A Case Report on a Rare Variant of Fibroid Uterus

Dr. Preethi. B, Dr. Ruchika Agarwal

Abstract: Aim: to report a case of a rare variant of fibroid uterus. Introduction: Leiomyoma of the uterus is the most common tumor of the female genital tract. Case: A case of 31 yrs unmarried female with complaints of heavy menstrual bleeding for past 1 and half year associated with clots and congestive pattern of dysmenorrhoea. On Ultrasound of pelvis, she was diagnosed fibroid uterus. She was managed surgically by open myomectomy. HPE sample sent showed mitotically active and cellular leiomyoma. Conclusion: On histopathological examination, most leiomyomas are usually myomas, sometimes we may encounter rare variants. Although rare, these variants of leiomyoma have a risk of malignant recurrences of leiomyosarcoma even after surgical management. Therefore, there is a need for follow up in such patients.

Keywords: Leiomyoma, leiomyosarcoma, fibroid uterus,myomas, myomectomy