Bilateral giant primary ovarian leiomyomas. A case report

The majority of ovarian leiomyomas are found incidentally during pathologic review of ovaries removed for other reasons. A 21-year-old woman, a virgin whose only symptom was abdominal discomfort of several months' duration, was found to have a large abdominopelvic mass, an elevated CA-125 level and ascites. Surgical exploration revealed the presence of large, bilateral ovarian neoplasms with a normal-appearing uterus. Since no normal ovarian tissue was identifiable, a bilateral oophorectomy and right salpingectomy were performed, preserving the uterus for assisted reproductive techniques. Histopathologic review confirmed benign giant primary ovarian leiomyomas with only microscopic foci of intermixed normal ovarian tissue.