Massive cotyledenoid leiomyoma treated with uterine-conserving surgery

Reproductive Surgery

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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.


Case report.


Medical center.


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.

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. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.