A rare case of intra-endometrial leiomyoma of uterus simulating degenerated submucosal leiomyoma accompanied by a large sertoli-leydig cell tumor
- 주제(키워드) Heavy menstrual bleeding , Intra-endometrial leiomyoma , Sertoli-leydig cell tumor , Submucosal myoma
- 등재 SCIE, KCI등재, SCOPUS
- 발행기관 Yonsei University College of Medicine
- 발행년도 2016
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000123995
- 본문언어 영어
- Published As http://dx.doi.org/10.3349/ymj.2016.57.2.523
- 저작권 이화여자대학교 논문은 저작권에 의해 보호받습니다.
초록/요약
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. © Yonsei University College of Medicine 2016.
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