{Reference Type}: Review {Title}: Spontaneous regression of a giant uterine leiomyoma after delivery: a case report and literature review. {Author}: Zhu-Ge L;Bei Q;Pan W;Ni X; {Journal}: BMC Pregnancy Childbirth {Volume}: 24 {Issue}: 1 {Year}: 2024 Feb 10 {Factor}: 3.105 {DOI}: 10.1186/s12884-024-06324-2 {Abstract}: BACKGROUND: Uterine leiomyomas are hormone-dependent benign tumors and often begin to shrink after menopause due to the reduction in ovarian steroids. The influence of pregnancy on uterine leiomyomas size remains unclear. Here, we present a case of spontaneous regression of a giant uterine leiomyoma after delivery.
METHODS: A 40-year-old woman presented with multiple uterine leiomyomas, one of which is a giant uterine leiomyomas (approximately 8 cm in diameter) that gradually shrinked after delivery. At over two months postpartum, the large myometrial leiomyoma had transformed into a submucosal leiomyoma, and over 3 years postpartum, both the submucosal leiomyoma and multiple intramural leiomyomas completely regressed.
CONCLUSIONS: Spontaneous regression of a giant uterine leiomyom is rare after delivery. Considering uterine leiomyoma regression until over 3 year postpartum,we need to observe the regression of uterine fibroid for a longer time postpartum in the absence of fibroid related complications. In addition, it will provide new insights for treatment options of uterine leiomyomas in the future.