Department of Obstetrics and Gynecology, Taksim Education and Research Hospital, Istanbul, Turkey.
Arch Gynecol Obstet. 2010 Mar;281(3):531-4. doi: 10.1007/s00404-009-1184-z. Epub 2009 Jul 31.
Primary ovarian leiomyoma is a quite rare tumor and usually it is small and unilateral. Most cases are asymptomatic. This benign tumor is usually diagnosed incidentally on routine pelvic examination or in pathologic specimens at surgery or at autopsy.
In this case, a patient with her first epileptic seizure was admitted to our emergency department. Following the initial treatment in neurology clinics, patient claimed of an abdominal pain, so by abdominal ultrasonography, it was determined that the patient had a giant abdominal mass measured 30 x 28 x 15 cm in diameter which was clinically diagnosed as malign ovarian tumor.
At laparotomy, a radical hysterectomy was performed. It was reported as ovarian leiomyoma on pathological evaluation. After 15 days of surgery, patient is discharged without any complications and also no more epileptic seizures.
原发性卵巢平滑肌瘤是一种相当罕见的肿瘤，通常体积较小且为单侧。大多数病例无明显症状。这种良性肿瘤通常是在常规盆腔检查或手术或尸检时的病理标本中偶然诊断出来的。
本例患者因首次癫痫发作被收入我院急诊科。在神经内科诊所进行初步治疗后，患者自述腹痛，因此行腹部超声检查，发现患者有一个直径达 30 x 28 x 15 厘米的巨大腹部肿块，临床诊断为恶性卵巢肿瘤。
剖腹探查时行根治性子宫切除术。术后病理报告为卵巢平滑肌瘤。术后 15 天，患者无任何并发症出院，且无癫痫再发。
