Misdiagnosis of a Giant Uterine Leiomyosarcoma: Clinic and Image Challenges
A 41-year-old woman (G3P2L2Ab1) was referred to gynecology clinic with chief complaints of abdominal distension and localized abdominal wall pruritus for three months. She was misdiagnosed with gastrointestinal disorder and ultimately had undergone imaging. Ultrasonography and computed tomography (C...
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| Format: | Article |
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Wiley
2017-01-01
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| Series: | Case Reports in Oncological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/3568328 |
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| author | Jila Agah Sedighe Karimzadeh Fateme Moharrer Ahmadi |
| author_facet | Jila Agah Sedighe Karimzadeh Fateme Moharrer Ahmadi |
| author_sort | Jila Agah |
| collection | DOAJ |
| description | A 41-year-old woman (G3P2L2Ab1) was referred to gynecology clinic with chief complaints of abdominal distension and localized abdominal wall pruritus for three months. She was misdiagnosed with gastrointestinal disorder and ultimately had undergone imaging. Ultrasonography and computed tomography (CT) scan disclosed a huge solid-cystic mass originating from the ovary. On clinical examination the patient had no pain or tenderness and no gynecologic complaints. Laboratory tests showed normal tumor markers and hemoglobin at 8 g/dl. Laparotomy was carried out as diagnosis of ovarian serous cyst adenoma, but a huge tumor with attachment to uterus and ovaries and extension to pelvic floor, peripheral tissues of ureter, and upper abdomen was found. Hysterectomy with bilateral salpingooophorectomy was done. Pathology report demonstrated uterine leiomyosarcoma measuring 40 centimeters and weighing 10 kilograms. In conclusion, as pelvic masses even in a large size may present unspecific symptoms misdiagnosis may occur which lead to overgrowth, local invasion, or other complications. So, it is rather to suggest ultrasonography in patients with persistent abdominal or pelvic symptoms and if needed, more exact diagnostic modalities like magnetic resonance imaging (MRI) could be offered to avoid misdiagnosis and mismanagement. |
| format | Article |
| id | doaj-art-523cee8a70a043bc884f049350eea94f |
| institution | OA Journals |
| issn | 2090-6706 2090-6714 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Oncological Medicine |
| spelling | doaj-art-523cee8a70a043bc884f049350eea94f2025-08-20T02:05:31ZengWileyCase Reports in Oncological Medicine2090-67062090-67142017-01-01201710.1155/2017/35683283568328Misdiagnosis of a Giant Uterine Leiomyosarcoma: Clinic and Image ChallengesJila Agah0Sedighe Karimzadeh1Fateme Moharrer Ahmadi2Department of Obstetrics and Gynecology, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar, IranSchool of Medicine, Sabzevar University of Medical Sciences, Sabzevar, IranSchool of Medicine, Sabzevar University of Medical Sciences, Sabzevar, IranA 41-year-old woman (G3P2L2Ab1) was referred to gynecology clinic with chief complaints of abdominal distension and localized abdominal wall pruritus for three months. She was misdiagnosed with gastrointestinal disorder and ultimately had undergone imaging. Ultrasonography and computed tomography (CT) scan disclosed a huge solid-cystic mass originating from the ovary. On clinical examination the patient had no pain or tenderness and no gynecologic complaints. Laboratory tests showed normal tumor markers and hemoglobin at 8 g/dl. Laparotomy was carried out as diagnosis of ovarian serous cyst adenoma, but a huge tumor with attachment to uterus and ovaries and extension to pelvic floor, peripheral tissues of ureter, and upper abdomen was found. Hysterectomy with bilateral salpingooophorectomy was done. Pathology report demonstrated uterine leiomyosarcoma measuring 40 centimeters and weighing 10 kilograms. In conclusion, as pelvic masses even in a large size may present unspecific symptoms misdiagnosis may occur which lead to overgrowth, local invasion, or other complications. So, it is rather to suggest ultrasonography in patients with persistent abdominal or pelvic symptoms and if needed, more exact diagnostic modalities like magnetic resonance imaging (MRI) could be offered to avoid misdiagnosis and mismanagement.http://dx.doi.org/10.1155/2017/3568328 |
| spellingShingle | Jila Agah Sedighe Karimzadeh Fateme Moharrer Ahmadi Misdiagnosis of a Giant Uterine Leiomyosarcoma: Clinic and Image Challenges Case Reports in Oncological Medicine |
| title | Misdiagnosis of a Giant Uterine Leiomyosarcoma: Clinic and Image Challenges |
| title_full | Misdiagnosis of a Giant Uterine Leiomyosarcoma: Clinic and Image Challenges |
| title_fullStr | Misdiagnosis of a Giant Uterine Leiomyosarcoma: Clinic and Image Challenges |
| title_full_unstemmed | Misdiagnosis of a Giant Uterine Leiomyosarcoma: Clinic and Image Challenges |
| title_short | Misdiagnosis of a Giant Uterine Leiomyosarcoma: Clinic and Image Challenges |
| title_sort | misdiagnosis of a giant uterine leiomyosarcoma clinic and image challenges |
| url | http://dx.doi.org/10.1155/2017/3568328 |
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