A leiomyoma in a cachectic woman presenting as a giant abdominal mass

Ian Amber, Gannon Kennedy, Humberto Martinez, J. Matt Pearson, Edward Jimenez

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Fibroids are the most common gynecologic tumors. Our case discusses the outcome of a 47-year-old woman who presented to our clinic with cachexia, and a giant abdominal mass. An initial diagnostic imaging workup consisted of X-Ray, CT, and ultrasound and indicated a possible diagnosis of leiomyosarcoma. However, after surgical evaluation, she was diagnosed pathologically with an atypical presentation of a uterine leiomyoma. Our case reviews the epidemiology and presentation of both pathologies, along with the imaging workup, and the operative correlation in our patient. An atypical presentation of a leiomyoma is challenging to differentiate from a leiomyosarcoma. However, due to its high incidence, even in the presence of signs and symptoms that raise the suspicion of malignancy, it is still the most common diagnosis.

Original languageEnglish (US)
Pages (from-to)23-29
Number of pages7
JournalJournal of Radiology Case Reports
Issue number10
StatePublished - 2009


  • Cachexia
  • Fibroids
  • Leiomyoma
  • Leiomyosarcoma
  • Pelvic mass

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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