Primary Ovarian Leiomyoma Research Articles

Primary Ovarian Leiomyoma in a Post-Menopausal Woman: A Rare Ovarian Tumor

Primary Ovarian Leiomyoma in a Post-Menopausal Woman: A Rare Ovarian Tumor

Primary ovarian leiomyoma in a patient with uterine leiomyoma

A small, unilateral tumor. Most ovarian leiomyomas (OLM) are benign, but can range from benign to borderline with malignant degeneration. In many patients, OLM are asymptomatic and are detected accidentally during surgery. In rare cases, OLM can be accompanied by severe symptoms as their size increases. This situation requires differentiation these formations from malignant ovarian tumors, which is more often observed during the perimenopausal and menopausal periods. Being discussed that the source of OLM is smooth muscle blood vessel cells, so more undiagnosed small asymptomatic OLMs can be expected. This article presents a clinical case of OLM in a 39-year-old woman operated for uterine myoma. In the case we presented the coexistence of uterine fibroids and ovarian leiomyoma, which subsequently received diagnostic confirmation.

OVARIAN LEIOMYOMA – A RARE CASE IN HISTOLOGY

INTRODUCTION: Primary ovarian leiomyomas are mostly unilateral, small and asymptomatic tumors presenting between 20 to 65 years of age among which, around 85% are premenopausal. CASE HISTORY: A 50 years female is admitted to the obstetrics and gynecology department with a complaint of postmenopausal bleeding for 7-8 years. The patient is on progesterone therapy for 15 days. The definitive diagnosis of these lesions is diffic DISCUSSION: ult prior to surgical removal. Because there are no pathognomonic symptoms or characteristic imaging findings. The correct diagnosis of ovarian leiomyoma requires identification of the smooth muscle nature of the tumor. Th CONCLUSION: is rare tumor of the ovary should be considered in the differential diagnosis of solid ovarian masses. Immunohistochemical analysis is recommended for definitive diagnosis.

8859 Laparoscopic Ovarian-Preserving Management of Primary Ovarian Leiomyoma: Case Report

<h3>Study Objective</h3> To discuss ovarian preserving laparoscopic management of primary ovarian leiomyoma. <h3>Design</h3> Case-report highlighting pre-operative evaluation, imaging, surgical management, and pathologic diagnosis. <h3>Setting</h3> Academic hospital. <h3>Patients or Participants</h3> One patient with adnexal mass who underwent minimally invasive ovarian-preserving management of primary ovarian leiomyoma. <h3>Interventions</h3> Laparoscopic resection of primary ovarian leiomyoma. <h3>Measurements and Main Results</h3> Demonstration of ovarian preserving management of ovarian leiomyoma. <h3>Conclusion</h3> This case report highlights the feasibility of laparoscopic ovarian conserving management of primary ovarian leiomyoma following the appropriate clinical workup and patient counseling, with consideration for the patient's age and desire for future fertility.

PRIMARY OVARIAN LEIOMYOMA- CASE REPORT OF A COMMON TUMOUR IN AN UNCOMMON LOCATION

Primary leiomyoma of the ovary is a rare tumour, accounting for about 0.5–1% of all the benign ovarian tumours. Approximately 70 cases have been reported in the literature [1,2]. As these tumours are usually very small in size, they may be missed during the routine evaluation of the surgical oophorectomy specimens [3,4,5]. Here, we report a case of primary ovarian leiomyoma which was diagnosed incidentally on histopathological examination.

Case Report: Primary Ovarian Leiomyoma: A Clinical Analysis of Case Series and Literature Review

Ovarian leiomyoma accounts only for 0.5–1% of all benign ovarian tumors, and almost no preoperative diagnosis has been achieved. Commonly, these tumors are small in size and asymptomatic. However, they can become symptomatic as their size increases; thus, it is important to recognize this entity and differentiate them from ovarian malignant tumors. Radical surgeries with total hysterectomy and salpingo-oophorectomy are usually performed. However, ovary-preserving surgery has been suggested to young women, especially those desiring fertility in the future. In this study, we shared seven cases of primary ovarian leiomyomas and one inherent ligament leiomyoma, reviewed related articles to provide some new information about leiomyoma of the ovary, and discussed their proper surgical management.

Primary ovarian fibroma in a postmenopausal woman: A case report.

IntroductionPrimary ovarian leiomyoma is a rare benign tumor of the ovary seen in women between 20 and 65 years old. Clinical, ultasonographic and tumor marker data remain the best preoperative approach currently available for ovarian tumours. Only pathological examination can establish the diagnosis.Case presentationWe describe a case of unilateral, ovarian leiomyoma. The abdomino-pelvic Computed tomography (CT) and magnetic resonance imaging (MRI) revealed a left adnexial mass. A hysterectomy without adnexal preservation was performed, and histological examination revealed a leiomyoma arising primarily in the ovary. The diagnosis was confirmed immunohistochemically.DiscussionThe tumor may be asymptomatic or may manifest with lower abdominal pain associated to metrorrhagia like in our case. The definitive diagnosis of these lesions is difficult prior to surgical removal. Because there is no pathognomonic symptoms or characteristic imaging findings. The correct diagnosis of an ovarian leiomyoma is confirmed immunohistochemically.ConclusionThis rare tumor of the ovary should be considered in the differential diagnosis of solid ovarian masses. An immunohistochemical analysis is recommended for definitive diagnosis.

Large Primary Ovarian Leiomyoma Causing Acute Abdomen in a Perimenopausal Woman: A Case Report and Literature Review

Background: Leiomyomas comprise 0.5%–1% of all benign ovarian tumors and occur between adolescence and postmenopause; ∼ 80% have been reported in premenopausal women. These tumors are very rare, and ∼70 cases have been reported so far. Case: A 49-year-old nulliparous woman presented with abdominal pain, fever (39°C), and a palpable mass in her lower- and upper-abdominal areas. Computed tomography showed a soft-tissue, heterogeneous expansive mass of 14 × 19 × 16 cm dislocating her kidneys and intestines laterally and causing imprint on large blood vessels in her abdomen. There was a central area of necrosis and several irregular calcifications on the edge of the tumor. This patient had a midline laparotomy with a left adnexectomy. Intraoperatively, it was noted that the left ovary was occupied by the mass without any attachment to other organs. There was a serous cystadenofibroma on the right ovary. The large, well-circumscribed ovarian mass was extirpated. Results: After an uneventful recovery, this patient was discharged to undergo home treatment on the sixth postsurgical day. Conclusions: This tumor caused the patient's acute abdomen because the mass occupied much of the pelvis and abdominal cavity, and her pain was also due to the tumor's own secondary changes. This tumor is one of the largest leiomyomas reported recently.

Primary Ovarian Leiomyoma.

Primary ovarian leiomyoma is an extremely rare form of extrauterine leiomyomas. The incidence of primary ovarian leiomyoma is 0.5%–1% of all benign ovarian smooth muscle tumors. We present a case of primary ovarian leiomyoma managed laparoscopically with ovarian preservation.

Pregnancy outcomes of a giant primary ovarian leiomyoma in the first trimester

Primary ovarian leiomyoma is a rare type of benign neoplasm. Ovarian leiomyoma cases until a recent date usually showed favorable pregnancy outcomes. Contrary to others, the present authors report a case of a nine-week miscarriage with a giant primary ovarian leiomyoma. This neoplasm originated from the ovary with estrogen secreted by the endocrine organs. Hormone secretion is increased during pregnancy, particularly in the first trimester; it is supposed that it stimulated growth and progression of the mass. A close examination in adnexa is necessary at prenatal check.

Primary ovarian leiomyoma: A rare tumor with a diagnostic dilemma

Primary ovarian leiomyoma: A rare tumor with a diagnostic dilemma

Primary Ovarian Leiomyoma—A Common Tumor at an Uncommon Site

AbstractLeiomyoma is a benign mesenchymal tumor that commonly occurs in the uterus, ovary being a rare site. Ovarian leiomyomas constitute 0.5 to 1% of all benign tumors. They probably arise from the smooth muscle cells in the ovarian hilar blood vessels. They occur most commonly in premenopausal women. We report a case of primary ovarian leiomyoma in a 39-year-old female patient.

Primary ovarian leiomyoma - An uncommon entity: Case report

Primary ovarian leiomyoma - An uncommon entity: Case report

Primary ovarian leiomyoma in adolescent female: report of a case

Primary ovarian leiomyoma in adolescent female: report of a case

EP26.02: Primary ovarian leiomyoma: a rare entity

EP26.02: Primary ovarian leiomyoma: a rare entity

Giant Primary Ovarian Leiomyoma – A Diagnostic Dilemma

Giant Primary Ovarian Leiomyoma – A Diagnostic Dilemma

Lipoleiomyoma of the uterus and primary ovarian leiomyoma in a postmenopausal woman: two rare entities in the same individual.

Uterine lipoleiomyomas are rare benign tumours that are composed of various mixtures of smooth muscle and mature fat tissue. Leiomyomas, which arise primarily in the ovary, are extremely rare tumours that account for 0.5–1% of all benign ovarian tumours. To the best of our knowledge, we present the first case of an ovarian leiomyoma coexisting with a uterine lipoleiomyoma in the postmenopausal period. A 59-year-old, gravida 4, para 3, postmenopausal woman exhibited pelvic discomfort and increased frequency of micturition. A pelvic examination revealed a solid, tender mass on the left side that could not be clearly separated from the uterus. She underwent a laparotomy with an initial diagnosis of a left ovarian mass. She had previously undergone a total abdominal hysterectomy and bilateral salpingo-oophorectomy. A histopathological examination revealed a uterine lipoleiomyoma, composed of variable amounts of smooth muscle cells and mature adipocytes and a right ovarian leiomyoma composed of interlacing bundles and fascicles of spindle cells. The coexistence of these two rare entities in the same individual may represent a common pathway as a stimulating agent. This case may help to clarify the pathogenesis of these lesions.

Laparoscopic tumorectomy for a primary ovarian leiomyoma during pregnancy: A case report.

Few reports have explored laparoscopic adnexal tumorectomy as a treatment for large and symptomatic ovarian leiomyomas during pregnancy. The current study presents the case of a patient with a large and symptomatic ovarian leiomyoma at 14 weeks of pregnancy. A laparoscopic adnexal tumorectomy was performed without complications. The laparoscopic management of large primary ovarian leiomyoma during pregnancy has not been reported in literature. Therefore, laparoscopy may be considered as a minimally invasive and feasible alternative to laparotomy for the treatment of large ovarian solid tumors during pregnancy, resulting in reduced postoperative pain, a smaller scar and shorter recovery time. By contrast, with respect to the ovarian solid tumor, surgery prior to gestation is advised, even for tumors of <3 cm in diameter, due to the probability of rapid growth of the tumor during pregnancy.

A Huge Primary Ovarian Leiomyoma with Degenerative Changes-An Unusual Presentation

Primary ovarian leiomyoma is a rare benign tumour of the ovary, which is seen in women who are aged between 20 years to 65 years. Ovarian leiomyomas can be confused with other spindle cell tumours which display gross anatomical and histological similarities. A case of a primary leiomyoma of the ovary in a pre-menopausal female is being presented here, due to its huge size and unusual presentation.

Primary ovarian leiomyoma: An uncommon entity - Case report and a brief review of literature

Among all benign primary ovarian smooth muscle tumors, ovarian leiomyoma, is uncommon, accounting for 0.5-1% of all tumors. Most of these tumors are unilateral, small in size, and generally occur in premenopausal women. This paper presents a case report of primary ovarian leiomyoma, which is a rare entity, in a postmenopausal female with complaints of abdominal pain. The left ovarian mass was histopathologically and immunohistochemically diagnosed as ovarian leiomyoma. Unlike smooth muscle tumors of uterine origin, there are no definite histological criteria to categorize smooth muscle tumors of ovary. This is an additional case of ovarian leiomyoma with brief review of literature, especially highlighting differential diagnosis of ovarian spindle cell lesions.