Post-hysterectomy extrauterine cotyledonoid leiomyoma in a 42-year-old female

Smith, Hugh; Jung, Nathan; Carter, Amanda; Watson, Matthew J.; Singh, Amar

doi:10.1016/j.eucr.2018.03.018

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…As benign tumor recurrence, was reported in 1 case, 19 probably because of a prior incomplete resection during myomectomy, it was finally treated by a total hysterectomy and bilateral salpingo‐oophorectomy. Smith et al 31 reported a unique case of extrauterine CDL involving the vaginal cuff, growing 2 years after hysterectomy due to uterine leiomyomas. They postulated, as also described for leiomyosarcoma, the pelvic seeding of benign cells of leiomyomas as a factor.…”

Section: Resultsmentioning

confidence: 99%

Cotyledonoid Leiomyoma Clinical Characteristics, Imaging Features, and Review of the Literature

Buonomo

Bussolaro

Giorda

et al. 2020

J of Ultrasound Medicine

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Cotyledonoid leiomyoma of the uterus is a rare variant of benign uterine leiomyoma. It has a favorable attitude, despite some ultrasound presentations. A bulky uterus with a heterogeneous mass with irregular margins, high vascularity, and infiltration of the myometrium can induce the suspicion of a malignant mesenchymal tumor and lead to a radical surgical treatment. If present, some imaging features may suggest this rare type of leiomyoma, thus avoiding extensive surgery, especially in young nulliparous women. We report 13 cases of cotyledonoid leiomyoma with clinical characteristics, imaging features, and a literature review.

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Section: Resultsmentioning

confidence: 99%

Cotyledonoid Leiomyoma Clinical Characteristics, Imaging Features, and Review of the Literature

Buonomo

Bussolaro

Giorda

et al. 2020

J of Ultrasound Medicine

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

Buonomo

Bussolaro

Fiorillo

et al. 2021

IJERPH

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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.

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Post-hysterectomy extrauterine cotyledonoid leiomyoma in a 42-year-old female

Cited by 2 publications

References 3 publications

Cotyledonoid Leiomyoma Clinical Characteristics, Imaging Features, and Review of the Literature

Cotyledonoid Leiomyoma Clinical Characteristics, Imaging Features, and Review of the Literature

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

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