Removal of a large bizarre uterine leiomyoma by operative hysteroscopy. Case report and review of the literature.
BACKGROUND
Atypical leiomyomas are relatively uncommon in the general practice of gynaecology. We present a case of a large uterine bizarre leiomyoma removed by operative hysteroscopy and review of the literature.


METHODS
The patient, a 49-year-old, gravida 3, para 3, perimenopausal Greek woman presented to our Department because of dysmenorrhea and abnormal vaginal bleeding. She underwent hysteroscopy in which a large submucosal leiomyoma was detected and entirely removed in one session. The histopathology revealed bizarre uterine leiomyoma.


CONCLUSIONS
There is no evidence to indicate that hysterectomy is necessary, if the diagnosis of atypical leiomyoma has been firmly established.
2nd Department of Obstetrics-Gynaecology, Aretaieion Hospital, University of Athens Medical School, Greece.
O
O
Gregoriou
C
C
Grigoriadis
V E
VE
Hatzidakis
S
S
Mantzavinos
A
A
Kondi-Pafiti
D005260:Female; D006801:Humans; D015907:Hysteroscopy; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*; D014599:Uterus / Q000473:pathology