A Rare Case of Intra-Endometrial Leiomyoma of Uterus Simulating Degenerated Submucosal Leiomyoma Accompanied by a Large Sertoli-Leydig Cell Tumor
Yonsei Medical Journal
; : 523-526, 2016.
Article
in En
| WPRIM
| ID: wpr-165378
Responsible library:
WPRO
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 13x12 cm sized hypoechoic solid mass in pelvis and a 2.5x2 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.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Uterine Neoplasms
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Carboplatin
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Treatment Outcome
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Paclitaxel
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Laparoscopy
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Sertoli-Leydig Cell Tumor
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Adenomyosis
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Leiomyoma
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Menorrhagia
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Neoplasm Recurrence, Local
Limits:
Female
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Humans
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Male
Language:
En
Journal:
Yonsei Medical Journal
Year:
2016
Type:
Article