{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T16:16:05Z","timestamp":1793463365376,"version":"4.5.0"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2013,9,9]],"date-time":"2013-09-09T00:00:00Z","timestamp":1378684800000},"content-version":"vor","delay-in-days":251,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n INTRODUCTION:<\/jats:title>\n Leiomyoma of the uterus is the most common type of tumor affecting the female pelvis and arises from uterine smooth muscle. The size of leiomyomas varies from microscopic to giant; giant myomas are exceedingly rare. We report an unusual case of a large, cystic, pedunculated uterine leiomyoma mimicking a primary malignant ovarian tumor on sonography and CT.<\/jats:p>\n <\/jats:sec>\n \n PRESENTATION OF CASE:<\/jats:title>\n A 58-year-old postmenopausal nulliparous woman presented with a history of lower abdominal pain and distension for a period of approximately 12 months. The patient's personal history revealed difficulty in walking, tiredness and recent weight gain of approximately 25 kg. Sonography and CT examination showed a large mass that filled the abdomen. A preoperative diagnosis of a primary malignant ovarian tumor was made. The patient underwent laparotomy, total hysterectomy and bilateral salpingo-ooferectomy. The histology revealed a leiomyoma with extensive cystic degeneration.<\/jats:p>\n <\/jats:sec>\n \n DISCUSSION:<\/jats:title>\n The current established management of uterine fibroids may involve expectant, surgical, or medical management or uterine artery embolization or a combination of these treatments. A surgical approach is preferred for management of giant leiomyomas.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION:<\/jats:title>\n Pedunculated leiomyomas should be considered in the differential diagnosis of a multilocular and predominantly cystic adnexal mass.<\/jats:p>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2013.08.018","type":"journal-article","created":{"date-parts":[[2013,9,13]],"date-time":"2013-09-13T00:32:07Z","timestamp":1379032327000},"page":"1010-1012","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":33,"title":["A giant cystic leiomyoma mimicking an ovarian malignancy"],"prefix":"10.1097","volume":"4","author":[{"given":"Cetin","family":"Aydin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serenat","family":"Eri\u015f","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yakup","family":"Yal\u00e7in","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halime \u015een","family":"Selim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R3-21-20260114","first-page":"2s","article-title":"Giant uterine tumors","volume":"50","author":"Jonas","year":"1977","journal-title":"Obstet Gynecol"},{"key":"R4-21-20260114","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/j.ijgo.2004.12.026","article-title":"Giant myomas of the uterus","volume":"88","author":"Inaba","year":"2005","journal-title":"Int J Gynaecol Obstet"},{"key":"R6-21-20260114","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/S0889-8545(21)00658-6","article-title":"Pathologic considerations of uterine smooth muscle tumors","volume":"22","author":"Preayson","year":"1995","journal-title":"Obstet Gynecol Clin North Am"},{"key":"R7-21-20260114","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1016\/S0889-8545(21)00660-4","article-title":"Ultrasonography and magnetic resonance imaging of uterine fibroids","volume":"22","author":"Mayer","year":"1995","journal-title":"Obstet Gynecol Clin North Am"},{"key":"R8-21-20260114","first-page":"385","article-title":"A giant fibroid uterus","volume":"54","author":"Evans","year":"1979","journal-title":"Obstet Gynecol"},{"key":"R10-21-20260114","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1148\/radiographics.10.6.2259770","article-title":"CT appearance of uterine leiomyomas","volume":"10","author":"Casillas","year":"1990","journal-title":"Radiographics"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026121300271X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026121300271X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201304110-00021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:14:55Z","timestamp":1768396495000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201304110-00021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1]]},"references-count":6,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2013]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2013.08.018","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2013,1]]}}}