Massive cotyledenoid leiomyoma treated with uterine-conserving surgery.

OBJECTIVE

To describe and illustrate a massive cotyledenoid leiomyoma treated with uterine-conserving surgery.

DESIGN

Case report.

SETTING

Medical center.

PATIENTS: A 39-year-old woman with a large abdominal mass and a magnetic resonance imaging scan showing a 28-cm multi-lobulated mass.

INTERVENTIONS: Laparotomy and myomectomy.

MAIN OUTCOME MEASURES: Recurrence and need for repeat surgery.

RESULTS

No recurrence at 8 years of follow-up.

CONCLUSIONS

Cotyledonoid leiomyomas are rare. These benign tumors may be suspected preoperatively based on MRI appearance. Frozen section suggests a benign process and uterine-conserving surgery may be successfully accomplished.