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Primary ovarian leiomyoma with calcification: A case report
Dajiang Lu1, Hua Chen1, Chengfang Yang2
1Department of Gynecology, the People's Hospital of Qiannan, Duyun, Guizhou, P.R. China.
Medicine
|July 26, 2024
Summary
Primary ovarian leiomyoma is rare and difficult to diagnose preoperatively. Microscopic examination is crucial for distinguishing it from other ovarian tumors, guiding personalized treatment based on patient factors.
Area of Science:
- Gynecologic Oncology
- Pathology
- Surgical Oncology
Background:
- Primary ovarian leiomyoma is a rare benign neoplasm with unclear origins and pathogenesis.
- Preoperative diagnosis is challenging, often leading to misdiagnosis compared to other ovarian masses.
- Distinguishing ovarian leiomyoma from fibroma and other stromal tumors requires careful evaluation.
Observation:
- A 34-year-old female presented with a year-long history of a pelvic mass and irregular menstruation.
- Initial ultrasound suggested an ovarian teratoma, but postoperative pathology revealed ovarian leiomyoma with calcification.
- The patient underwent successful laparoscopic resection of the ovarian leiomyoma.
Findings:
- Microscopic features are essential for accurate diagnosis and differentiation of ovarian leiomyoma from other ovarian tumors.
- Postoperative follow-up confirmed successful surgical management with no recurrence at five months.
- This case highlights the diagnostic challenges and successful management of a rare ovarian tumor.
Implications:
- Emphasizes the critical role of histopathology in diagnosing primary ovarian leiomyoma.
- Suggests personalized treatment strategies considering patient age and fertility preservation.
- Improves understanding and management of rare ovarian neoplasms.
