Korean J Obstet Gynecol.  2012 Mar;55(3):218-223. 10.5468/KJOG.2012.55.3.218.

A case of ovarian leiomyoma treated with laparoscopic mass excision

• Kim MJ
• Na ED
• Lee YJ
• Kim ML
• Seong SJ
• Kim JY

• KMID: 2274132
• DOI: http://doi.org/10.5468/KJOG.2012.55.3.218

Abstract

Primary ovarian leiomyoma is a rare tumor, accounting for only 0.5%-1% of benign ovarian neoplasms. About 80 cases have been reported in the literature worldwide to date. Most cases are asymptomatic and usually found incidentally in routine gynecologic workup, during surgery, or at autopsy. Ovarian leiomyoma is difficult to be differentiated from other ovarian benign and malignant neoplasms, particularly from large ovarian solid tumors. It is important to consider ovary-preserving surgery as the first treatment modality in patients of reproductive age after excluding the possibility of malignancy, given that 80% of ovarian leiomyomas occur in premenopausal women and the size of the mass is larger in younger patients. Here we report a case of ovarian leiomyoma in a 38-year-old female patient who underwent laparoscopic excision of left ovarian mass and uterine myomectomy.

Keyword

Ovarian leiomyoma; Laparoscopy; Myoma; Ovary

MeSH Terms

Accounting
Adult
Autopsy
Female
Humans
Laparoscopy
Leiomyoma
Myoma
Ovarian Neoplasms
Ovary
Uterine Myomectomy

Figure

• 

  Fig. 1 Findings of transvaginal ultrasound. About 4.7 × 3.6 cm sized low mixed echo solid mass was noted in left ovary. U, uterus; LO, left ovary; M, mass.

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  Fig. 2 Laparoscopic findings of left ovarian mass and subserosal myoma. After excision of ovarian mass, normal ovarian tissue was remained.

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  Fig. 3 Miscroscopic finding of the laparoscopically obtained ovarian tumor. (A) It was solid with whorling bundles of smooth muscle cells. The outer capsule of the mass is thin and the surrounding normal ovarian tissue was not included in the specimen (H&E, ×40). (B) Intertwining fascicles of benign smooth muscle cells with spindle-shaped, bland nuclei and slender eosinophilic cytoplasms are noted (H&E, ×200). (C) The tumor cells are strongly positive to desmin (desmin, ×200).

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