Massive degenerated leiomyomas masquerading ovarian neoplasm

A giant pedunculated leiomyoma with cystic degeneration mimicking an ovarian malignancy

“…In the literature, there have been reports of cystic uterine fibroids mimicking endometrioma and large ovarian masses. 2,4 A CT scan can be useful; however, leiomyomas with cystic degeneration are indistinguishable from malignant ovarian tumour with presence of both cystic and solid areas as happened in our case. MRI can define the uterine and ovarian masses, but the availability and high cost are serious limitations.…”

“…[1][2][3] Leiomyomas is found in nearly half of women over age 35; the prevalence increases during reproductive age and decreases after menopause. 1 The size of leiomyoma varies from microscopic to giant fibroid.…”