title: Epithelioid cotyledonoid leiomyoma of uterus.
abstract: A 42-year-old para 2 women underwent laparotomy with a preoperative diagnosis of leiomyoma uterus and ovarian endometrioma. At laparotomy, uterus was 12-week size and bilateral tubes and ovaries were normal. There was a large friable reddish-brown mass dissecting the leaves of broad ligament with extension into pelvic cavity and retroperitoneal spaces. Total abdominal hysterectomy with bilateral salpingo-oophorectomy with resection of tumour was performed as there was concern about the possibility of malignancy. Histopathological examination revealed a cotyledonoid leiomyoma epithelioid variant. These tumours, though benign, raise the possibility of malignancy at the time of surgery due to their bizarre and sarcoma-like appearance. It is important for the pathologist and gynaecologist to be aware of this rare variant of leiomyoma to avoid an overtreatment.
authors.affiliation: Department of Obstetrics and Gynecology, Dr RML Hospital, New Delhi, India.
authors.forename: Indu
authors.initials: I
authors.lastname: Chawla
authors.forename: Minakshi
authors.initials: M
authors.lastname: Bhardwaj
authors.forename: Neetu
authors.initials: N
authors.lastname: Sareen
authors.forename: Nikhil
authors.initials: N
authors.lastname: Khattar
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007889:Leiomyoma / Q000473:pathology* / Q000601:surgery*; D010052:Ovariectomy; D058994:Salpingectomy; D014594:Uterine Neoplasms / Q000473:pathology* / Q000601:surgery*