A Case of Cystic Leiomyoma Mimicking an （的囊性平滑肌瘤模仿一个）.pdf

Cystic Leiomyoma Mimicking Ovarian Malignancy—SCA Low CL Chong 371 Case Report A Case of Cystic Leiomyoma Mimicking an Ovarian Malignancy 1 2 SCA Low, MBBS, FRCR , CL Chong, FAMS, MBBS, FRCR Abstract Introduction: We report an unusual case of a large cystic, pedunculated uterine leiomyoma mimicking a primary malignant ovarian tumour on sonography and computed tomography (CT). Clinical Picture: A 56-year-old post-menopausal woman presented with a right pelvi- abdominal mass. Sonography and CT examination showed a large extrauterine mass arising from the right adnexa and extending into the abdomen. The mass was predominantly cystic with a solid component at the periphery. A preoperative diagnosis of a primary malignant ovarian tumour was made. Treatment: The patient underwent laparotomy. The large mass was found to arise from the uterine fundus; the ovary was not involved. The mass was resected, followed by total hysterectomy and bilateral salpingo-oophorectomy. Histology was that of a leiomyoma with extensive cystic degeneration. Outcome: The patient made an uneventful recovery. Conclusion: A pedunculated, subserosal uterine leiomyoma with extensive cystic degeneration can mimic an ovarian tumour on imaging and should be considered in the differential diagnosis of an adnexal mass. Ann Acad Med Singapore 2004;33:371-4 Key words: Computed tomography, Ovarian tumour, Sonography, Uterine leiomyoma Introduction mass, measuring approximate