Diagnostic Challenge: Distinguishing Uterine Fibroid with Cystic Degeneration vs. Ovarian Cystic Malignancy. A Case Report.
| Autor: | Winarto H; Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia., Simatupang ONN; Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia - Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia., Calvin D; Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia., Siregar TP; Department of Radiology, Faculty of Medicine, Universitas Indonesia - Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia., Andrijono; Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of radiology case reports [J Radiol Case Rep] 2023 Apr 01; Vol. 17 (4), pp. 1-12. Date of Electronic Publication: 2023 Apr 01 (Print Publication: 2023). |
| DOI: | 10.3941/jrcr.v17i4.4583 |
| Abstrakt: | Our case is a 24-year-old woman who has had abdominal enlargement for eleven months. She had an abdominal mass with an elevated level of CA-125 and imaging studies showed a pelvic cystic mass with a solid part, and thus malignancy was considered in the differential diagnosis. A laparotomy myomectomy was performed. Postoperative histopathological examination results revealed no signs of malignancy. In this case, both ultrasonography and magnetic resonance imaging could not visualize both ovaries and the stalk of the pedunculated fibroid on the posterior uterine corpus. On physical examination and imaging, cystic degeneration of uterine fibroid may present like an ovarian mass. Preoperative diagnosis is challenging. A definitive diagnosis is only feasible postoperatively following histological examination. (Copyright Journal of Radiology Case Reports.) |
| Databáze: | MEDLINE |
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