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...

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Autores principales: Samardjiski Igor, Petrushevska Gordana, Simeonova-Krstevska Slagjana, Paneva Iva, Livrinova Vesna, Todorovska Irena, Pejkovska-Ilieva Maja, Dimitrovski Sasho, Nikoloska Katerina
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Publicado: Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine 2021
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Acceso en línea:https://doaj.org/article/dd50ebaa190d4bd0a505af5d436c59ad
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spelling oai:doaj.org-article:dd50ebaa190d4bd0a505af5d436c59ad2021-12-05T21:31:54ZRare concomitant myxoid and cystic degeneration of uterine leiomyoma: Case report2490-33292303-795410.5937/scriptamed52-31448https://doaj.org/article/dd50ebaa190d4bd0a505af5d436c59ad2021-01-01T00:00:00Zhttps://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2021/2490-33292103235S.pdfhttps://doaj.org/toc/2490-3329https://doaj.org/toc/2303-7954The 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.Samardjiski IgorPetrushevska GordanaSimeonova-Krstevska SlagjanaPaneva IvaLivrinova VesnaTodorovska IrenaPejkovska-Ilieva MajaDimitrovski SashoNikoloska KaterinaMedical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicinearticleleiomyomamyxoid degenerationcystic degenerationovarian tumourdifferential diagnosisMedicineRENSRScripta Medica, Vol 52, Iss 3, Pp 235-238 (2021)
institution DOAJ
collection DOAJ
language EN
SR
topic leiomyoma
myxoid degeneration
cystic degeneration
ovarian tumour
differential diagnosis
Medicine
R
spellingShingle leiomyoma
myxoid degeneration
cystic degeneration
ovarian tumour
differential diagnosis
Medicine
R
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
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.
format article
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
title 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_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_sort rare concomitant myxoid and cystic degeneration of uterine leiomyoma: case report
publisher Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine
publishDate 2021
url https://doaj.org/article/dd50ebaa190d4bd0a505af5d436c59ad
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