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Exploring the rare: A case report and literature review on cotyledonoid dissecting leiomyoma
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Alka Yadav    , Sujata Raychaudhuri * , Lakshinder Kaur , Minakshi Bhardwaj |
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Abstract: (349 Views) |
Leiomyomas, benign smooth muscle tumors of the uterus, commonly present with bleeding and are known for their varied morphology. This case report highlights a rare variant, Cotyledonoid dissecting leiomyoma, which poses diagnostic challenges due to its unusual appearance and growth pattern, often mimicking malignancy
We present the case of a 65-year-old female with clinical symptoms of pain, urinary retention, and bleeding, who underwent total abdominal hysterectomy. Gross examination revealed a large mass with lobulated patterns, raising concerns for malignancy. Microscopic examination, however, revealed characteristic features of Cotyledonoid dissecting leiomyoma, including nodular growth and dissection within the myometrium without atypical or mitosis.
Our literature review identified only 28 reported cases of this variant, emphasizing its rarity and diagnostic importance. Clinicians and pathologists must be aware of this entity to avoid unnecessary overtreatment.
Frozen sections may aid in accurate diagnosis, particularly to preserve fertility in young women. While leiomyomas are predominantly conventional, rare subtypes like Cotyledonoid dissecting leiomyoma warrant recognition to prevent misdiagnosis and ensure appropriate management. This case underscores the importance of histopathological evaluation in guiding clinical decisions for patients with unusual uterine tumors. |
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| Keywords: Cotyledonoid dissecting leiomyoma, Histopathological evaluation, Leiomyomas, Uterine tumors |
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Full-Text [PDF 484 kb]
(52 Downloads)
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Type of Study: Case Report |
Subject:
Obstetrics and Gynecology
Received: 2024/01/24 | Accepted: 2024/04/2 | Published: 2024/04/8
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