Three symptomatic cases of myoma uteri in adolescence, one of which is STUMP tumor.

J Pediatr Adolesc Gynecol

Department of Obstetrics and Gynecology, University of Health Sciences, Bagcilar Training and Research Hospital, Istanbul, Turkey. Electronic address:

Published: January 2025

AI Article Synopsis

  • Uterine leiomyomas, although rare in adolescents, can present with symptoms like abnormal bleeding and pelvic pain, with smooth muscle tumors of unknown malignant potential (STUMP) being even rarer.
  • In a hospital case study, three 19-year-old patients presented with significant symptoms, leading to the identification of varying sizes of uterine myomas; one was diagnosed as a STUMP tumor while the others were benign fibroids.
  • Despite their rarity, it is important for healthcare providers to consider uterine myomas and STUMP tumors as potential diagnoses in young patients experiencing pelvic symptoms.

Article Abstract

Background: Uterine leiomyomas are rare in the adolescent age group, with smooth muscle tumors of unknown malignant potential (STUMP) tumors being even exceedingly rarer in young patients.

Case: Three cases aged 19 years, two with abnormal uterine bleeding and one with pelvic pain, were admitted to the hospital. Uterine myomas measuring 5, 7 and 12 centimeters were detected in the patients. Myomectomy was performed in patients with complaints resistant to medical treatment. Pathologic examinations revealed that one of the complaints was a STUMP tumor, which is very rare in the adolescent and young age group. The other two examinations revealed benign uterine fibroids.

Summary And Conclusion: Although uterine myomas are quite rare in the adolescent age group, they should be considered in patients with pelvic pain, pelvic mass, and abnormal uterine bleeding. In this age group, uterine myomas and even STUMP tumors should be included in the differential diagnosis.

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Source
http://dx.doi.org/10.1016/j.jpag.2025.01.007DOI Listing

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