Ovarian leiomyoma and the relevance of the size of ovarian mass to clinical management
This article describes a 45 year old woman with a 13cm right ovarian leiomyoma (OL) coexisting with multiple uterine fibroids. Ovarian leiomyoma is rare, there are only few reports from Africa but it is likely that the incidence from Africa is under-reported. There was no associated abdominal pain in spite of the size of the mass and multiple adhesions from a previous myomectomy done 12 years prior to this presentation. We discuss the relevance of the size of an ovarian mass to clinical management and the other factors guiding the choice of the appropriate management options in patients with ovarian masses, such as the age of the patient, the clinical symptoms, the risk of malignancy, the desire for future fertility and the proximity to menopause. The clinical (including ultrasonographic features), histopathologic, immunohistochemical and molecular features of the disease are also discussed.
Keywords: Adnexal masses; ovarian leiomyoma; size of ovarian mass; ultrasonography
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