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Published on: January 17, 2019
Massive cotyledenoid leiomyoma treated with uterine-conserving surgery
William H Parker1, Roderick Turner2, Stanford Schwimer3
1Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Diego, School of Medicine, San Diego, California.
Objective:
To describe and illustrate a massive cotyledenoid leiomyoma treated with uterine-conserving surgery.
Design:
Case report.
Setting:
Medical center.
Patients:
A 39-year-old woman with a large abdominal mass and a magnetic resonance imaging scan showing a 28-cm multi-lobulated mass.
Interventions:
Laparotomy and myomectomy.
Main Outcome Measures:
Recurrence and need for repeat surgery.
Results:
No recurrence at 8 years of follow-up.
Conclusions:
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.
