GIANT LEIOMYOMA AND ADENOMYOSIS PRESENTED ONLY ABDOMINAL DISCOMFORT AND DISTENSION

CHUNG S.H.¹, KIM T.H.², LEE H.H.³, PARK J.^4
1Department of Obstetrics and Gynecology, Soonchunhyang University College of Medicine, Bucheon, 420-767, Republic of Korea.
²Department of Obstetrics and Gynecology, Soonchunhyang University College of Medicine, Bucheon, 420-767, Republic of Korea.
³Department of Obstetrics and Gynecology, Soonchunhyang University College of Medicine, Bucheon, 420-767, Republic of Korea.
⁴Department of Obstetrics and Gynecology, Soonchunhyang University College of Medicine, Bucheon, 420-767, Republic of Korea.

Received : 06-11-2013     Accepted : 03-12-2013     Published : 30-12-2013
Volume : 1     Issue : 2       Pages : 22 - 23
World Res J Crit Care 1.2 (2013):22-23

Leiomyoma represent the most common benign tumors of the female pelvis. Giant uterine leiomyoma (11.4 Kg or more) are rare neoplasms and differential diagnosis of leiomyosarcoma difficult and represents a great diagnosis and therapeutic challenge. Adenomyosis is defined as growth of endometrial glands and stroma into the myometrium at least one or two low-power fields from the endometrium. We report a case of 45‐year‐old woman who was presented only abdominal discomfort and distension. Physical examination, laboratory evaluation, trans-abdominal ultrasonography and contrast enhanced computed tomography scanning suggested a giant abdomen-pelvic mass. Modified radical hysterectomy was performed. Histologically, the specimen was a 6.2 kg uterine myoma and adenomyosis measuring 39x35x25 cm. The patient’s postoperative evaluation was uneventful and she was discharged seven days after operation.