Abnormal Contour Huge Uterine Fibroids

Uterine fibroids represent the most common large solid benign tumor of the female genital tract. This 35 years old lady, mother of one child represented to our clinic with a history of progressive abdominal swelling that had rapidly increased in the last two years. There were associated abdominal pain, easy fatigability, heavy menstrual loss and prolong secondary subfertility of about ten years. On examination abdomen was enlarged and the mass measuring about 25cm from xiphisternum, firm, irregular and fairly mobile. Pelvic ultrasound scan revealed features of huge multiple uterine fibroids and the size of the largest one was about 20x25cm,moderate bilateral hydro-nephrosis. Intraoperative findings were moderate pelvic adhesions, huge multiple fibroids and the largest measuring about 18x20cm. Total abdominal hysterectomy with preservation of both ovaries were done. Histopathological report confirmed benign leiomyoma with no evidence of malignancy.Medicine Today 2015 Vol.27(2): 49-50

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Torsion of intestinal parasitic myoma after laparoscopic morcellation: a case report

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa032 ◽

2020 ◽

Vol 2020 (3) ◽

Author(s):

Sofoudis Chrisostomos ◽

Trouvas Dimitrios ◽

Zioris Konstantinos

Keyword(s):

Case Report ◽

Clinical Significance ◽

Broad Spectrum ◽

Genital Tract ◽

Benign Tumor ◽

Female Genital Tract ◽

Uterine Fibroids ◽

Common Type ◽

Rare Entity ◽

Female Genital

Abstract Uterine fibroids represent the most common type of benign tumor of female genital tract with rate of incidence between 20% and 30% in women older than 35 years. According to current bibliography, the percentage is still increasing due to the fact that many women are postponing their reproductive mapping. Laparoscopic morcellation of uterine fibroids and uterus specimen after hysterectomies has great clinical significance, concerning dissemination and implantation of uterine fragments inside the peritoneal cavity. Parasitic myomas reveal a rare entity, reflecting a broad spectrum of pathogenesis. In cases of parasitic uterine fibroids surgical dissection is mandatory to avoid signs of malignancy.

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Uterus-sparing myomectomy for idiopathic uterine pyomyoma in a young woman: A case report

Aegean Journal of Obstetrics and Gynecology ◽

10.46328/aejog.v2i2.43 ◽

2020 ◽

Vol 2 (2) ◽

pp. 19-22

Author(s):

Ugur Sen ◽

Tuğba Karadeniz ◽

Emrah Beyan

Keyword(s):

Risk Factor ◽

Uterine Fibroids ◽

Total Abdominal Hysterectomy ◽

Abdominal Hysterectomy ◽

Proper Treatment ◽

Imaging Findings ◽

Cervical Stenosis ◽

Mortality And Morbidity ◽

Risk Of Mortality ◽

History Of

Pyomyoma, or suppurative leiomyoma, is a rare but serious complication of uterine fibroids. The mechanism of pyomyoma is an infection caused by microorganisms coming from ascending or hematogenously on the ground of necrosis following ischemia and infarction. It can be seen during the course of pregnancy or after abortion and birth. It can also develop after uterine instrumentation or due to cervical stenosis. Patients often present with pain and fever. It should be considered in cases had no other etiology of fever and had a history of uterine fibroids. Diagnosis and treatment are often delayed due to non-specific presentation and imaging findings. This delay increases the risk of mortality and morbidity such as fertility loss. In the vast majority of these cases, total abdominal hysterectomy is required. The case we presented is a premenopausal and sexually inactive woman without any history of pregnancy or uterine instrumentation or immunocompromised. This patient is the 5th case of pyomyoma without risk factor and the 3rd case that was successfully treated with myomectomy. Knowing the proper treatment of pyomyoma will be beneficial to prevent potential mortality and morbidity.

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Primary Fallopian Tube Carcinoma (PFTC), A Rare Malignancy of Female Genital Tract

Journal of Bangladesh College of Physicians and Surgeons ◽

10.3329/jbcps.v38i1.44689 ◽

2019 ◽

Vol 38 (1) ◽

pp. 49-52

Author(s):

Farhana Binte Rashid ◽

Mohammad Abul Kalam Azad

Keyword(s):

Fallopian Tube ◽

Genital Tract ◽

Frozen Section ◽

Correct Diagnosis ◽

Female Genital Tract ◽

Total Abdominal Hysterectomy ◽

Ultrasound Finding ◽

Fallopian Tube Carcinoma ◽

Primary Fallopian Tube Carcinoma ◽

Female Genital

Background: Primary fallopian tube carcinoma (PFTC) is one of the rarest malignancies of female genital tract. It represents <1% of all gynecologic malignancies. Preoperative diagnosis is uncommon due to its rarity and non-specific symptoms. In most cases diagnosis is made during surgery or histological examination. Rarity of this type of carcinoma prompted us to report it as individual case. Case: A 40-yearold parous women presented with bilateral PFTC. The patient gave a history of lower abdominal and pelvic pain for 2 years on several occasions. An abdominal ultrasound finding showed an adnexal mass and her CA125 level was 30IU/ml (normal- <35IU/ml). Clinically she was suspected as a case of pelvic inflammatory disease (PID). She underwent Total Abdominal Hysterectomy with bilateral salpingoophorectomy. Intraoperative findings were consistent with PID. Final pathologic analysis showed bilateral primary fallopian tube carcinoma —well differentiated serous adenocarcinoma. Post operatively she was referred for oncological management. Conclusion: Malignancy should be considered in the differential diagnosis of PID especially in premenopausal age and intraoperative frozen section biopsy is crucial to make correct diagnosis and to allow appropriate surgical staging. J Bangladesh Coll Phys Surg 2020; 38(1): 49-52

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CHRONIC UTERINE INVERSION ASSOCIATED WITH FIBROID - A CASE REPORT

SRMS Journal of Medical Science ◽

10.21761/jms.v1i2.7358 ◽

2016 ◽

Vol 1 (2) ◽

Author(s):

J. K. Goel ◽

Shanti Sah ◽

Shashi Bala Arya ◽

Ruchica Goel ◽

Nandini Agarwal

Keyword(s):

Case Report ◽

Coming Out ◽

Uterine Prolapse ◽

Uterine Fibroids ◽

Total Abdominal Hysterectomy ◽

Abdominal Hysterectomy ◽

Lower Abdomen ◽

Uterine Inversion ◽

History Of ◽

Fibroid Polyp

Introduction: Uterine inversion is a condition in which the uterus turns inside out with prolapse of fundus through the cervix into or outside vagina. Chronic inversion cases are rare. We present a rare case of chronic uterine inversion associated with uterine fibroids. Case Report: A 42 year old female, P3 L3 , was admitted with complains of menorrhagia and pain 3 3 lower abdomen for 1 month. Speculum examination revealed a fleshy polyp filling whole of vagina. Upon per vaginal examination size of mass could not be assessed and cervical lips could not be felt. So, a provisional diagnosis of fibroid polyp was made. Per-operatively inversion of tube and ovaries along with a sessile submucosal fundal fibroid polyp of size 10 x 8 cm was found. A revised diagnosis of chronic uterine inversion with sessile fibroid polyp was made. Patient then underwent Total Abdominal Hysterectomy with bilateral Salpingooophrectomy. Conclusion: Chronic inversion should be kept as a differential diagnosis in a patient with history of irregular bleeding associated with dragging pain of lower abdomen and feeling of a mass coming out of introitus. Pre operatively it should be differentiated from fibroid polyp, uterine prolapse and prolapsed hypertrophied ulcerated cervix.

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A Case of Giant Fibroid Uterus

Bangladesh Journal of Obstetrics & Gynaecology ◽

10.3329/bjog.v27i1.29911 ◽

2016 ◽

Vol 27 (1) ◽

pp. 27-30

Author(s):

Irin Parveen Alam ◽

Rafat Newaz

Keyword(s):

Uterine Leiomyoma ◽

Uterine Fibroids ◽

Total Abdominal Hysterectomy ◽

Muscle Layer ◽

Abdominal Hysterectomy ◽

Severe Anaemia ◽

History Of ◽

High Frequency Ultrasonography ◽

Benign Tumours ◽

One Year

Fibroids are muscular tumours, the most common benign tumours in females and typically found during the middle and later reproductive years. It originate from the smooth muscle layer of the uterus. Another medical term is leiomyoma or just myoma. It can be as small as an apple seed or as big as a melon. In unusual cases they can become very large. With the advent of high frequency ultrasonography and magnetic resonance imaging it is now possible to diagnose such cases at an early stage1. Asymptomatic uterine fibroids often left untreated. Giant fibroids are the fibroids weighing 11.4kg2,3 or more. Such a fibroid may appear as a solitary tumor or as a conglomerate mass of uterine fibroids presenting as a single uterine tumor4. Giant uterine fibroid are very rare neoplasm and represents a great diagnosis and therapeutic challange. This article illustrates a case of 34 years old woman presented with a four year history of slowly increasing abdominal size with rapid increase in the last one year associated with shortness of breath and severe anaemia by a painless lump. Total abdominal hysterectomy was performed; histologically the specimen was 9.5 kg benign uterine leiomyoma. The patients postoperative evaluation was uneventful and she went back abroad in two months time following operation.Bangladesh J Obstet Gynaecol, 2012; Vol. 27(1) : 27-30

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Degenerated fibroid - a diagnostic challenge

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20164677 ◽

2016 ◽

Vol 6 (1) ◽

pp. 292

Author(s):

Sonal Bhuyar ◽

Bhavana Sontakke ◽

Pooja Mukund Rajbhara

Keyword(s):

Ovarian Tumor ◽

Unusual Case ◽

Uterine Fibroids ◽

Total Abdominal Hysterectomy ◽

Large Mass ◽

Abdominal Hysterectomy ◽

Diagnostic Challenge ◽

Malignant Ovarian Tumor ◽

History Of ◽

Leiomyoma Of The Uterus

Leiomyoma of the uterus is the most common type of tumor affecting the female pelvis and arises from uterine smooth muscle. The size of leiomyoma varies from microscopic to giant; giant myoma is exceedingly rare. We report an unusual case of a large, cystic, uterine leiomyoma mimicking a primary malignant ovarian tumor on sonography and CT. A 39 year old infertile nulliparous woman presented with a history of lump in abdomen since 2 years and 6 months of amenorrhea. Sonography and CT examination showed a large mass that filled the abdomen. A preoperative diagnosis of a primary malignant ovarian tumor was made. The patient underwent laparotomy with total abdominal hysterectomy preserving tubes and ovaries. The histology revealed a leiomyoma with extensive hyaline degeneration. The current established management of uterine fibroids may include expectant, surgical, or medical management or uterine artery embolization or a combination of these treatments. A surgical approach is preferred for management of giant leiomyomas. Leiomyomas should be considered in the differential diagnosis of a multilocular and predominantly cystic adnexal mass.

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Abdominal skin metastasis in endometrial cancer

Majalah Obstetri & Ginekologi ◽

10.20473/mog.v27i22019.84-89 ◽

2019 ◽

Vol 27 (2) ◽

pp. 84

Author(s):

Eccita Rahestyningtyas ◽

Pungky Mulawardhana ◽

Tomy Lesmana

Keyword(s):

Endometrial Cancer ◽

Uterine Fibroids ◽

Total Abdominal Hysterectomy ◽

Abdominal Hysterectomy ◽

Low Grade ◽

Endometrioid Adenocarcinoma ◽

Comprehensive Management ◽

High Risk Factors ◽

History Of ◽

Anatomical Pathology

Objectives: Surgical wound metastases in stage 1 endometrial cancer are possible, with a variety of different pathophysiological possibilities. Comprehensive management is needed to keep the patient on the possibility of a good prognosis.Cases Report: During January 2015 – January 2018 at dr. Soetomo Hospital, there were 2 cases of metastatic endometrial cancer in the laparotomy wounds by which the condition is very rare. Case 1, The patient was diagnosed with endometrial carcinoma following the results of curettage. Anatomical pathology examination was done and obtained grade 2 endometrioid adenocarcinoma. In Case 2, the patient underwent Total Abdominal Hysterectomy and Bilateral Salpingo-Oophorectomy in 2013 at Mojokerto General Hospital, indicating Uterine Fibroids and Ovarian Cysts. The results of anatomical pathology examination were unknown. On April 2017, the patient complained abdominal swelling since 3 months ago.Conclusion: In January 2015 - January 2018, 2 cases of metastatic endometrial cancer was found in a former laparotomy operation where this condition is very rare in endometrial cancer cases with low grade ,so that follow-up, monitoring and more vigilance are required in patients with low-grade endometrial Ca who have finished undergoing a surgery and chemotherapy. Rapture or mass resection, followed by external radiation, may be performed in patients with recurrence in the laparotomy wound area or in patients with high risk factors for endometrial cancer such as a history of estrogen use, tamoxifen, nullipara, obesity, diabetes mellitus, and family history of endometrial cancer. Currently, there is no fixed procedure (guideline) in RS. Dr. Soetomo to overcome recurrences especially in the scars of cancer surgery.

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Cervical superficial myofibroblastoma: Case report and review of the literature

SAGE Open Medical Case Reports ◽

10.1177/2050313x17726936 ◽

2017 ◽

Vol 5 ◽

pp. 2050313X1772693

Author(s):

Mohamed Abdelaziz ◽

Noura Eziba ◽

Suash Sharma ◽

Daniel Kleven ◽

Ayman Al-Hendy

Keyword(s):

Genital Tract ◽

Histopathological Examination ◽

Smooth Muscle Actin ◽

Female Genital Tract ◽

Uterine Fibroids ◽

Review Of The Literature ◽

Cervical Mass ◽

Submucosal Mass ◽

Mass Lesions ◽

Female Genital

Superficial myofibroblastoma of the lower female genital tract is a rare benign, recently recognized neoplasm that mostly affects the vulvovaginal area. Our report discusses a case of cervical superficial myofibroblastoma of the lower female genital tract in a 45-year-old patient who is presented with menometrorrhagia. On examination, she had multiple uterine fibroids and a circumscribed submucosal mass lesion involving the anterior lip of cervix. At hysterectomy, histopathological examination of the cervical mass revealed a relatively hypocellular tumor consisted of bland spindled and stellate cells. An immunohistochemistry evaluation revealed reactivity for CD34, desmin, and smooth muscle actin. This neoplasm should be included in the differential diagnosis of cervical mass lesions. This tumor also needs to be differentiated from other mesenchymal lesions of lower female genital tract.

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