A stepwise transcervical resection of a large uterine myoma after vaginal delivery.

Case Report: This study reported a stepwise (4-times) transcervical resection (TCR) performed on a patient with a large uterine myoma. The patient (36 years old) was at 6 weeks of pregnancy when at the first medical examination a uterine myoma, as large as the head of newborn infant, was discovered. After the delivery, myomectomy was performed by way of conserving the uterine. Since the myoma nodule was large, TCR was performed several times to completely resect it.

Conclusion: TCR has been indicated only for small submucosal myoma; however, this study shows that TCR utilizing a stepwise technique can also be indicated for larger myoma.