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CASE REPORT
A case of giant extra-uterine myxoid leiomyoma: An unusual benign pathology mimicking malignancy
1
Department of Obstetrics and Gynecology, Cengiz Gokcek Women's and Children's Hospital, Gaziantep, Turkey
2
Department of Pathology, Cengiz Gokcek Women's and Children's Hospital, Gaziantep, Turkey
Submission date: 2021-09-19
Final revision date: 2022-02-11
Acceptance date: 2022-02-11
Online publication date: 2022-03-17
Corresponding author
Ali Ovayolu
Department of Obstetrics and Gynecology, Cengiz Gokcek Women's and Children's Hospital, Gaziantep, Osmangazi Mahallesi, Cengiz Gokcek Kadın Hastaliklari ve Dogum Hastanesi, 27010 Gaziantep, Turkey. Tel.: +90532 640 40 60,+90342 360 08 88, fax: +90 342 360 02 90.
Department of Obstetrics and Gynecology, Cengiz Gokcek Women's and Children's Hospital, Gaziantep, Osmangazi Mahallesi, Cengiz Gokcek Kadın Hastaliklari ve Dogum Hastanesi, 27010 Gaziantep, Turkey. Tel.: +90532 640 40 60,+90342 360 08 88, fax: +90 342 360 02 90.
Pol. Ann. Med. 2022;29(2):229-232
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Leiomyoma is the most frequent benign pathology in females and arises from uterine smooth muscle.
Aim:
We present an uncommon example of a big, cystic-solid extra-uterine myoma that seemed on sonography and magnetic resonance imaging to be a primary malignant tumor.
Case study:
A woman was admitted to our hospital with a palpable abdominopelvic mass. Imaging studies described a large semisolid mass of 30 × 25 × 23 cm that filled the abdomen from the pelvis to the xiphoid process. Preoperatively, a primary malignant ovarian cancer or teratoma was identified.
Results and discussion:
Histological analysis confirmed a leiomyoma with myxoid degeneration without any malignancy.
Conclusions:
There is a high risk of malignancy in a giant uterus/mass and fast-growing myomas. For the treatment of large leiomyomas/large extra-uterine leiomyomas, a surgical approach is usually chosen. Myxoid leiomyoma of the broad ligament is very rare, its diagnosis remains histological to date like uterine myxoid leiomyoma. Malignancy should always be ruled out.
Leiomyoma is the most frequent benign pathology in females and arises from uterine smooth muscle.
Aim:
We present an uncommon example of a big, cystic-solid extra-uterine myoma that seemed on sonography and magnetic resonance imaging to be a primary malignant tumor.
Case study:
A woman was admitted to our hospital with a palpable abdominopelvic mass. Imaging studies described a large semisolid mass of 30 × 25 × 23 cm that filled the abdomen from the pelvis to the xiphoid process. Preoperatively, a primary malignant ovarian cancer or teratoma was identified.
Results and discussion:
Histological analysis confirmed a leiomyoma with myxoid degeneration without any malignancy.
Conclusions:
There is a high risk of malignancy in a giant uterus/mass and fast-growing myomas. For the treatment of large leiomyomas/large extra-uterine leiomyomas, a surgical approach is usually chosen. Myxoid leiomyoma of the broad ligament is very rare, its diagnosis remains histological to date like uterine myxoid leiomyoma. Malignancy should always be ruled out.
FUNDING
None declared.
CONFLICT OF INTEREST
The authors declare that there are no conflicts of interest.
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