Thomson and Marson recently reported an unusual case of serious polycythemia associated with a large myoma in a 48-year-old woman. The blood picture returned to normal after abdominal hysterectomy. A review of the literature failed to reveal a similar case. This prompts us to report a similar experience, in which the removal of a large myoma caused the disappearance of a severe secondary polycythemia, and also a case of polycythemia vera, in which hysterectomy with the removal of several myomas failed to affect the blood picture.
REPORT OF CASES
Case 1.—A 47-year-old white widow was first seen because of gradual enlargement of the abdomen, over a period of three years. Her last menstrual period was at the age of 45, with normal menopause occurring at that time. There were no associated symptoms except for fulness and burning following meals. Her history revealed an appendectomy at the age of 43. There
Horwitz A, McKelway WP. POLYCYTHEMIA ASSOCIATED WITH UTERINE MYOMAS. JAMA. 1955;158(15):1360–1361. doi:10.1001/jama.1955.02960150030009