An International Publisher for Academic and Scientific Journals
Author Login
Scholars Journal of Medical Case Reports | Volume-2 | Issue-03
Cotyledonoid dissecting leiomyoma of the uterus: a case report
MD. Recep BEDIR, MD. Rukiye YILMAZ, MD. Afşin Rahman MÜRTEZAOĞLU, MD. İbrahim ŞEHİTOĞLU, MD. Hasan GÜÇER, MD. Cüneyt YURDAKUL
Published: March 27, 2014 |
122
102
DOI: 10.36347/sjmcr.2014.v02i03.003
Pages: 128-130
Downloads
Abstract
Cotyledonoid dissecting leiomyoma known as “Sternberg tumor of the uterus” is rare variant of benign
uterine leiomyoma. We report a case of cotyledonoid dissecting leiomyoma in a 46-year-old woman who presented with
menorrhagia and abdominal pain. A transvaginal ultrasound scan showed a 12cm sized, irregular contoured mass in the
left lateral aspect of the uterus. A total abdominal hysterectomy with bilateral salpingooophorectomy was performed with
complete lateral mass in the subserosal region. Microscopic examination showed variable sized micronodules of benign
smooth muscle fascicles, which were separated by fibrous connective tissue with a marked hydropic change.
Immunohistochemically, the tumor showed a strong staining for both desmin and muscle-specific actin. Final diagnosis
reported as cotyledonoid dissecting leiomyoma. Cotyledonoid dissecting leiomyoma may be gross appearance lead to a
mistaken diagnosis of a malignant tumors. Therefore, both clinicians and pathologists should be well aware of these
leiomyoma variants. This type of leiomyomas should be subjected to frozen section in order to avoid over treatment for
especially preserve the fertility in young women.