World J Surg Surg Res | Volume 5, Issue 1 | Case Series | Open Access

“The Habit Doesn’t Make the Monk” Dissecting Leiomyoma: Report of Two Cases and Literature Review

Schoenen Sophie^1*, Delbecque Katty², Medart Laurent³, Nisolle Michelle¹ and Goffin Frederic¹

¹Department of Obstetrics and Gynecology, University Hospital Liege, University of Liege, Belgium
²Department of Pathology Anatomy, University Hospital Liege, University of Liege, Belgium
³Department of Radiology, Hopital de la Citadelle, Liege, Belgium

^*Correspondance to: Sophie Schoenen 

Abstract

We report one case of dissecting leiomyoma and one case of cotyledonoid dissecting leiomyoma. Patients were hospitalized for the management of gynecologic bleeding and abdominal pain. The preoperative assessment revealed heterogeneous, fast-growing, possibly malignant, uterine masses. Non-conservative treatment by hysterectomy was performed in both cases. Histopathology of the surgical specimens revealed intramyometrial lesions with dense cellular proliferation, without serous invasion, compatible with dissecting leiomyomas. We review here the literature and discuss the clinical, radiological and histological aspects of these entities, which can mimic malignant lesions.

Keywords:

Leiomyoma; Uterine tumors; Ultrasound; MRI; Hysterectomy; Histopathological analysis

Citation:

Sophie S, Katty D, Laurent M, Michelle N, Frederic G. “The Habit Doesn’t Make the Monk” Dissecting Leiomyoma: Report of Two Cases and Literature Review. World J Surg Surgical Res. 2022; 5: 1398..