PMC7505714_01
Longitudinal view of the uterus with a single 12 cm subserosal fibroid on transabdominal ultrasound scan. Feeder pedicle vessels are demonstrated on Doppler examination.
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Transvaginal ultrasound (TVS) revealed a 12cm anterior fundal subserosal leiomyoma with no suspicious features (Figure 1).
Hysteroscopic view of the uterine cavity showing a 2cm endometrial polyp arising from the left posterolateral aspect of the cavity.
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A 2cm endometrial polyp was noted (Figure 2) and removed without any complications.
(A) Laparoscopic view of the pelvis and uterine mass. (B) Post surgical excision of the uterine mas. The multinodular mass weighed 482g with large surface vessels and a friable irregular contour. The cut surface was haemorrhagic, lobulated, tan and dark brown with areas of cystic cavities.
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A 12 cm exophytic mass was noted to be arising from the uterine fundus (Figure 3A) which had an atypical appearance of a leiomyoma. The contour was irregular, nodular, friable and highly vascular with contact bleeding (Figure 3B).
Histology slides from the specimen confirming the diagnosis of benign adenomyoma. (A) Endometrial glands and macrophages. (B) Endometrial glands and smooth muscle. (C) Endometrial glands with no atypia. (D) Areas of hyalinisation.
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Urgent histology revealed the mass was in fact a benign adenomyoma with cystically dilated endometrial glands in smooth muscle stroma and areas of hyaline degeneration (Figure 4).