Massive multilocular cystic leiomyoma of the uterus: an extreme example of hydropic degeneration.
A 49-year-old woman underwent laparotomy for an undiagnosed, extremely large abdominal mass. At surgery, this was discovered to be a uterine tumor and she was subjected to a subtotal hysterectomy. Pathologic examination of the uterus revealed a multilocular cystic mass containing over 18 L of fluid that was established on histology to be a markedly hydropic leiomyoma. This case describes a very uncommon growth pattern of leiomyoma of the uterus that has only been occasionally described previously. We propose the name multilocular, cystic leiomyoma for this variant.
Coard
Kathleen
K
Department of Pathology, The University of the West Indies, Mona, Kingston, Jamaica. kathleen.coard@uwimona.edu.jm
Plummer
Joseph
J
D000328:Adult; D003560:Cysts / Q000473:pathology; D004487:Edema / Q000473:pathology; D004717:Endometrium / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy; D007813:Laparotomy; D007889:Leiomyoma / Q000175:diagnosis* / Q000473:pathology; D032389:Myocytes, Smooth Muscle / Q000473:pathology; D009215:Myometrium / Q000473:pathology; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000473:pathology