Journal List > Korean J Obstet Gynecol > v.55(3) > 1088424

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Kim, Na, Lee, Kim, Seong, and Kim: A case of ovarian leiomyoma treated with laparoscopic mass excision
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(3): 218-223.

Published online: 15 March 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.3.218

A case of ovarian leiomyoma treated with laparoscopic mass excision

Myung Joo Kim, MD1, Eun Duc Na, MD1, Yoon Jung Lee, MD1, Mi-La Kim, MD, PhD1, Seok Ju Seong, MD, PhD1, Ji-Young Kim, MD, PhD2

1Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University College of Medicine, Seoul, Korea.

2Department of Pathology, CHA Gangnam Medical Center, CHA University College of Medicine, Seoul, Korea.

Corresponding author: Mi-La Kim, MD, PhD. Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University College of Medicine, 650-9 Yeoksam-dong, Gangnam-gu, Seoul 135-913, Korea. Tel: +82-2-3468-3673, Fax: +82-2-558-2638, mila76@naver.com

Received 12 December 2011       Accepted 30 January 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Primary ovarian leiomyoma is a rare tumor, accounting for only 0.5%-1% of benign ovarian neoplasms. About 80 cases have been reported in the literature worldwide to date. Most cases are asymptomatic and usually found incidentally in routine gynecologic workup, during surgery, or at autopsy. Ovarian leiomyoma is difficult to be differentiated from other ovarian benign and malignant neoplasms, particularly from large ovarian solid tumors. It is important to consider ovary-preserving surgery as the first treatment modality in patients of reproductive age after excluding the possibility of malignancy, given that 80% of ovarian leiomyomas occur in premenopausal women and the size of the mass is larger in younger patients. Here we report a case of ovarian leiomyoma in a 38-year-old female patient who underwent laparoscopic excision of left ovarian mass and uterine myomectomy.

Keywords: Ovarian leiomyoma, Laparoscopy, Myoma, Ovary

Figures and Tables

Fig. 1
Findings of transvaginal ultrasound. About 4.7 × 3.6 cm sized low mixed echo solid mass was noted in left ovary. U, uterus; LO, left ovary; M, mass.
kjog-55-218-g001
Fig. 2
Laparoscopic findings of left ovarian mass and subserosal myoma. After excision of ovarian mass, normal ovarian tissue was remained.
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Fig. 3
Miscroscopic finding of the laparoscopically obtained ovarian tumor. (A) It was solid with whorling bundles of smooth muscle cells. The outer capsule of the mass is thin and the surrounding normal ovarian tissue was not included in the specimen (H&E, ×40). (B) Intertwining fascicles of benign smooth muscle cells with spindle-shaped, bland nuclei and slender eosinophilic cytoplasms are noted (H&E, ×200). (C) The tumor cells are strongly positive to desmin (desmin, ×200).
kjog-55-218-g003

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