Bharti Sushma, Khera Sudeep, Sharma Charu, Balakrishnan Arsha
Department of Pathology, AIIMS, Jodhpur, Rajasthan, India.
Department of Obstetrics and Gynecology, AIIMS, Jodhpur, Rajasthan, India.
J Family Med Prim Care. 2021 Sep;10(9):3494-3497. doi: 10.4103/jfmpc.jfmpc_2546_20. Epub 2021 Jun 30.
Leiomyoma is the commonest benign mesenchymal tumor of the uterus, which can be developed at any site where smooth muscle cells are found. The broad ligament is the most common and ovary is one of the rarest extrauterine sites, accounting for 0.5-1% of all benign ovarian tumors. Herein, we report a case of ovarian leiomyoma in a perimenopausal female, clinically presented with heavy menstrual bleed, radiologically diagnosed as subserosal uterine fibroid. Intraoperatively, it was considered as ovarian fibroma but finally diagnosed as ovarian leiomyoma on histomorphology, which was confirmed on special stains and immunohistochemistry. A review of literature showed that less than 100 cases of primary ovarian leiomyomata have been reported until now. Ovarian leiomyoma is usually small, asymptomatic, and an incidental finding mostly, usually synchronously seen with uterine leiomyoma. Ovarian leiomyoma is a rare tumor, often misdiagnosed prior to surgical removal and it should be differentiated from other spindle cell neoplasm and solid tumors of the ovary.
平滑肌瘤是子宫最常见的良性间叶组织肿瘤，可发生于任何有平滑肌细胞的部位。阔韧带是最常见的部位，而卵巢是最罕见的子宫外部位之一，占所有良性卵巢肿瘤的0.5 - 1%。在此，我们报告一例围绝经期女性的卵巢平滑肌瘤，临床症状为月经过多，影像学诊断为浆膜下子宫肌瘤。术中，最初考虑为卵巢纤维瘤，但最终经组织形态学诊断为卵巢平滑肌瘤，并通过特殊染色和免疫组织化学得以证实。文献回顾显示，迄今为止报道的原发性卵巢平滑肌瘤病例不足100例。卵巢平滑肌瘤通常较小，无症状，大多为偶然发现，常与子宫平滑肌瘤同时出现。卵巢平滑肌瘤是一种罕见肿瘤，在手术切除前常被误诊，应与卵巢其他梭形细胞瘤和实体瘤相鉴别。
