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- Title
A Rare Case of Intra-Endometrial Leiomyoma of Uterus Simulating Degenerated Submucosal Leiomyoma Accompanied by a Large Sertoli-Leydig Cell Tumor.
- Authors
Kyungah Jeong; Sa Ra Lee; Sanghui Park
- Abstract
A 50-year-old peri-menopausal woman presented with hard palpable mass on her lower abdomen and anemia from heavy menstrual bleeding. Ultrasonography showed a 13 12 cm sized hypoechoic solid mass in pelvis and a 2.5 2 cm hypoechoic cystic mass in uterine endometrium. Abdomino-pelvic computed tomography revealed a hypodense pelvic mass without enhancement, suggesting a leiomyoma of intraligamentary type or sex cord tumor of right ovary with submucosal myoma of uterus. Laparoscopy revealed a large Sertoli-Leydig cell tumor of right ovary with a very rare entity of intra-endometrial uterine leiomyoma accompanied by adenomyosis. The final diagnosis of ovarian sex-cord tumor (Sertoli-Leydig cell), stage Ia with intra-endometrial leiomyoma with adenomyosis, was made. Considering the large size of the tumor and poorly differentiated nature, 6 cycles of chemotherapy with Taxol and Carboplatin regimen were administered. There is neither evidence of major complications nor recurrence during 20 months' follow-up.
- Subjects
SMOOTH muscle tumors; ENDOMETRIAL cancer; UTERINE cancer; SERTOLI cells; LEYDIG cell tumors; PERIMENOPAUSE; ULTRASONIC imaging
- Publication
Yonsei Medical Journal, 2016, Vol 57, Issue 2, p523
- ISSN
0513-5796
- Publication type
Article
- DOI
10.3349/ymj.2016.57.2.523