Uterine leiomyomas are the most common gynecologic tumors. These tumors are found in a large percentage of women during the reproductive years. The size of leiomyomas varies a lot. Giant leiomyomas are extremely rare. Here we represent a case of a 39-year old woman. Gynecological examination reveals a large abdominal mass. Findings on MRI scan suggest malignant abdominal tumor. The patient underwent myomectomy and a gross pathologic examination revealed cystic mass measuring 32cm×23сm×12сm. The subsequent histology revealed a leiomyoma with extensive cystic degeneration. Imaging studies are helpful in diagnosing common cases of uterine leiomyomas. However, degeneration of these tumors, as well as their uncommon large size, make the diagnostic process more complicated. For more information click here.
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