Rare concomitant myxoid and cystic degeneration of uterine leiomyoma: Case report
The uterine leiomyomas are monoclonal tumours of myometrial smooth muscle cells that are oestrogen dependent. A 43-year-old patient was referred by her gynaecologist under a suspected diagnosis of ovarian tumour. She complained of prolonged and profuse, regular menstrual bleeding that leaded to anae...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine
2021-01-01
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| Series: | Scripta Medica |
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| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2021/2490-33292103235S.pdf |
| _version_ | 1818983364722425856 |
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| author | Samardjiski Igor Petrushevska Gordana Simeonova-Krstevska Slagjana Paneva Iva Livrinova Vesna Todorovska Irena Pejkovska-Ilieva Maja Dimitrovski Sasho Nikoloska Katerina |
| author_facet | Samardjiski Igor Petrushevska Gordana Simeonova-Krstevska Slagjana Paneva Iva Livrinova Vesna Todorovska Irena Pejkovska-Ilieva Maja Dimitrovski Sasho Nikoloska Katerina |
| author_sort | Samardjiski Igor |
| collection | DOAJ |
| description | The uterine leiomyomas are monoclonal tumours of myometrial smooth muscle cells that are oestrogen dependent. A 43-year-old patient was referred by her gynaecologist under a suspected diagnosis of ovarian tumour. She complained of prolonged and profuse, regular menstrual bleeding that leaded to anaemia. The ultrasound examination showed a complex tumour mass with dimensions 68 x 85 mm, with several cystic formations fulfilled with clear fluid, which protrudes from the posterior wall of the uterus. Therefore, the diagnosis of leiomyoma with a cystic degeneration was considered preoperatively. In the case of cystic degeneration of the myoma, the ultrasound shows a combination of cystic and solid components with irregular shape and variable echogenicity. The ovarian malignancy should be ruled out in the presence of a large cystic mass with irregular septa and solid nodular parts filling the small pelvis. Ultrasound characteristics of degenerative myomas should always be considered, so as not to replace it with an ovarian mass, especially if it is subserosal and on the loop. |
| first_indexed | 2024-12-20T18:01:56Z |
| format | Article |
| id | doaj.art-dd50ebaa190d4bd0a505af5d436c59ad |
| institution | Directory Open Access Journal |
| issn | 2490-3329 2303-7954 |
| language | English |
| last_indexed | 2024-12-20T18:01:56Z |
| publishDate | 2021-01-01 |
| publisher | Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine |
| record_format | Article |
| series | Scripta Medica |
| spelling | doaj.art-dd50ebaa190d4bd0a505af5d436c59ad2022-12-21T19:30:37ZengMedical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of MedicineScripta Medica2490-33292303-79542021-01-0152323523810.5937/scriptamed52-314482490-33292103235SRare concomitant myxoid and cystic degeneration of uterine leiomyoma: Case reportSamardjiski Igor0Petrushevska Gordana1Simeonova-Krstevska Slagjana2Paneva Iva3Livrinova Vesna4Todorovska Irena5Pejkovska-Ilieva Maja6Dimitrovski Sasho7Nikoloska Katerina8University Clinic of Obstetrics and Gynaecology, Skopje, North MacedoniaInstitute of Pathological Anatomy, Skopje, North MacedoniaUniversity Clinic of Obstetrics and Gynaecology, Skopje, North MacedoniaUniversity Clinic of Obstetrics and Gynaecology, Skopje, North MacedoniaUniversity Clinic of Obstetrics and Gynaecology, Skopje, North MacedoniaUniversity Clinic of Obstetrics and Gynaecology, Skopje, North MacedoniaUniversity Clinic of Obstetrics and Gynaecology, Skopje, North MacedoniaUniversity Clinic of Obstetrics and Gynaecology, Skopje, North MacedoniaUniversity Clinic of Obstetrics and Gynaecology, Skopje, North MacedoniaThe uterine leiomyomas are monoclonal tumours of myometrial smooth muscle cells that are oestrogen dependent. A 43-year-old patient was referred by her gynaecologist under a suspected diagnosis of ovarian tumour. She complained of prolonged and profuse, regular menstrual bleeding that leaded to anaemia. The ultrasound examination showed a complex tumour mass with dimensions 68 x 85 mm, with several cystic formations fulfilled with clear fluid, which protrudes from the posterior wall of the uterus. Therefore, the diagnosis of leiomyoma with a cystic degeneration was considered preoperatively. In the case of cystic degeneration of the myoma, the ultrasound shows a combination of cystic and solid components with irregular shape and variable echogenicity. The ovarian malignancy should be ruled out in the presence of a large cystic mass with irregular septa and solid nodular parts filling the small pelvis. Ultrasound characteristics of degenerative myomas should always be considered, so as not to replace it with an ovarian mass, especially if it is subserosal and on the loop.https://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2021/2490-33292103235S.pdfleiomyomamyxoid degenerationcystic degenerationovarian tumourdifferential diagnosis |
| spellingShingle | Samardjiski Igor Petrushevska Gordana Simeonova-Krstevska Slagjana Paneva Iva Livrinova Vesna Todorovska Irena Pejkovska-Ilieva Maja Dimitrovski Sasho Nikoloska Katerina Rare concomitant myxoid and cystic degeneration of uterine leiomyoma: Case report Scripta Medica leiomyoma myxoid degeneration cystic degeneration ovarian tumour differential diagnosis |
| title | Rare concomitant myxoid and cystic degeneration of uterine leiomyoma: Case report |
| title_full | Rare concomitant myxoid and cystic degeneration of uterine leiomyoma: Case report |
| title_fullStr | Rare concomitant myxoid and cystic degeneration of uterine leiomyoma: Case report |
| title_full_unstemmed | Rare concomitant myxoid and cystic degeneration of uterine leiomyoma: Case report |
| title_short | Rare concomitant myxoid and cystic degeneration of uterine leiomyoma: Case report |
| title_sort | rare concomitant myxoid and cystic degeneration of uterine leiomyoma case report |
| topic | leiomyoma myxoid degeneration cystic degeneration ovarian tumour differential diagnosis |
| url | https://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2021/2490-33292103235S.pdf |
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