The relation between the presence of a giant primary ovarian leiomyoma and the occurrence of epilepsy as a paraneoplastic syndrome

Introduction Primary ovarian leiomyoma is a quite rare tumor and usually it is small and unilateral. Most cases are asymptomatic. This benign tumor is usually diagnosed incidentally on routine pelvic examination or in pathologic specimens at surgery or at autopsy. Case Presentation In this case, a p...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2010-03, Vol.281 (3), p.531-534
Main Authors: Yumru, A. Ender, Bozkurt, Murat, Ayanoğlu, Y. Tahsin, Ayhan, İmran, İnci Coşkun, Ebru, Battal Havane, Semiha
Format: Article
Language:English
Subjects:
Abdomen
Autoimmune diseases
Endocrinology
Epilepsy - etiology
Female
Fibroids
Gynecologic Oncology
Gynecology
Human Genetics
Humans
Hysterectomy
Leiomyoma - complications
Leiomyoma - pathology
Medicine
Medicine & Public Health
Middle Aged
Obstetrics/Perinatology/Midwifery
Ovarian cancer
Ovarian Neoplasms - complications
Ovarian Neoplasms - pathology
Paraneoplastic Syndromes - etiology
Tumors
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Summary:Introduction Primary ovarian leiomyoma is a quite rare tumor and usually it is small and unilateral. Most cases are asymptomatic. This benign tumor is usually diagnosed incidentally on routine pelvic examination or in pathologic specimens at surgery or at autopsy. Case Presentation In this case, a patient with her first epileptic seizure was admitted to our emergency department. Following the initial treatment in neurology clinics, patient claimed of an abdominal pain, so by abdominal ultrasonography, it was determined that the patient had a giant abdominal mass measured 30 × 28 × 15 cm in diameter which was clinically diagnosed as malign ovarian tumor. Conclusion At laparotomy, a radical hysterectomy was performed. It was reported as ovarian leiomyoma on pathological evaluation. After 15 days of surgery, patient is discharged without any complications and also no more epileptic seizures.
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-009-1184-z