Preoperative Misdiagnosis of Primary Ovarian Leiomyoma as Subserous Myoma and Literature Review
DONG Hongguo
NIE Sipei
GUO Ling
LIU Qiaoling
NI Na
Abstract：Objective To investigate the causes of misdiagnosis and preventive measures of primary ovarian leiomyo-ma(POL).Methods The clinical data of a POL patient who was misdiagnosed with subserous myoma before surgery in May 2024 were retrospectively analyzed.Results The patient was admitted to hospital due to self-palpable mass in the lower abdo-men for more than 10 days.Preoperative ultrasound examination indicated low echo of the right side of the uterus.Considering subserous myoma,POL was finally confirmed by intraoperative exploration and postoperative pathological examination.The misdiagnosis lasted 2 d.The patient recovered well after right salpingo oophorectomy and was discharged at one week after re-covery from surgery.Conclusion POL is a rare benign solid tumor of the ovary,and most patients have no symptoms and no specific preoperative imaging findings;therefore,preoperative diagnosis is difficult and it is prone to misdiagnosis.Clinicians should improve their understanding of POL,consider the possibility of the disease for patients with solid tumors in the adnexal area,and fully improve preoperative examination and evaluation to reduce the occurrence of misdiagnosis.
Keywords：Ovarian leiomyomaprimaryMisdiagnosisSubserous myomaPathological examinationDifferential diagnosis
Publication Date：2025-04-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1-5 )