Abstract
ObjectiveTo describe and illustrate a massive cotyledenoid leiomyoma treated with uterine-conserving surgery.DesignCase report.SettingMedical center.Patient(s)A 39-year-old woman with a large abdominal mass and a magnetic resonance imaging scan showing a 28-cm multi-lobulated mass.Intervention(s)Laparotomy and myomectomy.Main Outcome Measure(s)Recurrence and need for repeat surgery.Result(s)No recurrence at 8 years of follow-up.Conclusion(s)Cotyledonoid leiomyomas are rare. These benign tumors may be suspected preoperatively based on MRI appearance. Frozen section suggests a benign process and uterine-conserving surgery may be successfully accomplished.
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