

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About the authors

Zograb N. Makiyan

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: makiyan@mail.ru,z_makiyan@oparina4.ru
Doctor of medicine, Principal Investigator

Leyla V. Adamyan

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Academician of RAS, professor, Doctor of medicine, the Head of Operative Gynecology Department

Nadezhda K. Yarygina

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Researcher

Aleksandra V. Asaturova

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Doctor of medicine, Principal Investigator

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