{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T09:01:04Z","timestamp":1781254864774,"version":"3.54.1"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Ovarian leiomyoma (OL) is an exceedingly rare benign tumor that originates from ovarian smooth muscle cells and accounts for approximately 0.5%\u20131% of all benign ovarian neoplasms. To date, around 100 cases have been documented worldwide. OL is often asymptomatic and is typically discovered incidentally, presenting as a small, well\u2010circumscribed, noninvasive solid or cystic mass within the ovary. We report a case of a 22\u2010year\u2010old woman who presented with Abnormal Uterine Bleeding (AUB). Imaging identified a solid left adnexal mass. Laparoscopic exploration revealed features suggestive of malignancy, leading to surgical resection. The final diagnosis was established through histopathological and immunohistochemical examination. Intraoperative findings revealed a diffusely invasive, irregular, multilobulated mass involving multiple paracervical ligaments (broad ligament, round ligament, and proper ovarian ligament) and associated with ascites\u2014features highly suggestive of malignancy. However, pathological assessment confirmed a benign ovarian leiomyoma. This case illustrates that OL can, in rare instances, show locally aggressive and disseminated growth patterns that mimic malignancy. Recognizing these atypical presentations is crucial for accurate intraoperative judgment and for guiding fertility\u2010preserving surgical strategies in young patients who wish to retain reproductive potential.<\/jats:p>","DOI":"10.1002\/ccr3.72427","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T04:00:32Z","timestamp":1774929632000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["When Benign Masquerades as Malignant: A Case of Expansively Growing Ovarian Leiomyoma Challenging Preoperative and Intraoperative Diagnosis"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0921-1273","authenticated-orcid":false,"given":"Xi","family":"Luo","sequence":"first","affiliation":[{"name":"Department of Gynecology The First Affiliated Hospital of Hunan Traditional Chinese Medicine College (Hunan Provincial Directly Affiliated Hospital of Traditional Chinese Medicine)  Zhuzhou China"},{"name":"Department of Gynecology Hunan Provincial Hospital of Traditional Chinese Medicine Affiliated to Hunan University of Chinese Medicine  Zhuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neng Jing","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Medical Ultrasonics The First Affiliated Hospital of Hunan Traditional Chinese Medicine College (Hunan Provincial Directly Affiliated Hospital of Traditional Chinese Medicine)  Zhuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao Ying","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Gynecology The First Affiliated Hospital of Hunan Traditional Chinese Medicine College (Hunan Provincial Directly Affiliated Hospital of Traditional Chinese Medicine)  Zhuzhou China"},{"name":"Department of Gynecology Hunan Provincial Hospital of Traditional Chinese Medicine Affiliated to Hunan University of Chinese Medicine  Zhuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling Li","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Gynecology The First Affiliated Hospital of Hunan Traditional Chinese Medicine College (Hunan Provincial Directly Affiliated Hospital of Traditional Chinese Medicine)  Zhuzhou China"},{"name":"Department of Gynecology Hunan Provincial Hospital of Traditional Chinese Medicine Affiliated to Hunan University of Chinese Medicine  Zhuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li Sha","family":"Zou","sequence":"additional","affiliation":[{"name":"Department of Gynecology The First Affiliated Hospital of Hunan Traditional Chinese Medicine College (Hunan Provincial Directly Affiliated Hospital of Traditional Chinese Medicine)  Zhuzhou China"},{"name":"Department of Gynecology Hunan Provincial Hospital of Traditional Chinese Medicine Affiliated to Hunan University of Chinese Medicine  Zhuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/jmh.JMH_105_19"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.23736\/S0026\u20104733.20.08253\u2010X"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2023.1289522"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010025\u201086"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.930299"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.9658"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_2546_20"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000012526"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2022.106842"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.822339"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13256\u2010025\u201005669\u20102"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2004.07.048"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443619964111"},{"issue":"5","key":"e_1_2_14_15_1","first-page":"586","article-title":"Bilateral Massive Ovarian Leiomyomata in a Young Woman: A Case Report With Review of the Literature","volume":"5","author":"Kandalaft P. 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