Journal of Mid-life Health Journal of Mid-life Health
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Year : 2020  |  Volume : 11  |  Issue : 3  |  Page : 175-177

Symptomatic primary ovarian leiomyoma in a postmenopausal woman: A rare entity

1 Department of Pathology, SMS Medical College, Jaipur, Rajasthan, India
2 Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India

Correspondence Address:
Mukta Meel
Department of Pathology, SMS Medical College, Jaipur, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmh.JMH_105_19

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Leiomyomas are benign mesenchymal neoplasms mostly seen in the uterus and are one of the most common pelvic masses seen in women, but primary ovarian leiomyomas are rare among all the benign ovarian tumors, which account only for 0.5%–1%. The definitive diagnosis of such lesions is difficult prior to surgical excision, as there are no pathognomonic symptoms or characteristic imaging findings. Here, we report a case of primary ovarian leiomyoma with brief review of literature, highlighting the differential diagnosis of ovarian spindle cell lesions. The correct diagnosis of an ovarian leiomyoma requires identification of the nature of tumor as smooth muscle. An immunohistochemistry marker analysis is recommended for definitive diagnosis.

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