A massive degenerated uterine leiomyoma masquerading as an ovarian malignancy: a diagnostic dilemma

Authors

  • Ayushi Negi Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Delhi, India
  • Neha Varun Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Delhi, India
  • Swati Tomar Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Delhi, India
  • J. B. Sharma Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241453

Keywords:

Leiomyoma, Cystic degeneration, Ovarian malignancy

Abstract

Leiomyoma of the uterus is the most common tumour of the female pelvis arising from the uterine smooth muscle. Large cystic degenerations and leiomyomas located in the adnexa can mimic ovarian malignancy and challenge the radiologist and the operating surgeon. We report here an unusual case of large cystic, degenerated uterine leiomyoma mimicking malignant ovarian tumour on imaging.

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References

Baird DD, Dunson DB, Hill MC, Cousins D, Schectman JM. High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. Am J Obstetr Gynecol. 2003;188(1):100-7.

Tiltman AJ. Leiomyomas of the uterine cervix: a study of frequency. Int J Gynecol Pathol. 1998;17(3):231-4.

Ferrari F, Forte S, Valenti G, Ardighieri L, Barra F, Esposito V, et al. Current treatment options for cervical leiomyomas: a systematic review of literature. Medicina. 2021;57(2):92.

Prayson RA, Hart WR. Pathologic consideration of uterine smooth muscle tumors. Obstet Gynecol Clin North Am. 1995;22:637-57.

Baltarowich OH, Hertzberg BS, Kliewer MA, DeLong D, Bowie JD. Refractory shadowing from pelvic masses on sonography: a useful diagnostic sign for uterine leiomyomas. AJR Am J Roentgenol. 2000;174:97-101.

Rajanna DK, Pandey V, Janardhan S, Datti SN. Broad ligament fibroid mimicking as ovarian tumor on ultrasonography and computed tomography scan. J Clin Imaging Sci. 2013;3.

Low SC, Chong CL. A case of cystic leiomyoma mimicking an ovarian malignancy. Ann Academy Med Singapore. 2004;33:371-4.

Akkour K, Alhulwah M, Alqahtani N, Arafah MA. A Giant Leiomyoma with Massive Cystic Hydropic Degeneration Mimicking an Aggressive Neoplasm: A Challenging Case with a Literature Review. Am J Case Rep. 2021;22:e929085.

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Published

2024-05-29

How to Cite

Negi, A., Varun, N., Tomar, S., & Sharma, J. B. (2024). A massive degenerated uterine leiomyoma masquerading as an ovarian malignancy: a diagnostic dilemma. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 13(6), 1591–1593. https://doi.org/10.18203/2320-1770.ijrcog20241453

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Section

Case Reports