Cotyledonoid Dissecting Leiomyoma of the Uterus: An Unexpected Diagnosis After Delivery

Authors

  • Ana Carolina Rocha Serviço de Ginecologia–Obstetrícia. Departamento da Mulher e da Criança. Hospital de Santarém. Santarém.
  • Mariline Oliveira Serviço de Ginecologia–Obstetrícia. Departamento da Mulher e da Criança. Hospital de Santarém. Santarém.
  • Pedro Luís Serviço de Anatomia Patológica. Hospital de Santarém. Santarém.
  • Madalena Nogueira Serviço de Ginecologia–Obstetrícia. Departamento da Mulher e da Criança. Hospital de Santarém. Santarém.

DOI:

https://doi.org/10.20344/amp.8707

Keywords:

Leiomyoma, Postpartum Period, Uterine Neoplasms

Abstract

Cotyledonoid dissecting leiomyoma, also known as Sternberg tumor, is a rare benign uterine tumor with a gross and radiological appearance that may suggest the possibility of a malignancy. We report a case of a thirty-eight-year-old female patient who presented with menorrhagia and abdominal pain one month after delivery by cesarean section. An ultrasound scan showed a heterogeneous pelvic mass, near the isthmic region, with 25 x 24 x 23 mm without vascularization so the possibility of placenta accreta could not be excluded. During hysterectomy, we also removed a small grey mass in the right ovary. Microscopic examination revealed a proliferation of a sparsely cellular tissue with extensive hyalinization and coagulative necrosis, composed of spindle shaped muscle cells without cellular atypia or mitoses. The patient is without evidence of recurrence one year and six months post-surgery.

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Published

2018-04-30

How to Cite

1.
Rocha AC, Oliveira M, Luís P, Nogueira M. Cotyledonoid Dissecting Leiomyoma of the Uterus: An Unexpected Diagnosis After Delivery. Acta Med Port [Internet]. 2018 Apr. 30 [cited 2024 Apr. 25];31(4):223-7. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8707

Issue

Section

Case Report