Huge Uterine Tumor in a Postmenopausal Woman

59-year-old, gravida 3, para 3, postmenopausal woman was admitted for transabdominal hysterectomy and bilateral salpingo-oophorectomy because of the finding of a huge (20-week) uterus that was discovered during a physical examination following 1 episode of postmenopausal bleeding. Fractional curettage demonstrated a benign endometrial polyp. The past medical history of this woman included non‐insulin-dependent diabetes mellitus, mild hypertension, and psoriasis balanced and stabilized by medication for the last 2 years. Pelvic ultrasound demonstrated a uterus measuring 10.9 3 12.2 3 11.6 cm and containing a large mass 10.2 3 9.8 3 10.1 cm. Ten months later the uterine size had enlarged further, to 16.4 3 15.2 3 16.7 cm, and its entire cavity was occupied by a tumor with mixed echographic pictures. The patient underwent transabdominal hysterectomy and bilateral salpingo-oophorectomy by lower transverse abdominal incision. The uterus was enlarged, adnexae were normal, and no ascitic fluid was found. The postoperative course was normal, and the woman was discharged on postoperative day 5 in good health.