Cotyledonoid dissecting leiomyoma in pregnancy: a case report

[摘要] Cotyledonoid dissecting leiomyoma (CDL) is arare variant of uterine leiomyoma characterizedby intramural dissection within the uterine corpusand a distinctive gross appearance resemblingthe cotyledons of the placenta. Despite theiralarming, sarcomatous appearance bothmacroscopically and radiographically, thesetumors are typically associated with blandhistologic findings. Approximately 70 cases ofCDL have been described in the literature. Thiscase represents the second described case ofCDL in pregnancy, the first in which a pregnancywas carried to term. A 28-year-old primigravidwas incidentally found to have a massive,exophytic growth of the uterus on ultrasound withconcomitant 14-week intrauterine pregnancy.The pregnancy was monitored with serial growthultrasounds. She was delivered at 37 weeks viaCesarean section. After being lost to follow-up,the patient presented 2.5 years later withworsening abdominal fullness and persistentuterine mass.

[学科分类] 妇产科学

[关键词] cotyledonoid dissecting leiomyoma;leiomyoma;leiomyoma in pregnancy;benign smooth muscle neoplasm