Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 12 , ISSUE 3 ( May-June, 2020 ) > List of Articles


A Case Series of Fibroids with Atypical Clinical Presentation: A Diagnostic Dilemma

Manjari Gupta

Citation Information : Gupta M. A Case Series of Fibroids with Atypical Clinical Presentation: A Diagnostic Dilemma. J South Asian Feder Obs Gynae 2020; 12 (3):184-187.

DOI: 10.5005/jp-journals-10006-1772

License: CC BY-NC 4.0

Published Online: 22-11-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Fibroids are the most common tumors of the female reproductive system. It is impossible to determine their true incidence, although frequently quoted incidence of as high as 50% has been found in certain longitudinal studies. Typical leiomyoma is a firm nodular well-circumscribed structure arising from the myometrium. Some of these fibroids may be asymptomatic while the usual symptoms associated are heavy menstrual bleeding, dysmenorrhea, abdominal discomfort, and pressure symptoms. Fibroids can be easily diagnosed by ultrasonography and MRI. However, some cases of fibroids may present as a diagnostic dilemma due to their bizarre presentation and unusual ultrasounds and MRI reports. Here we report three cases of fibroids with atypical clinical features that resulted in difficulty in making diagnosis.

  1. Benign diseases of the female reproductive tract. In: Novel's Gynecology. 13th ed., Philadelphia: Lippincott Williams and Wilkins; 2002. p. 380.
  2. Acutecomplications of fibroids. Best Pract Res Clin Obstet Gynaecol 2009;23(5):609–617. DOI: 10.1016/j.bpobgyn.2009.01.012.
  3. Dissectingleiomyomas of the uterus other than cotyledenoid dissecting leiomyoma: a report of eight cases. Am J Surg Patho 1999;23(9):1032–1039. DOI: 10.1097/00000478-199909000-00005.
  4. Diffuse, perinodular, and other patterns of hydropicdegeneration within and adjacent to uterine leiomyomas: problems in differential diagnosis. Am J Surg Pathol 1992;16(1):26–32. DOI: 10.1097/00000478-199201000-00004.
  5. Giant broad ligament leiomyoma. Int J Gynaecol Obstet 1992;37(3):207–210. DOI: 10.1016/0020-7292(92)90383-T.
  6. Tumors of the corpus uterus. In: Jeffcoat's Principles of Gynaecology. 7th ed., New Delhi: Jaypee Brothers Medical Publisher (Pvt.) Ltd; 2008. pp. 487–516.
  7. Unusual Presentation of cervical fibroid. Two case reports. Int J Gynecol Plastic Surg 2011;3(1):38–39.
  8. Magnetic resonance imaging in the characterization of pelvic masses. Semin Ultrasound CT MR 2005;26(3):172–204. DOI: 10.1053/j.sult.2005.02.013.
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