
PARASITIC MYOMA AS AN ADNEXAL MASS: UNEXPECTED FINDING AFTER VAGINAL HYSTERECTOMY
Author(s) -
Ratko Delić,
Vladimir Weber
Publication year - 2016
Publication title -
acta clinica croatica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.274
H-Index - 20
eISSN - 1333-9451
pISSN - 0353-9466
DOI - 10.20471/acc.2016.55.02.16
Subject(s) - adnexal mass , medicine , myoma , asymptomatic , histopathology , hysterectomy , cuff , leiomyoma , surgery , radiology , gynecology , uterus , pathology
A rare case of parasitic myoma mimicking an adnexal mass in a previously hysterectomized, postmenopausal woman is presented. Two years after vaginal hysterectomy (due to myomas), an asymptomatic right adnexal tumor was noted during regular annual follow up. Ultrasound demonstrated a large 4-5 cm solid mass in the right adnexa, while ovarian cancer biomarkers (CA 125 and HE4) were negative. Intraoperatively, another 3 cm large solid tumor located above the vaginal cuff was discovered. Both pelvic tumors were excised by laparoscopic surgery. The masses were confirmed by histopathology to be leiomyomas.