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Unilateral Ovarian Leiomyoma in a 14-year-old Adolescent: A rare case report

Year 2018, Volume: 3 Issue: 1, 38 - 40, 02.03.2018
https://doi.org/10.25000/acem.383578

Abstract

Leiomyomas
are benign mesenchymal tumors mostly seen in uterus. Uterin leiomyomas are one
of the most common reasons of pelvic masses seen in women whereas ovarian
leiomyomas are so rare that among all
benign ovarian tumours it accounts only 0,5-1 %. It’s mostly seen between ages
of 20-65 which premenopausal women consist %85 of them.
In this case we wanted to present a 14 years old girl who was admitted to our
clinic with a 6 months history of lower quadrant abdominal pain. In the
ultrasonographic evaluation, there was a solid mass with uterin echogenity
extending from posterior of uterus towards left adnexia with diameters of 6 cm
x 5,5 cm. The origin of the tumor was unknown and could not be revealed with
ultrasonography nor MRI until diagnostic laparoscopy was performed. Ovarian
tumor was removed and the final pathology was compatible with leiomyoma.

When we checked the literature there were only 5 cases of ovarian leiomyoma
reported under age of 20 and mostly they had bilateral character. The youngest
age reported was 13. Our case is the second youngest of all reported cases and
it shows a unilateral character. The other important aspect of our case is that
sometimes the imaging techniques can’t be adequate for detecting the origin of
tumor.

References

  • 1. Taskin MI, Ozturk E, Yildirim F, Ozdemir N, Inceboz U. Primary ovarian leiomyoma: A case report. Int J Surg Case Rep. 2014;5:665-8.
  • 2. Blue NR, Felix JC, Jaque J. Primary ovarian leiomyoma in a premenarchaladolescent: first reported case. J Pediatr Adolesc Gynecol. 2014;27:e87-8.
  • 3. Lerwill MF, Sung R, Oliva E, Prat J, Young RH. Smooth muscle tumors of theovary: a clinicopathologic study of 54 cases emphasizing prognostic criteria, histologic variants, and differential diagnosis. Am J Surg Pathol. 2004;28:1436-51.
  • 4. Guney M, Ozsoy M, Oral B, Mungan T, Kapucuoğlu N. Unilateral primary ovarian leiomyoma inadolescent: a case report. Arch Gynecol Obstet. 2007;275:507.
  • 5. Wei C, Lilic N, Shorter N, Garrow E. Primary ovarian leiomyoma: a rare cause of ovarian tumor in adolescence. J Pediatr Adolesc Gynecol. 2008;21:33.
  • 6. Bettaiah R, Kurkuri SN, Vanishree BR, Chaithra TM. An uncommon entity of primary ovarian fibroid: a case report. Int J Reprod Contracept Obstet Gynecol. 2016;5:927-32.
  • 7. Kim MJ, Na ED, Lee YJ, Kim ML, Seong SJ, Kim JY. A case of ovarian leiomyoma treated with laparoscopic mass excision. Korean J Obstet Gynecol. 2012;55:218-23.
  • 8. Lim S, Jeon H. Bilateral primary ovarian leiomyoma in a young woman: case report and literature review. Gynecol Oncol. 2004;95:733.
  • 9. Yasushi K, Noriyuki T, Masako S, Kaei N, Isao M. Magnetic resonance imaging findings in leiomyoma of the ovary: a case report. Arch Gynecol Obstet. 2005;273:298–300.

14 yaşında bir adölesanda unilateral ovaryen leiomyom: Nadir bir olgu sunumu

Year 2018, Volume: 3 Issue: 1, 38 - 40, 02.03.2018
https://doi.org/10.25000/acem.383578

Abstract


Leiomyomlar
sıklıkla uterusta rastlanan benin mezenkimal tümörlerdir. Uterin leiomyomlar
kadınlarda görülen pelvik kitlelerin en sık nedenlerinden olsa da over kaynaklı
leiomyomlar oldukça nadir görülmektedir. Ovaryan leiomyomlar o kadar nadir
görülmektedir ki bütün over kaynaklı benin tümörlerin yalnızca %0,5 ila %1’ini
oluşturmaktadır. Genellikle 20-65 yaş grubunda görülmekte olup %85’ini
premenopozal dönemdeki kadınlar oluşturmaktadır.

Bu olguda
kliniğimize 6 aydır devam eden alt kadran karın ağrısı nedeniyle başvuran 14
yaşındaki bir kız çocuğunu sunduk. Ultrasonografik görüntülemede uterus arka
duvar komşuluğundan sol adneksiyal bölgeye uzanım gösteren, uterin ekojenitesi
olan solid görünümde 6x5.5 cm çaplarında kitle izlendi. Kitlenin kaynağının
ayrımı ultrason ve mr ile net belirlenememesi üzerine diagnostik laparoskopi
uygulandı. Over kaynaklı olduğu görülen kitle çıkarılıp patolojiye
gönderildiğinde nihai patoloji sonucu leiomyom ile uyumlu çıktı.

Bildirilen vakalar
içinde 14 yaşında olarak en genç ikinci vaka olma özelliği, genelde
rastlanandan farklı olarak unilateral karakter taşıması ile özellikli bir olgu
olduğunu düşünüyoruz. Ayrıca bazen görüntüleme tekniklerinin kitlenin kaynağını
belirleme açısından yetersiz kalabildiği de bu olguda karşımıza çıkmıştır. 

References

  • 1. Taskin MI, Ozturk E, Yildirim F, Ozdemir N, Inceboz U. Primary ovarian leiomyoma: A case report. Int J Surg Case Rep. 2014;5:665-8.
  • 2. Blue NR, Felix JC, Jaque J. Primary ovarian leiomyoma in a premenarchaladolescent: first reported case. J Pediatr Adolesc Gynecol. 2014;27:e87-8.
  • 3. Lerwill MF, Sung R, Oliva E, Prat J, Young RH. Smooth muscle tumors of theovary: a clinicopathologic study of 54 cases emphasizing prognostic criteria, histologic variants, and differential diagnosis. Am J Surg Pathol. 2004;28:1436-51.
  • 4. Guney M, Ozsoy M, Oral B, Mungan T, Kapucuoğlu N. Unilateral primary ovarian leiomyoma inadolescent: a case report. Arch Gynecol Obstet. 2007;275:507.
  • 5. Wei C, Lilic N, Shorter N, Garrow E. Primary ovarian leiomyoma: a rare cause of ovarian tumor in adolescence. J Pediatr Adolesc Gynecol. 2008;21:33.
  • 6. Bettaiah R, Kurkuri SN, Vanishree BR, Chaithra TM. An uncommon entity of primary ovarian fibroid: a case report. Int J Reprod Contracept Obstet Gynecol. 2016;5:927-32.
  • 7. Kim MJ, Na ED, Lee YJ, Kim ML, Seong SJ, Kim JY. A case of ovarian leiomyoma treated with laparoscopic mass excision. Korean J Obstet Gynecol. 2012;55:218-23.
  • 8. Lim S, Jeon H. Bilateral primary ovarian leiomyoma in a young woman: case report and literature review. Gynecol Oncol. 2004;95:733.
  • 9. Yasushi K, Noriyuki T, Masako S, Kaei N, Isao M. Magnetic resonance imaging findings in leiomyoma of the ovary: a case report. Arch Gynecol Obstet. 2005;273:298–300.
There are 9 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Aşkı Ellibeş Kaya

Sabri Berkem Ökten

Alper Başbuğ

Mehmet Gamsızkan

Ozan Doğan This is me

Hasan Baki

Publication Date March 2, 2018
Published in Issue Year 2018 Volume: 3 Issue: 1

Cite

Vancouver Ellibeş Kaya A, Ökten SB, Başbuğ A, Gamsızkan M, Doğan O, Baki H. Unilateral Ovarian Leiomyoma in a 14-year-old Adolescent: A rare case report. Arch Clin Exp Med. 2018;3(1):38-40.