(USA TODAY) — Doctors in Singapore removed a 61-pound tumor from a woman’s uterus, according to a recently published case study.

The postmenopausal Malay woman, who was 53 at the time of the surgery, had the noncancerous tumor growing inside of her for years, according to the report in BMJ Case Reports. It was nearly the size of an nine-year-old child.

The woman described in the report as a virgin was primarily bedridden and experienced shortness of breath, because of the tumor. Surprisingly, she didn’t suffer abdominal pain, postmenopausal bleeding, or urinary and bowel problems.