A Case Report on Recurrent Cotyledonoid Dissecting Leiomyoma

Özdemir, Özgür; Sagır, Gulten; Akbas, Bakiye; Güven, Süleyman; Reis, A. C. F.

doi:10.5336/jcog.2019-71191

Cited by 2 publications

(1 citation statement)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For patients desiring future fertility, myomectomy, even for larger tumors (25+ cm), has been shown to be an effective treatment, but has been associated in certain cases with recurrence of the tumor likely secondary to incomplete resection. 9,12,13 Despite sparse recurrence with myomectomy, there have been no reported cases of malignant transformations or metastases, with the longest follow-up being 41 years. 8 In our case, due to the proximity of implants to the rectal mucosa, there was concern for subtotal excision.…”

Section: Discussionmentioning

confidence: 99%

Cotyledonoid dissecting leiomyoma in pregnancy: a case report

Choice,

Bonglack,

Goodheart

et al. 2023

Proceedings in Obstetrics and Gynecology

View full text Add to dashboard Cite

Cotyledonoid dissecting leiomyoma (CDL) is a rare variant of uterine leiomyoma characterized by intramural dissection within the uterine corpus and a distinctive gross appearance resembling the cotyledons of the placenta. Despite their alarming, sarcomatous appearance both macroscopically and radiographically, these tumors are typically associated with bland histologic findings. Approximately 70 cases of CDL have been described in the literature. This case represents the second described case of CDL in pregnancy, the first in which a pregnancy was carried to term. A 28-year-old primigravid was incidentally found to have a massive, exophytic growth of the uterus on ultrasound with concomitant 14-week intrauterine pregnancy. The pregnancy was monitored with serial growth ultrasounds. She was delivered at 37 weeks via Cesarean section. After being lost to follow-up, the patient presented 2.5 years later with worsening abdominal fullness and persistent uterine mass.

show abstract

Section: Discussionmentioning

confidence: 99%

Cotyledonoid dissecting leiomyoma in pregnancy: a case report

Choice,

Bonglack,

Goodheart

et al. 2023

Proceedings in Obstetrics and Gynecology

View full text Add to dashboard Cite

show abstract

The Management of the Cotyledonoid Leiomyoma of the Uterus: A Narrative Review of the Literature

Buonomo

Bussolaro

Fiorillo

et al. 2021

IJERPH

View full text Add to dashboard Cite

Cotyledonoid leiomyoma is an unusual uterine myoma due to some ultrasound features that mimic a malignant lesion facilitating the choice of radical surgery. This study aims to summarize the ultrasound and the magnetic resonance imaging aspects of this atypical lesion, and also discuss surgical treatment and pathological exam. It included all English case reports or case series until August 2021 found through PubMed, Google Scholar, and Scopus. A total of 94 cotyledonoid leiomyomas were reported, with a median tumor size of 12 cm. The typical ultrasound image is characterized by a large solid heterogeneous mass, with high vascularity, no shadowing, and indistinct margins within the myometrium. Magnetic resonance imaging shows the presence of merging isointense nodules to the myometrium in T1-weighted images, hyperintense in T2-weighted images, and contrast agent enhancement. Surgical treatment consists of hysterectomy (75 cases, 80%) or myomectomy (19 cases, 20%), without evidence of recurrence if complete. The placenta-like appearance observed during surgery supports this rare fibroid hypothesis. The intraoperative frozen section can be considered. Microscopically, no atypical cells, signs of mitotic activity or cell necrosis are found. To conclude, some preoperative and intraoperative aspects of this lesion are distinctive and may lead surgeons to opt for conservative surgery.

show abstract

A Case Report on Recurrent Cotyledonoid Dissecting Leiomyoma

Cited by 2 publications

References 7 publications

Cotyledonoid dissecting leiomyoma in pregnancy: a case report

Cotyledonoid dissecting leiomyoma in pregnancy: a case report

The Management of the Cotyledonoid Leiomyoma of the Uterus: A Narrative Review of the Literature

Contact Info

Product

Resources

About