  |
|
 |
|
Case Report
| ||||||
| A huge, pedunculated, multiseptated, cystic myoma misdiagnosed as an ovarian cancer in imaging studies | ||||||
| Chul Min Park1, Sung Yob Kim1 | ||||||
|
1Department of Obstetrics and Gynecology, Medical School of Jeju National University, Korea.
| ||||||
| ||||||
|
[HTML Full Text]
[PDF Full Text]
[Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar] 
|
| How to cite this article |
| Park CM, Kim SY. A huge, pedunculated, multiseptated, cystic myoma misdiagnosed as an ovarian cancer in imaging studies. Int J Case Rep Images 2016;7(8):533–536. |
|
Abstract
|
|
Introduction:
A huge, pedunculated, multiseptated, cystic pelvic mass with normal uterus may cause misinterpretation of the computed tomography (CT) scan, magnetic resonance imaging (MRI) scan and PET-CT as a malignant ovarian epithelial tumor.
Case Report: A 56-year-old multipara woman complained of lower abdominal pain, abdominal distension and she consulted to local hospital. Cancer antigen 125 (CA-125) was 59.6 U/mL and the CT, MRI and PET-CT revealed that a large multiseptated cystic mass (20 cm) with soft tissue parts, multiple hemorrhage and fluid-fluid levels and that the uterus was normal finding with some ascites. Those images suggested that it might be a malignant ovarian epithelial tumor with hemorrhage. We performed an exploratory laparotomy with suspicion of ovarian malignancy and found out that the pedunculated mass was originated from the uterine fundus and that the ovaries were normal. There was a small amount of serous ascites. Conclusion: In this study, it is suggested that clinicians carrying out differential diagnosis of pelvic mass with increasing serum CA-125 level and ascites should consider not only ovarian cancer but also myoma with cystic degeneration. | |
|
Keywords:
Cystic mass, Cystic myoma, Ovary malignancy, Ovarian cancer
| |
|
[HTML Full Text]
[PDF Full Text]
|
|
Author Contributions
Chul Min Park – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Sung Yob Kim – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
|
Guarantor of submission
The corresponding author is the guarantor of submission. |
|
Source of support
None |
|
Conflict of interest
Authors declare no conflict of interest. |
|
Copyright
© 2016 Chul Min Park et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
|
|
|
About The Authors
| |||
| |||
| |||
