IMR Press / CEOG / Volume 48 / Issue 3 / DOI: 10.31083/j.ceog.2021.03.2216
Open Access Case Report
A diagnostic dilemma and surgical attention of a giant broad ligament leiomyoma with cystic degeneration: case report
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1 Department of Gynecology, Qingdao Central Hospital, The Second Clinical Hospital of Qingdao University, 266042 Qingdao, China
2 Department of Thoracic Surgery, Qingdao Central Hospital, The Second Clinical Hospital of Qingdao University, 266042 Qingdao, China
3 Department of Pathology, Qingdao Central Hospital, The Second Clinical Hospital of Qingdao University, 266042 Qingdao, China
4 Department of Gynecology, Qingdao Women and Children’s Hospital, Women and Children’s Hospital of Qingdao University, 266011 Qingdao, China
Clin. Exp. Obstet. Gynecol. 2021 , 48(3), 715–718; https://doi.org/10.31083/j.ceog.2021.03.2216
Submitted: 8 July 2020 | Revised: 25 August 2020 | Accepted: 4 September 2020 | Published: 15 June 2021
Abstract

Background: Broad ligament leiomyoma is the most common extrauterine leiomyoma, but with a very low incidence rate. When broad ligament leiomyoma is giant and undergoes degeneration, it poses both clinical evaluation and radiological difficulty in differentiating from an ovarian tumor. Meanwhile the changes of anatomical structure increased the difficulty during surgery. Conclusions: Thus, the diagnosis of a cyst-solid complex adnexal mass with a marginally raised serum level of CA125 might be a broad ligament leiomyoma with degeneration besides a ovary tumor. During surgery of myomectomy, we should be meticulous hemostasis and avoid ureter and bladder injury and other complications.

Keywords
Broad ligament leiomyoma
Degeneration
Diagnosis
Myomectomy
Figures
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