A case of giant extra-uterine myxoid leiomyoma: An unusual benign pathology mimicking malignancy

Ovayolu, Ali; Filiz, Tarik; Savli, Tugce

doi:10.29089/paom/146658

Pol. Ann. Med.

2022

DOI: 10.29089/paom/146658

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A case of giant extra-uterine myxoid leiomyoma: An unusual benign pathology mimicking malignancy

Ali Ovayolu

Tarik Filiz

Tugce Savli

Abstract: IntroductionLeiomyoma is the most frequent benign pathology in females and arises from uterine smooth muscle.AimWe 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 studyA 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 primar… Show more

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Cited by 2 publications

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Clinical case of treatment of giant uterine fibroid

Timofeeva,

Bezmenko,

Osadchaya

et al. 2024

Russian Military Medical Academy Reports

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Uterine leiomyomas are the most common type of benign tumor that occurs in the female pelvis. Uterine leiomyoma is a tumor of smooth muscles. Its prevalence is higher in the reproductive age group and decreases after menopause. Giant uterine fibroids are a rare tumor of the uterus. Giant uterine fibroids, especially subcutaneous types, are complicated by malnutrition due to deterioration of their blood supply. The complaints of the patients are non-specific: an increase in the size of the abdomen, aching pains, sometimes difficulty urinating and defecating. A physical examination reveals a giant abdominal and pelvic formation. Ultrasound with Dopplerometry and contrast-enhanced MRI diagnoses a giant tumor next to the uterus with a heterogeneous structure and the presence of cystic cavities, which is difficult to distinguish from a true large ovarian tumor. The article illustrates the complexity of differential diagnosis of giant tumor of the uterus and ovaries. There are no significant differences between these tumors during ultrasound and MRI examinations. The final diagnosis can be made intraoperativery. The article presents a clinical observation of the giant uterine fibroids of a 48-year-old female patient. Ultrasound and contrast-enhanced MRI revealed a giant tumor of the right ovary, which occupied the entire abdominal cavity, of a heterogeneous structure. Intraoperatively, two tumors, intimately adjacent to each other, 31 cm and 28 cm in diameter, emanating from the isthmus of the uterus, were found. The final diagnosis of uterine fibroids was established histologically. Difficulties in differential diagnosis between uterine fibroids and ovarian tumors before surgery are associated with the large size of the tumor and the heterogeneity of the structure due to its malnutrition.

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Clinical case of treatment of giant uterine fibroid

Timofeeva,

Bezmenko,

Osadchaya

et al. 2024

Russian Military Medical Academy Reports

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Management of giant myoma – case report and literature review

Kamińska,

Wojtaś,

Ruszała

et al. 2023

Pol. Ann. Med.

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IntroductionUterine myomas are one of the most frequently discussed issues in gynecology. Most of them are asymptomatic, however, severe pain in pelvis minor, heavy uterine bleeding or infertility may be reported by the patients and worsen quality of women’s daily life. Giant myomas are very rare and can be directly life-threatening.AimThe aim of this study was to present a clinical case of giant myoma, its management and highlight the potential impact on women’s health and well-being.Case studyA 70-years-old patient with a pain in lower part of abdomen, constipation and tiredness manifested difficulties in breathing. Abdominal examination revealed a huge, elastic abdominal mass extending from xiphoid process to the pubic bone. A total abdominal hysterectomy with right salpingo-oophorectomy was done.The patient was discharged from the hospital on the day 9 after the surgery and recovered without any incident.Results and discussionPatients with giant uterine myomas may develop respiratory failure and require intensive respiratory care. One of the highest priorities should be adequate ventilation and reduction the vena cava compression. Cleansing the intestines before surgery decreases the risk of contamination the peritoneal cavity by digestive tract content, in case of possible extension of the scope of surgery.ConclusionsIn the case of treatment of large uterine myomas, interdisciplinary cooperation of specialists in various fields is necessary in order to protect the patient’s vital parameters and prevent the occurrence of rare complications.

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A case of giant extra-uterine myxoid leiomyoma: An unusual benign pathology mimicking malignancy

Cited by 2 publications

References 8 publications

Clinical case of treatment of giant uterine fibroid

Clinical case of treatment of giant uterine fibroid

Management of giant myoma – case report and literature review

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