A case of ovarian leiomyoma treated with laparoscopic mass excision.

Kim, Myung Joo; Na, Eun Duc; Lee, Yoon Jung; Kim, Mi La; Seong, Seok Ju; Kim, Ji Young

doi:2012.55.3.218

Case Report

Korean Journal of Obstetrics & Gynecology 2012;55(3):218-223.
DOI: https://doi.org/10.5468/KJOG.2012.55.3.218 Published online March 1, 2012.

A case of ovarian leiomyoma treated with laparoscopic mass excision.

Myung Joo Kim, Eun Duc Na, Yoon Jung Lee, Mi La Kim, Seok Ju Seong, Ji Young Kim

¹Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University College of Medicine, Seoul, Korea. mila76@naver.com
²Department of Pathology, CHA Gangnam Medical Center, CHA University College of Medicine, Seoul, Korea.

Abstract

Primary ovarian leiomyoma is a rare tumor, accounting for only 0.5%-1% of benign ovarian neoplasms. About 80 cases have been reported in the literature worldwide to date. Most cases are asymptomatic and usually found incidentally in routine gynecologic workup, during surgery, or at autopsy. Ovarian leiomyoma is difficult to be differentiated from other ovarian benign and malignant neoplasms, particularly from large ovarian solid tumors. It is important to consider ovary-preserving surgery as the first treatment modality in patients of reproductive age after excluding the possibility of malignancy, given that 80% of ovarian leiomyomas occur in premenopausal women and the size of the mass is larger in younger patients. Here we report a case of ovarian leiomyoma in a 38-year-old female patient who underwent laparoscopic excision of left ovarian mass and uterine myomectomy.

Key Words: Ovarian leiomyoma, Laparoscopy, Myoma, Ovary