Title:Fallopian Tube Leiomyoma Presenting as a Huge Abdominopelvic Cystic Mass:
A Case Report and Literature Review
Volume: 20
Author(s): Juan Wu, Xiaofeng Wang, Na Ye, Xueliang Yan, Xiangting Zeng and Fang Nie*
Affiliation:
- Department of Ultrasound, Lanzhou University Second Hospital, Lanzhou University, Lanzhou 730030, 82 Cuiyingmen, Chengguan District,
Lanzhou City, Gansu Province, China
Keywords:
Fallopian tube leiomyoma, Adnexal tumor, Cystic degeneration, Ultrasonography, Exploratory laparoscopy, Diagnosis.
Abstract:
Introduction:
Fallopian tube leiomyoma is an uncommon, benign gynecologic tumor that originates from the smooth muscle of the fallopian tube or vascular
cells supplying the fallopian tube.
Case Presentation:
In this study, we report a case of a patient with fallopian tube leiomyoma. What makes this instance even more unique is the association of the
leiomyoma with cystic degeneration, manifesting as a large abdominopelvic cystic mass. CT scan suspected that the mass might be an ovarian
cystadenoma. However, ultrasonography, a widely used diagnostic tool, effectively assisted the clinicians in confidently ruling out the possibility
that the tumor was originating from the ovaries. Ultimately, the patient underwent exploratory laparoscopy and the pathologic diagnosis was
fallopian tube leiomyoma with cystic degeneration. To our knowledge, no instance of a fallopian tube leiomyoma of this size with cystic
degeneration has been reported. Thus, it is worth mentioning.
Conclusion:
In summary, fallopian tube leiomyomas are classified as uncommon benign gynecologic tumors, which pose challenges in clinical diagnosis. The
combined use of multiple imaging modalities may be more helpful in the proper diagnosis of this disease entity.
