Abstract
Osseous metaplasia in a leiomyoma is an uncommon clinical entity with the presence of mature and immature bone in a leiomyoma. Infection, necrosis, hyaline degeneration, calcification and myxoid degeneration are the most common secondary degenerative changes seen in cases of leiomyoma. Calcified and ossified leiomyomas are uncommon and is rarely reported in literature. We report one such case in a 45 year old perimenopausal female who presented clinically with abnormal uterine bleeding. Multiple nodules were seen in bilateral broad ligaments, which on histopathology revealed features of osseous metaplasia in hyalinized degenerated leiomyomas, an extremely rare clinical entity.
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