Open AccessSymptomatic primary ovarian leiomyoma in a postmenopausal woman: A rare entity
Author(s) -
Mukta Meel,
Deepika Hemrajani,
Mukesh Kumar,
Bhawna Agnani
Publication year - 2020
Publication title -
journal of mid-life health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.423
H-Index - 11
eISSN - 0976-7819
pISSN - 0976-7800
DOI - 10.4103/jmh.jmh_105_19
Subject(s) - pathognomonic , leiomyoma , medicine , differential diagnosis , smooth muscle tumor , pathology , uterine leiomyoma , uterus , ovarian tumor , ovary , smooth muscle , ovarian cancer , disease , cancer
Leiomyomas are benign mesenchymal neoplasms mostly seen in the uterus and are one of the most common pelvic masses seen in women, but primary ovarian leiomyomas are rare among all the benign ovarian tumors, which account only for 0.5%-1%. The definitive diagnosis of such lesions is difficult prior to surgical excision, as there are no pathognomonic symptoms or characteristic imaging findings. Here, we report a case of primary ovarian leiomyoma with brief review of literature, highlighting the differential diagnosis of ovarian spindle cell lesions. The correct diagnosis of an ovarian leiomyoma requires identification of the nature of tumor as smooth muscle. An immunohistochemistry marker analysis is recommended for definitive diagnosis.