Vascular leiomyoma of the uterus
Updates to Study Attributes
A large, well-defined, lobulated, heterogeneously enhancing mass lesion of size ~measuring approximately 32.8 x 28.5 x 17.4 cm is present in the lower abdomen and pelvis, extending up to the epigastric region. The lesion has both enhancing solid and non-enhancing cystic components, with marked internal vascularity in the solid component. Anteriorly, the lesion is causing anterior displacement of the uterus with an ill-defined fat plane withfrom the posterior wall of the uterus.No evidence of calcification or fat component was seen within the lesion. BilateralThe bilateral ureters are displaced laterally by the above mass lesion, with mild mass effect upon it with resultantresulting in mild to moderate proximal hydroureteronephrosis on both sides. The above mass lesion engulfs the right distal ureter. Both ovaries could not be delineated from the above mass lesion. No ascites. No or locoregional lymphadenopathy was seen.
FindingsThe findings are suggestive of a large solid-cystic abdominopelvic mass. ?Ovarian origin ??Uterine origin Possible origins include ovarian or uterine.
Updates to Case Attributes
The patient was operated on, and the histopathological report of the radical specimen wasidentified it as the vascular subtype of leiomyoma.
Co-author: Dr. Shweta Rai (Senior(senior consultant gynaecologist).
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