Aminparast Zahra, Khodaei Amirmohammad, Shakibaee Fard Zeinab
Clinical Research Development Center, Imam Reza Hospital Kermanshah University of Medical Sciences Kermanshah Iran.
Student Research Committee, Medical School Kermanshah University of Medical Sciences Kermanshah Iran.
Clin Case Rep. 2024 Dec 2;12(12):e9658. doi: 10.1002/ccr3.9658. eCollection 2024 Dec.
Ovarian leiomyoma is a rare, benign spindle cell tumor with a favorable prognosis. Myxoid leiomyoma, a rare subtype of leiomyoma, exhibits significant myxoid changes. We present a case study of a rare ovarian myxoid leiomyoma in a young woman. The patient presented with left flank pain and a large abdominal mass upon physical examination. Imaging indicated a solid-cystic right ovarian mass. The patient underwent a right salpingo-oophorectomy, and a 5 kg mass with myxoid degeneration was resected. Histopathological and immunohistochemical examination confirmed the diagnosis of ovarian myxoid leiomyoma. We discussed the challenges in the diagnosis of ovarian myxoid leiomyoma and emphasized the importance of accurate diagnosis and appropriate surgical treatment, with a favorable prognosis. This case contributes to the understanding of rare ovarian tumors and highlights the significance of histopathological and immunohistochemical examination in confirming the diagnosis.
卵巢平滑肌瘤是一种罕见的良性梭形细胞瘤，预后良好。黏液样平滑肌瘤是平滑肌瘤的一种罕见亚型，表现出显著的黏液样改变。我们报告一例年轻女性罕见卵巢黏液样平滑肌瘤的病例研究。患者体检时出现左侧胁腹疼痛和腹部巨大肿块。影像学检查显示右侧卵巢实性-囊性肿块。患者接受了右侧输卵管卵巢切除术，切除了一个5千克伴有黏液样变性的肿块。组织病理学和免疫组织化学检查确诊为卵巢黏液样平滑肌瘤。我们讨论了卵巢黏液样平滑肌瘤诊断中的挑战，并强调了准确诊断和适当手术治疗的重要性，其预后良好。该病例有助于对罕见卵巢肿瘤的理解，并突出了组织病理学和免疫组织化学检查在确诊中的重要性。
