Diagnostic Challenge: Distinguishing Uterine Fibroid with Cystic Degeneration vs. Ovarian Cystic Malignancy. A Case Report

Hariyono Winarto, Octaviyana Nadia Nitasari Simatupang, David Calvin, Trifonia Pingkan Siregar, Andrijono

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)1-12
Number of pages12
JournalJournal of Radiology Case Reports
Volume17
Issue number4
DOIs
Publication statusPublished - 2023

Keywords

  • Cystic Degeneration
  • Diagnosis
  • Fibroid
  • Leiomyoma
  • Ovarian Cystic Malignancy

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