Giant degenerative subserous leiomyoma simulating an ovarian cyst, a diagnostic conundrum: a case report
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20221303Keywords:
Subserous leiomyoma, Cystic degeneration, Hyaline degeneration, Ovarian mass, Uterine fibroidsAbstract
Leiomyomas are benign tumours of uterus and classified by their location in the uterus- submucosal, intramural, subserous. Uterine leiomyoma can have variable presentations. Pedunculated big subserous fibroids may outgrow their blood supply, undergo degenerative changes and may present as an ovarian mass. We would like to present a case of such variant which presented as a huge ovarian multiloculated cyst on MRI, but final diagnosis after histopathological examination concluded it to be leiomyoma with secondary degenerative changes. Giant degenerative fibroid might present as an ovarian mass which poses challenge in diagnostic course. This may confound with complex ovarian cyst on radiological modalities. Diagnostic certainty can be achieved only by skilful intraoperative examination and histopathology.
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References
Khyade R, More RM, Shedge R. A study of symptomatology and hisopathology in uterine fibromyomas. Andrology & Gynecology: Current Research. 2017;5:1000156.
Schwartz SM, Marshall LM, Baird DD. Epidemiologic contributions to understanding the etiology of uterine leiomyomata. Environ Health Perspect. 2000;108(Suppl 5):821-7.
Lippman SA, Warner M, Samuels S. Uterine fibroids and gynecologic pain symptoms in a population-based study. Fertil Steril. 2003;80:1488-94.
Rosai J. Rosai and Ackerman’s Surgical Pathology: Female Reproductive System: Vulva, Vagina, Uterus, Fallopian tubes, Ovary, Placenta. 10th ed. London: Mosby. 2011;1510.
Hacivelioglu S, Erkanli S. A large pedunculated leiomyoma with two-sided cystic degenerations mimicking a bilateral ovarian malignancy: A case report. Eur J Gynaecol Oncol. 2014;35:192.
Low SC, Chong CL. A case of cystic leiomyoma mimicking an ovarian malignancy. Ann Acad Med Singapore. 2004;33:371.
Ludovisi M, Moro F, Pasciuto T. Imaging in gynecological disease (15): Clinical and ultrasound characteristics of uterine sarcoma. Ultrasound ObstetGynecol. 2019;54:676-87.
Prabhu JK, Samal S, Chandrasekar S, Subramani D, Rajamanickam S. A Massive Degenerative Leiomyoma Mimicking an Ovarian Tumor: A Diagnostic Dilemma. Journal of Gynecologic Surgery. 2021;37(1):67-9.