Case Report

Degeneration of a pedunculated leiomyoma mimicking ovarian neoplasm. A case report and review of the literature

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:


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

p.  87-90