A rare case of leiomyoma of uterus with cystic degeneration


  • Soumya Ranjan Panda Department of Obstetrics & Gynecology, AIIMS, Jodhpur, Rajasthan, India
  • Charu Chandra Department of Obstetrics & Gynecology, AIIMS, Jodhpur, Rajasthan, India




Leiomyoma, Cystic degeneration


Leiomyoma of the uterus is the most common tumor of the female pelvis. The size of leiomyomas varies from microscopic to giant. Giant myomas are exceedingly rare. Here, we present a case of a woman with uterine myoma that had undergone cystic degenerative changes, mimicking an ovarian malignancy. It provided a lot of diagnostic challenge as even ultrasonography and CT scan were not confirmatory. Finally laparotomy was done keeping everything ready for the management ovarian malignancy. On laparotomy the mass was found to be leiomyoma of uterus with cystic degeneration.


Hoffman B. Pelvic mass. In: Schorge J, eds. Williams Gynecology. 1st ed. New York: McGraw-Hill Companies; 2008: 197-224.

Courbiere B, Carcopino X. Fibromes uterins. In: Courbiere B, Carcopino X, eds. Gynecologie Obstetrique. 1st ed. Paris: Vernazobres-Greco; 2006-2007: 359-365.

Ryan GL, Syrop CH, Van Voorhis BJ. Role, epidemiology, and natural history of benign uterine mass lesions. Clin Obstet Gynecol. 2005;48:312-24.

Wallach EE, Vlahos NF. Uterine myomas: an overview of development, clinical features, and management. Obstet Gynecol. 2004;104:393-406.

Jonas HS, Masterson B. Giant uterine tumors. Obstet Gynecol. 1977;50:2s-4s.

Inaba F, Maekawa I, Inaba N. Giant myomas of the uterus. Int J Gynaecol Obstet. 2005;88:325-6.

Sabry M, Al-Hendy A. Innovative oral treatments of uterine leiomyoma. Obstet Gynecol Int. 2012;2012:943635.

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

Mayer DP, Shipilov V. Ultrasonography and magnetic resonance imaging of uterine fibroids. Obstet Gynecol Clin North Am. 1995;22:667-725.

Evans AT III, Pratt JH. A giant fibroid uterus. Obstet Gynecol. 1979;54:385-6.

Levens ED, Wesley R, Premkumar A, Blocker W, Nieman LK. Magnetic resonance imaging and transvaginal ultrasound for determining fibroid burden: implications for research and clinical care. Am J Obstet Genecol. 2009;200(5):537.e1-7.

Wladimiroff J. Uterine fibroids. In: Wladimiroff J, eds. Ultrasound in Obstetrics and Gynaecology. 2nd ed. US: Elsevier; 2009: 303-306.

Asillas J, Joseph RC, Guerra JJ Jr. CT appearance of uterine leiomyomas. Radiographics. 1990;10:999-1007






Case Reports