Massive cotyledenoid leiomyoma treated with uterine-conserving surgery.

Objective: To describe and illustrate a massive cotyledenoid leiomyoma treated with uterine-conserving surgery.
Design: Case report.
Setting: Medical center.
Patients: A 39-year-old woman with a large abdominal mass and a magnetic resonance imaging scan showing a 28-cm multi-lobulated mass.
Interventions: Laparotomy and myomectomy.
Main Outcome Measures: Recurrence and need for repeat surgery.
Results: No recurrence at 8 years of follow-up.
Conclusions: Cotyledonoid leiomyomas are rare. These benign tumors may be suspected preoperatively based on MRI appearance. Frozen section suggests a benign process and uterine-conserving surgery may be successfully accomplished.
(© 2020 The Author(s).)