Karagianni Evdokia, Tsolakidis Dimitrios, Bili Eleni, Vavilis Dimitrios, Tarlatzis Basil
1st department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Medical school, Papageorgiou hospital, Thessaloniki, Greece
Correspondence: Karagianni Evdokia, 59 Riga Ferreou Str, Nea Efkarpia, GR – 56429, Thessaloniki, Greece, E – mail: email@example.com
Degeneration of subserous uterine leiomyomas can lead to inaccurate diagnosis of an ovarian mass, mainly in cases with a stalk. We report a case of a pedunculated degenerated leiomyoma in a 31 – year – old woman mimicking ovarian neoplasm according to the preoperative imaging studies, including ultrasound and computing tomography. Surgical removal of the mass and histopathologic examination revealed a pedunculated leiomyoma with myxoid degeneration and coexisting lesions of endometriosis. Differential diagnosis between large, degenerated, atypical tumor – like fibroids and ovarian neoplasms may be a diagnostic challenge.
Keywords: pedunculated uterine leiomyoma, degeneration, ovarian tumor