Abstract

A CASE OF CYSTIC DEGENERATION OF A GIANT UTERINE LEIOMYOMA MIMICKING AN OVARIAN MALIGNANCY

Oumaima Sarhdaoui*, Meryem Benayada, Mouna Anibri, Aziz Slaoui, Najia Zraidi, Amina Lakhdar, Abdelaziz Baidada and Aicha Kharbach

ABSTRACT

Leiomyoma of the uterus is the most common type of tumor affecting the female pelvis and arises from uterine smooth muscle. Cystic degeneration observed in about 4% of leiomyomas, may be considered as an extreme sequel of edema. The size of leiomyomas varies from microscopic to giant; giant myomas are exceedingly rare. We are reporting a rare case of giant cystic leiomyoma causing diagnostic dilemma and mimicking a primary malignant ovarian tumor. A 43-years-old premenopausal multiparous woman presented with a history of lower abdominal pain and abdominal distension for the last 9 months. The patient’s personal history was normal, and she had no family history of malignancies. Abdominal ultrasound An MRI scan showed a large mass that filled the abdomen. A preoperative diagnosis of a primary malignant ovarian tumor was made. At laparotomy, a total hysterectomy and bilateral salpingo-oophorectomy were performed. The histology revealed a leiomyoma with areas of cystic degeneration To conclude; pedunculated giant leiomyoma should be kept in mind in the differential diagnosis of ovarian malignancy.

Keywords: Uterine; myoma; cystic; degeneration; giant.