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Giant Fibroid Mimicking a Gastrointestinal Stromal Tumor: A Diagnostic Dilemma

Uterine fibroids are the most common benign pelvic tumors in females of the reproductive age group. Usually, fibroids are confined to the uterus. Here, we report an interesting and rare case of a large 17 cm abdominopelvic mass lesion that led to a diagnostic dilemma between a mesenteric gastrointes...

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Detalles Bibliográficos
Autores principales: Priyadharshinee, Gayathri, Sahu, Tapas K, Chavadi, Channabasappa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081861/
https://www.ncbi.nlm.nih.gov/pubmed/37033583
http://dx.doi.org/10.7759/cureus.35883
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author Priyadharshinee, Gayathri
Sahu, Tapas K
Chavadi, Channabasappa
author_facet Priyadharshinee, Gayathri
Sahu, Tapas K
Chavadi, Channabasappa
author_sort Priyadharshinee, Gayathri
collection PubMed
description Uterine fibroids are the most common benign pelvic tumors in females of the reproductive age group. Usually, fibroids are confined to the uterus. Here, we report an interesting and rare case of a large 17 cm abdominopelvic mass lesion that led to a diagnostic dilemma between a mesenteric gastrointestinal stromal tumor (GIST) and a uterine fibroid. We had a 26-year-old female who underwent an ultrasound examination of the abdomen as the initial imaging modality and was found to have an abnormally large solid abdominopelvic mass lesion. For further evaluation, a contrast-enhanced CT examination of the abdomen-pelvis was done. Initially, on first look, the mass was thought to be of mesenteric origin, but on further review of images, it was found to be of gynecological origin. Intraoperatively, the solid mass was seen attached to the uterine fundus and underwent excision. Histopathological examination confirmed the mass to be a uterine fibroid. This case study describes the uncommon appearance of this tumor in a young woman, including the clinical presentation, imaging, and surgical findings.
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spelling pubmed-100818612023-04-08 Giant Fibroid Mimicking a Gastrointestinal Stromal Tumor: A Diagnostic Dilemma Priyadharshinee, Gayathri Sahu, Tapas K Chavadi, Channabasappa Cureus Radiology Uterine fibroids are the most common benign pelvic tumors in females of the reproductive age group. Usually, fibroids are confined to the uterus. Here, we report an interesting and rare case of a large 17 cm abdominopelvic mass lesion that led to a diagnostic dilemma between a mesenteric gastrointestinal stromal tumor (GIST) and a uterine fibroid. We had a 26-year-old female who underwent an ultrasound examination of the abdomen as the initial imaging modality and was found to have an abnormally large solid abdominopelvic mass lesion. For further evaluation, a contrast-enhanced CT examination of the abdomen-pelvis was done. Initially, on first look, the mass was thought to be of mesenteric origin, but on further review of images, it was found to be of gynecological origin. Intraoperatively, the solid mass was seen attached to the uterine fundus and underwent excision. Histopathological examination confirmed the mass to be a uterine fibroid. This case study describes the uncommon appearance of this tumor in a young woman, including the clinical presentation, imaging, and surgical findings. Cureus 2023-03-07 /pmc/articles/PMC10081861/ /pubmed/37033583 http://dx.doi.org/10.7759/cureus.35883 Text en Copyright © 2023, Priyadharshinee et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Radiology
Priyadharshinee, Gayathri
Sahu, Tapas K
Chavadi, Channabasappa
Giant Fibroid Mimicking a Gastrointestinal Stromal Tumor: A Diagnostic Dilemma
title Giant Fibroid Mimicking a Gastrointestinal Stromal Tumor: A Diagnostic Dilemma
title_full Giant Fibroid Mimicking a Gastrointestinal Stromal Tumor: A Diagnostic Dilemma
title_fullStr Giant Fibroid Mimicking a Gastrointestinal Stromal Tumor: A Diagnostic Dilemma
title_full_unstemmed Giant Fibroid Mimicking a Gastrointestinal Stromal Tumor: A Diagnostic Dilemma
title_short Giant Fibroid Mimicking a Gastrointestinal Stromal Tumor: A Diagnostic Dilemma
title_sort giant fibroid mimicking a gastrointestinal stromal tumor: a diagnostic dilemma
topic Radiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081861/
https://www.ncbi.nlm.nih.gov/pubmed/37033583
http://dx.doi.org/10.7759/cureus.35883
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