[Rare] Her uterus is 50 times the size of a normal person!

The uterus is a symbol of women and a cradle of life. Before a woman becomes pregnant, her uterus is usually only the size of a pear and weighs about 50 grams. When the pregnancy is full-term, the weight of the uterus is only about 1,000 grams. Today's protagonist has a uterus that is a rare 2,500 grams !!!

Ms. Wang (pseudonym), who is in her 40s, has been troubled by heavy menstruation and dysmenorrhea for many years. Due to her busy work, she always thought of just enduring it. Until this year, frequent symptoms such as dizziness, fatigue, and palpitations completely disrupted her normal life...

The moment the thin and pale Ms. Wang stepped into the gynecology clinic, Director Peng Chunjie keenly noticed her "abnormality": "Your menstrual flow is heavy, right?! You are so severely anemic..." Sure enough, after examination, her hemoglobin was only 20g/L (the normal value range for adult women is 110-150g/L), which is really worrying because this situation may lead to serious life-threatening consequences.

Due to years of adenomyosis, Ms. Wang's uterus was as big as a 5-month pregnant woman , and she also had an ovarian cyst of nearly 10 cm . The huge uterus and cyst filled her abdomen, and the patient was emaciated and severely anemic, so the risk of surgery was extremely high.

According to Ms. Wang's actual situation, Peng Chunjie's team decided to perform hysterectomy and cystectomy on her after a comprehensive assessment, and developed a comprehensive treatment plan focusing on preoperative anemia correction, intraoperative emergency plan, and postoperative recovery care. In the end, the huge uterus with a diameter of about 25 cm and a weight of about 2,500 grams was successfully removed, and the ovarian cyst was removed at the same time.

A giant uterus is usually seen in benign lesions such as uterine fibroids, adenomyomas, and adenomyosis , as well as malignant lesions such as uterine sarcoma and giant cervical tumors . The phenomenon of enlarged uterus volume can also be seen in mid- and late-stage endometrial cancer .

For uterine fibroids and adenomyomas, the fibroids and adenomyomas can be removed. However, for adenomyosis, the uterus enlarges evenly, and partial removal surgery is often difficult to achieve the ideal therapeutic effect. Therefore , conservative treatment or hysterectomy needs to be considered based on the patient's age and other specific conditions .

Adenomyosis is a diffuse or localized lesion caused by the invasion of endometrial glands and stroma into the myometrium. It is a common and difficult gynecological disease, and is more common in women aged 30 to 50. Common clinical symptoms include increased menstrual flow, prolonged menstrual period, and dysmenorrhea . Long-term increased menstrual flow can lead to anemia, dizziness, and fatigue.

Finally, Dr. Peng Chunjie suggested: Although adenomyosis is a benign lesion, it has "malignant characteristics". Patients suffer from many problems such as dysmenorrhea, abnormal menstruation, abnormal enlargement of the uterus, etc. If female friends have related discomfort symptoms, they should seek medical diagnosis as soon as possible .