A 35‑year‑old woman from Hanoi faced a rare and dangerous situation when a huge uterine fibroid grew alongside her pregnancy. Her story shows how early medical screening can avoid serious complications.

During routine check‑ups T. discovered a fibroid larger than 10 cm, and doctors advised removal before she tried for another child. The recommendation aimed to reduce the risk of serious pregnancy complications.

Before the surgery could be scheduled, T. became pregnant, meaning she carried both the fetus and the large fibroid. Dr. Truong Minh Phuong explained that such a pregnancy can lead to miscarriage, premature birth, restricted fetal growth, postpartum hemorrhage, and even uterine rupture.

To keep the pregnancy as safe as possible, the team used a specialized pregnancy‑preservation protocol that included hormonal medication and close monitoring, adjusting treatment at each stage. At 34 weeks, an emergency cesarean section and subtotal hysterectomy removed the 4 kg fibroid and delivered a 1.8 kg baby.

Dr. Phuong emphasized that women who plan to have children should undergo comprehensive health checks and treat any fibroids before conception. The case illustrates that pre‑pregnancy screening can greatly improve safety for both mother and baby.