Massive cotyledenoid leiomyoma treated with uterine-conserving surgery

Reproductive Surgery

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VOLUME 1, ISSUE 3, P314-316, DECEMBER 01, 2020

Authors:

William H. Parker, M.D., Roderick Turner, M.D., Stanford Schwimer, M.D., Lee Foshag, M.D.

Abstract:

Objective

To describe and illustrate a massive cotyledenoid leiomyoma treated with uterine-conserving surgery.


Design

Case report.


Setting

Medical center.


Patient(s)

A 39-year-old woman with a large abdominal mass and a magnetic resonance imaging scan showing a 28-cm multi-lobulated mass.


Intervention(s)

Laparotomy and myomectomy.


Main Outcome Measure(s)

Recurrence and need for repeat surgery.


Result(s)

No recurrence at 8 years of follow-up.


Conclusion(s)

Cotyledonoid leiomyomas are rare. These benign tumors may be suspected preoperatively based on MRI appearance. Frozen section suggests a benign process and uterine-conserving surgery may be successfully accomplished.

Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders.