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Koul, A., Shetty, A., Gaffoor, N., Murali, N., & Prasad, N. (2023). A Tale of 5Ms: Massive Uterine Leiomyoma Mimicking Ovarian Malignancy along with Multiple Fibroids Displaying Multiple Degenerations. Sudan Journal of Medical Sciences (SJMS), 18(1), 104–110. https://doi.org/10.18502/sjms.v18i1.12870

https://doi.org/10.18502/sjms.v18i1.12870

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authors

  • Aakanksha Koul

    Aakanksha Koul

    Department of Pathology, Dr. Chandramma Dayananda Sagar Institute of Medical Education and Research, Ramanagara, Karnataka, India
  • Archana Shetty

    Archana Shetty

    Department of Pathology, Dr. Chandramma Dayananda Sagar Institute of Medical Education and Research, Ramanagara, Karnataka, India
  • Nidha Gaffoor

    Nidha Gaffoor

    Department of Pathology, Dr. Chandramma Dayananda Sagar Institute of Medical Education and Research, Ramanagara, Karnataka, India
    https://orcid.org/0000-0003-1013-7599
  • Nirupama Murali

    Nirupama Murali

    Department of Pathology, Dr. Chandramma Dayananda Sagar Institute of Medical Education and Research, Ramanagara, Karnataka, India
  • Nagendra Prasad

    Nagendra Prasad

    Department of Obstetrics and Gynaecology, Dr. Chandramma Dayananda Sagar Institute of Medical Education and Research, Ramanagara, Karnataka, India

Published Date

  • Mar 31, 2023

A Tale of 5Ms: Massive Uterine Leiomyoma Mimicking Ovarian Malignancy along with Multiple Fibroids Displaying Multiple Degenerations

Sudan Journal of Medical Sciences (SJMS) / Sudan JMS: Volume 18 (2023), Issue No. 1 / Pages 104–110

Abstract

Background: Leiomyomas are by far the commonest uterine neoplasms in the female reproductive age group. Giant leiomyomas are quite scarce and when longstanding tend to undergo various degenerations owing to decreased blood supply which on imaging may simulate malignancy owing to compromised blood supply and may simulate malignancy on imaging.
Case Presentation: We present a case of a 48-year-old post-menopausal multiparous woman complaining of intermittent lower abdominal pain for a month. Suspected as an ovarian tumor clinically and on ultrasound, this was seconded by raised serum CA125 levels. Histopathological examination gave a definitive diagnosis of a giant uterine leiomyoma along with multiple fibroids exhibiting multiple degenerations.
Conclusion: Degenerated leiomyomas can masquerade malignancy and hence should be one of the first differentials in women of reproductive age group presenting with complex abdominopelvic masses.

Keywords:

hyaline, leiomyoma, malignancy, ovary, uterus

References
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