Cotyledonoid leiomyoma in pregnancy.
BACKGROUND
Benign smooth-muscle tumors (leiomyomata) are the most frequent tumors found in the female genital tract. They are easy to diagnose in pregnancy and usually managed conservatively. Some variant forms with unusual infiltrative growth pattern have been known, but they are rare in pregnancy. The variant forms pose diagnostic and management difficulties.


METHODS
An unusual type of leiomyoma (cotyledonoid), adhering to the bowels and occupying the whole left broad ligament, was excised completely at 14 weeks of gestation, and the pregnancy continued to term.


CONCLUSIONS
Familiarity with benign uterine smooth-muscle tumors with unusual growth patterns by gynecologists and pathologists is essential in avoiding over-treatment.
Mathew
M
M
Department of Obstetrics and Gynecology and Department of Pathology, Sultan Qaboos University, Oman.
Gowri
V
V
Al Hamdani
A
A
Machado
L
L
Rao
K
K
Shabnam
S
S
D000290:Adnexa Uteri / Q000473:pathology; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D010535:Laparoscopy; D007889:Leiomyoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D011262:Pregnancy Trimester, Second; D011296:Prenatal Diagnosis; D018235:Smooth Muscle Tumor / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery