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Primary ovarian leiomyoma: A case report.
Mine Islimye Taskin1, Emine Ozturk1, Fatma Yildirim2
1Balıkesir University School of Medicine, Department of Obstetrics and Gynecology, Turkey.
International Journal of Surgery Case Reports
|September 8, 2014
Summary
Primary ovarian leiomyoma, a rare ovarian tumor, presents diagnostic challenges. Definitive diagnosis requires identifying the smooth muscle nature of the tumor, often confirmed through immunohistochemistry.
Area of Science:
- Gynecologic Oncology
- Pathology
Background:
- Primary ovarian leiomyoma is a rare benign neoplasm affecting women aged 20-65.
- Diagnosis is often incidental during pelvic or post-surgical examination.
Purpose of the Study:
- To report a case of unilateral ovarian leiomyoma.
- To highlight diagnostic challenges and confirmative methods for ovarian leiomyoma.
Main Methods:
- Case presentation of a unilateral ovarian leiomyoma.
- Diagnostic imaging included transvaginal ultrasonography and MRI.
- Histological examination and immunohistochemical analysis confirmed the diagnosis.
Main Results:
- A right adnexial mass was identified.
- Histopathology confirmed leiomyoma originating from the ovary.
- Immunohistochemistry verified the smooth muscle origin.
Conclusions:
- Ovarian leiomyoma can be asymptomatic or present with pain.
- Pre-operative diagnosis is challenging due to non-specific symptoms and imaging.
- Immunohistochemistry is crucial for definitive diagnosis of ovarian leiomyoma.

