Hydropic leiomyoma, a considerable differential diagnosis: a case series

Authors

  • El Hassan El Ghali Gynecology and Obstetrics Department, Mohammed VI University Hospital, Oujda, Morocco
  • Jihane Meziyane Gynecology and Obstetrics Department, Mohammed VI University Hospital, Oujda, Morocco
  • Soukaina Auragh Gynecology and Obstetrics Department, Mohammed VI University Hospital, Oujda, Morocco
  • Hanane Saadi Gynecology and Obstetrics Department, Mohammed VI University Hospital, Oujda, Morocco
  • Hafsa Taheri Gynecology and Obstetrics Department, Mohammed VI University Hospital, Oujda, Morocco
  • Ahmed Mimouni Gynecology and Obstetrics Department, Mohammed VI University Hospital, Oujda, Morocco

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20221455

Keywords:

Leiomyoma, Hydropic leimyoma, Leiomyosarcoma

Abstract

Uterine leiomyomas can show a wide variety of degenerative changes. In the actual work, we report two cases of hydropic leiomyomas. Hydropic leiomyomas are characterized by a massive intra-tumoral accumulation of watery edema. This variant is often associated to atypical clinical and radiological presentations, raising the possibility of aggressive neoplasms, particularly uterine sarcomas. Although imaging can be helpful to diagnose uterine neoplasms, in particular ultrasounds and MRI, the radiological features of Hydropic leiomyomas, as for other leiomyomas variants, are often atypical and worrisome for uterine sarcomas. The pathological evaluation is often needed to have a final diagnosis.

 

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Published

2022-05-26

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Section

Case Series