子宮頸部筋腫に対して子宮鏡下子宮筋腫摘出術を行った2症例

抄録

  Transabdominal myomectomy for cervical myoma is challenging; however, a hysteroscopic approach is easier and less invasive. We describe two patients treated with this approach.

Case 1: A 34-year-old, gravida 2 para 2 presented with a myoma (90 mm) that originated from the posterior wall of the uterus immediately below the external uterine ostium. An incision was made at the 3 o'clock position, and the myoma was dissected under direct vision. The remnant myoma tissue was excised hysteroscopically; the operation time was 25 min, and the myoma weighed 320 g.

Case 2: A 44-year-old, gravida 0 para 0 presented with a myoma (62 mm) that originated from the anterior cervical wall. Hysteroscopic myomectomy was performed after completion of three courses of pseudomenopausal therapy. The myoma was resected in a piecemeal fashion; the operation time was 84 min, and the myoma weighed 143 g.

Conclusions: We concluded that hysteroscopic removal of cervical myomas was easier than removal using transabdominal approaches.