Anna Magcalas
The Medical City Hospital, Manila, PhilippinesPresentation Title:
Symplastic leiomyoma with cystic degeneration masquerading as an endometrial cyst on ultrasound
Abstract
Symplastic leiomyoma is a rare type of leiomyoma diagnosed histologically by the presence of bizarre cells and nuclear atypia. It is difficult to diagnose preoperatively due to its overlapping clinical presentation and ultrasound features with typical leiomyomas. This paper presents a case of a 52- year-old woman who consulted due to right lower quadrant pain and abdominal enlargement. On transvaginal ultrasound and computed tomography (CT) scan, she was diagnosed with right ovarian new growth measuring 9 x 8 x 10 cm with features suggestive of an endometrial cyst and a 16.2 % risk of malignancy by the International Ovarian Tumor Analysis (IOTA) ADNEX model. Tumor markers CA-125 and the premenopausal ROMA were elevated. The patient underwent total abdominal hysterectomy with bilateral salpingooophorectomy (TAHBSO). Intraoperatively, the right ovary appeared normal and a 10 cm retroperitoneal cystic mass was seen adherent to the right posterolateral aspect of the uterus and extending towards the right broad ligament, which exuded yellow to brown serous fluid on cut section. Histopathology revealed an intraligamentary symplastic leiomyoma with cystic degeneration. The patient was discharged stable after 3 days.
Biography
Anna Magcalas earned her Doctor of Medicine degree from the University of the Philippines, Manila in 2016. She completed her residency training in Obstetrics and Gynecology in 2021 at The Medical City Hospital, Manila, Philippines and became a Fellow of the Philippine Obstetrics and Gynecology Society in 2024. She is currently pursuing her fellowship training in OB-GYN Ultrasound until December 2025 at the same institution.
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