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Multinodular Hydropic Leiomyoma in a 41-Year-Old Patient: A Case Report
Diana Xie Freire1,2, Alissia Blumer3, Teresa Teixeira da Silva1
1Department of Gynecology and Obstetrics, Luzerner Kantonsspital, 6210 Sursee, Switzerland.
Journal of Clinical Medicine
|November 13, 2025
Summary
A rare hydropic leiomyoma (HLM) presented as a large pelvic mass, mimicking malignancy. Surgical removal confirmed a benign smooth muscle tumor with both intra- and extrauterine growth.
Area of Science:
- Gynecologic Oncology
- Pathology
- Surgical Oncology
Background:
- Uterine leiomyomas are common benign tumors, but atypical subtypes can be challenging to diagnose.
- Hydropic leiomyoma (HLM) is a rare subtype that can present diagnostic difficulties, potentially mimicking malignant neoplasms.
- Accurate diagnosis is crucial for appropriate management and to avoid unnecessary aggressive treatments.
