What condition could result in the need for a myomectomy?

A myomectomy is a surgical procedure specifically aimed at removing uterine fibroids, which are benign growths originating from the muscle layer of the uterus. Uterine fibroids, also referred to as leiomyomas, can cause a variety of symptoms including heavy menstrual bleeding, pelvic pain, and pressure symptoms depending on their size and location. When these fibroids lead to significant symptoms or complications, a myomectomy may be indicated to alleviate those issues while preserving the uterus.

In contrast, conditions such as cervical cancer involve the removal of cancerous tissue from the cervix, which often necessitates different surgical procedures such as a hysterectomy or cone biopsy rather than a myomectomy. Endometriosis is managed through various means including hormonal therapy and may sometimes require surgical intervention, but it does not specifically involve myomectomy since it deals with endometrial-like tissue outside the uterus rather than fibroids. Pelvic inflammatory disease primarily involves infection of the female reproductive organs and would be managed differently, often with antibiotics and potential surgical intervention for complications, but not with a myomectomy. Therefore, the specific focus on the removal of uterine fibroids qualifies B as the correct answer.