Massive cotyledenoid leiomyoma treated with uterine-conserving surgery
William H. Parker, M.D.,
Roderick Turner, M.D.,
Stanford Schwimer, M.D.,
Lee Foshag, M.D.
Affiliations
William H. Parker, M.D.
Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Diego, School of Medicine, San Diego, California; Correspondence: William H Parker, M.D., 12991 Longboat Way, Del Mar, CA 92014.
Roderick Turner, M.D.
Saint John's Health Center, Santa Monica, California (retired)
Stanford Schwimer, M.D.
LSG Radiology, Santa Monica, California
Lee Foshag, M.D.
Department of Surgical Oncology, John Wayne Cancer Institute, Saint John’s Health Center, Santa Monica, California
Objective: To describe and illustrate a massive cotyledenoid leiomyoma treated with uterine-conserving surgery. Design: Case report. Setting: Medical center. Patient(s): A 39-year-old woman with a large abdominal mass and a magnetic resonance imaging scan showing a 28-cm multi-lobulated mass. Intervention(s): Laparotomy and myomectomy. Main Outcome Measure(s): Recurrence and need for repeat surgery. Result(s): No recurrence at 8 years of follow-up. Conclusion(s): Cotyledonoid leiomyomas are rare. These benign tumors may be suspected preoperatively based on MRI appearance. Frozen section suggests a benign process and uterine-conserving surgery may be successfully accomplished.
