Basnyat Amogh Bahadur, Dangal Ganesh, Karki Aruna, Pradhan Hema K, Shrestha Ranjana, Bhattachan Kabin
Department of Obstetrics and Gynaecology, Kathmandu Model Hospital Institute of Health Sciences, Bagbazar, Kathmandu.
JNMA J Nepal Med Assoc. 2025 Mar;63(283):186-188. doi: 10.31729/jnma.8908. Epub 2025 Mar 31.
Leiomyomas are a common gynaecological condition affecting 20-30% of women over the age of 35, with prevalence decreasing following menopause. Leiomyomas are most commonly found within the uterus. Rarer extra-uterine locations include the broad ligament, cervix, and vagina. We present an unusual case of multiple Left Broad Ligament Leiomyomata that extended from Left Iliac Fossa and Hypogastrium to Epigastric region in a 50-year-old female. Our case highlights the importance for extra-uterine leiomyoma to be considered as a differential diagnosis in patients presenting with huge abdominal mass suspicious of adnexal tumor or malignancy.
平滑肌瘤是一种常见的妇科疾病，影响着20%至30%的35岁以上女性，绝经后患病率会下降。平滑肌瘤最常见于子宫内。较少见的子宫外部位包括阔韧带、宫颈和阴道。我们报告了一例不寻常的病例，一名50岁女性患有多发左侧阔韧带平滑肌瘤，肿瘤从左髂窝和下腹部延伸至上腹部区域。我们的病例强调了对于出现巨大腹部肿块、怀疑附件肿瘤或恶性肿瘤的患者，将子宫外平滑肌瘤作为鉴别诊断的重要性。
