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Extra-Uterine Leiomyoma Presenting After Hysterectomy
1Surgery, University Hospitals of North Midlands, Newcastle-under-Lyme, GBR.
Cureus
|April 25, 2022
Summary
This study reports a rare case of a perineal leiomyoma in a post-hysterectomy patient. It emphasizes considering extra-uterine leiomyomas in pelvic mass diagnoses.
Area of Science:
- Gynecologic Oncology
- Pathology
- Surgical Case Reports
Background:
- Leiomyomas are common benign tumors in women over 35, typically found in the uterus.
- Extra-uterine leiomyomas, though rare, can occur in locations such as the broad ligament, cervix, and vagina.
Observation:
- A rare case of an extra-uterine leiomyoma was identified in the perineum of a 59-year-old female.
- The patient had a history of hysterectomy, making the location highly unusual.
Findings:
- The perineal mass was diagnosed as a leiomyoma, a rare extra-uterine presentation.
- This case underscores the diverse anatomical possibilities for leiomyoma development.
Implications:
- Extra-uterine leiomyomas should be included in the differential diagnosis for pelvic masses, especially in patients with a history of hysterectomy.
- Awareness of rare leiomyoma locations can improve diagnostic accuracy and patient management.

