Large uterine leiomyoma

Case contributed by Dr Saeed Soltany Hosn

Presentation

A 40-year old female presented with abdominal discomfort and lump in hypogastric region.

Patient Data

Age: 40 years
Gender: Female
CT

Abdomen and pelvis

see below

MRI

see below

Pathology

The specimen consists of a huge mass with very firm consistency, creamy-white color in the cut surface in association with whorled pattern measuring 35x20x25cm.

Image courtesy of Dr Dastranj- Professor, Department of pathology at Tabriz University of Medical Science

Pathology

Multiple standard H&E stained slides revealed a smooth muscle fibers proliferation in fascicular and whorled pattern.
No nuclear atypia, no coagulative tumor cell necrosis and no increased mitotic rate were found(100x). Benign smooth muscle proliferation with spindle-shaped nuclei.No pleomorphism was seen.(40x)

Image courtesy of Dr Dastranj- Professor, Department of pathology at Tabriz University of Medical Science

Case Discussion

Pathology proven leiomyoma case from Dr Mohammad Hosein Daghighi- Professor, Department of radiology at Tabriz University of Medical Science

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Case information

rID: 20686
Published: 7th Dec 2012
Last edited: 5th Nov 2019
System: Gynaecology
Inclusion in quiz mode: Included

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