VOLUME 1, ISSUE 3, P314-316, DECEMBER 01, 2020
William H. Parker, M.D., Roderick Turner, M.D., Stanford Schwimer, M.D., Lee Foshag, M.D.
To describe and illustrate a massive cotyledenoid leiomyoma treated with uterine-conserving surgery.
A 39-year-old woman with a large abdominal mass and a magnetic resonance imaging scan showing a 28-cm multi-lobulated mass.
Laparotomy and myomectomy.
Main Outcome Measure(s)
Recurrence and need for repeat surgery.
No recurrence at 8 years of follow-up.
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.