Primary Ovarian Leiomyoma in A Premenopausal Woman: A Case Report

Mehri Sakhdari; Asieh Maleki

doi:10.18502/crcp.v8i5.15265

Mehri Sakhdari Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Asieh Maleki Supporting the Family and the Youth of Population Research Core, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

DOI: https://doi.org/10.18502/crcp.v8i5.15265

Keywords: Ovarian leiomyoma; Uterine fibroids; Pathology

Abstract

Primary ovarian leiomyoma is a rare benign ovarian tumor that occurs in women between the ages of 20 and 65. This tumor is usually diagnosed incidentally through pelvic examination or histopathological study after surgery. A definitive preoperative diagnosis is difficult due to the lack of pathognomonic signs or specific imaging features. Therefore, histopathological examination and immunohistochemical analysis are considered necessary. The authors report a case of a 49-year-old woman with ovarian leiomyoma who had a history of heavy vaginal bleeding. She underwent laparotomy with a preoperative diagnosis of uterine fibroids.

GnRH agonist (Gonadotropin-releasing hormone agonist); TSH (Thy- roid stimulating hormone); IHC (Immunohistochemical); SMA (Smooth Muscle Actin)