The fibroids affect 20% to 25% of women of reproductive age and are 3 to 9\ntimes more common in black women. Weâ??ll talk about giant fibroids (GFs)\nwhen uterine height reaches or exceeds the navel. We have initiated this study\nin order to report the epidemioclinical and therapeutic aspects of giant fibroids\nat the Hôpital du Mali. A descriptive retro-prospective study, conducted\nin the service of gynecology of the Hôpital du Mali from November 2017 to\nDecember 2018 were included in this study, any patients, regardless of their\nage, having developed a fibroid, the uterine height of the patient reaching or\nexceeding the umbilicus on physical examination and who were on surgical\ntreatment. We had collected 30 cases of GFs out of the 92 patients who had\nundergone myomectomies, with a frequency of 32.60%. The age group 25 - 29\nyears accounted for 46.6% with an average age of 35 years. Housewives\nrepresented 50% and nulligravida made up 33% of our patients. Desire to become\npregnant was the main reason for consultation in 34.4% of cases. The\nuterine height was between 25 and 29 cm on physical examination in 46.66%\nof cases. Myomectomy was performed in 76.64% and hysterectomy in 23.3%\nof cases. The size of the nuclei after surgery was over 25 cm in 48.66% of our\npatients. Conclusion: The giant fibroid (GF) is a common cause of myomectomy.\nThe treatment is either hysterectomy or myomectomy and depends\non the indications.
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