When it's not ovarian cancer: A case of a massive leiomyoma with hydropic change Journal Article
| Authors: | Erfani, H.; Chiang, S.; Dickinson, S.; Chi, D. S.; Kim, S. H. |
| Article Title: | When it's not ovarian cancer: A case of a massive leiomyoma with hydropic change |
| Abstract: | Background: Uterine leiomyomas are benign tumors characterized by pelvic pain and abnormal bleeding. Their evolution can lead to degenerative changes, occasionally mimicking malignancies on imaging, presenting diagnostic challenges. Case presentation: A 31-year-old nulliparous woman presented with symptoms of bloating, cramping, and abdominal distension. Imaging suggested an advanced ovarian malignancy, showing a complex adnexal mass and elevated CA-125 levels. During exploratory laparotomy, what was suspected to be ovarian cancer was instead identified as a large uterine mass on pathologic evaluation revealing a benign leiomyoma with extensive hydropic change. Conclusion: This case highlights the diagnostic intricacies associated with large complex adnexal masses and illustrates how benign conditions like leiomyomas with hydropic degeneration can mimic ovarian cancer. This emphasizes the importance of comprehensive preoperative and intraoperative assessments to tailor management and avoid unindicated radical procedures. © 2024 |
| Keywords: | adult; clinical article; human tissue; histopathology; case report; ascites; laparotomy; ovarian cancer; computer assisted tomography; tumor volume; tumor biopsy; ca 125 antigen; ca-125; frozen section; uterus myoma; abdominal cramp; cancer morphology; liver injury; satiety; abdominal radiography; endometriosis; abdominal distension; abdominal discomfort; fertility preservation; bloating; transvaginal echography; nullipara; pelvis radiography; skin incision; degeneration; adnexal mass; human; female; article; diagnostic challenges; lesion volume; uterine leiomyoma; antigen blood level; abnormal value; hydropic degeneration; tissue adhesion; unilateral salpingooophorectomy; uterine adnexa |
| Journal Title: | Gynecologic Oncology Reports |
| Volume: | 53 |
| ISSN: | 2352-5789 |
| Publisher: | Elsevier B.V. |
| Date Published: | 2024-05-31 |
| Start Page: | 101415 |
| Language: | English |
| DOI: | 10.1016/j.gore.2024.101415 |
| PROVIDER: | scopus |
| PMCID: | PMC11126525 |
| PUBMED: | 38798949 |
| DOI/URL: | |
| Notes: | Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PDF -- MSK corresponding author is Sarah Kim -- Source: Scopus |
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