Because of the size of the tumor, plastic surgeons also had to reconstruct the woman’s abdominal wall.

By Maura Hohman
Updated December 19, 2019

A woman in Singapore had a 61 lb. tumor removed from her uterus after she finally visited the hospital because the weight of the growth had made her bedridden, according to a new report of the case.

Doctors at KK Women’s and Children’s Hospital successfully removed the uterine fibroid, also known as a leiomyoma, by performing a hysterectomy. They also had to extract the 53-year-old patient’s ovaries.

The tumor, according to Live Science, qualified as “giant” in medical terms because it was larger than 25 lbs. The OB-GYN who treated the woman, Dr. Poh Ting Lim, told the outlet that the mass was 26 inches across at its widest point.

Because of the size of the tumor, plastic surgeons also had to reconstruct the woman’s abdominal wall, which had stretched and thinned to accommodate the growth. The woman also had trouble breathing for six months and was generally unable to move when she arrived at the hospital, said Dr. Lim, who also authored the report.

According to Washington Post, uterine fibroids, a type of pelvic tumor, are most common in women during their child-bearing years. While they’re not cancerous, they can become life-threatening if they grow to a size where they might impede or deform other organs, like the lungs, in this woman’s case. This usually only happens if they’re left untreated.

Because uterine fibroids grow slowly — at a rate of about 9 percent every six months for women in their reproductive years — and then tend to shrink during menopause, Dr. Lim posited the tumor was in the patient’s body for at least five years. The largest record of a fibroid in a living patient was 100 lbs. in the late 1800s, the report said.

According to Mayo Clinic, it’s unclear what exactly causes uterine fibroids, but genetic and hormonal shifts, especially in estrogen and progesterone, seem to play a substantial role. They’re also more common in women whose mother or sisters have had one. Many women have uterine fibroids at some point during their life but don’t realize it because most don’t experience symptoms. For those who do, heavy menstrual bleeding, long periods, pelvic pain, frequent urination, constipation and back and leg pain are most common.

Dr. Lim saw the patient two months after the surgery and told Live Science that her abdomen was healing well. The report also said that her scar had healed and she was able to move and breathe.

This Story Originally Appeared On People