A Perplexing Case of Cellular Leiomyoma with Excessive Myxoid Degeneration

Abstract

Uterine leiomyomas are the most common benign lesions of the uterus. This tumour can vary in size, location, presentation and degenerations. In most cases, they are easy to diagnose clinically with help of imaging. We present a case of a fibroid with excessive myxoid degeneration where the preoperative diagnosis was haemangio/angiosarcoma. Whereas, cellular leiomyomas are a variant of leiomyoma with increased cellular component, myxoid degeneration in leiomyoma is uncommon and has to be differentiated from leiomyosarcoma. Histopathology and immunohistochemical analysis is confirmatory in arriving at this diagnosis.

Keywords

• fibroid
• sarcoma
• uterine masses