A rare case of intra-endometrial leiomyoma of uterus simulating degenerated submucosal leiomyoma accompanied by a large sertoli-leydig cell tumor

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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.

Original languageEnglish
Pages (from-to)523-526
Number of pages4
JournalYonsei Medical Journal
Volume57
Issue number2
DOIs
StatePublished - Mar 2016

Bibliographical note

Publisher Copyright:
© Yonsei University College of Medicine 2016.

Keywords

  • Heavy menstrual bleeding
  • Intra-endometrial leiomyoma
  • Sertoli-leydig cell tumor
  • Submucosal myoma

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