This Isn’t Chicken.

Leiomyomas can be as tiny as your pinky’s point or as large as what your pelvic cavity can accommodate. They can grow on any part of the internal genitalia and morph the contours of the organ unnaturally.

If you recall the natural anatomical position of the female reproductive system, it would be something like this. But what I had here is a cervix, bilateral fallopian tubes and their ovaries in one plane. This meant the tumor grew so big on one side that it shortened the gap between the inferior and superior ends of the organ. I see these rarely and not actually a biggy but it still amazes me how much these monsters can grow in size, location and in different ways.

One thing more prominent about this case is the abscess and degenerated look it had on cut sections. Now normal myomas on gross would just be that firm, solid cream-tan tissue that bulges when cut. What I have here is softer (not accounting for the parts that were poorly preserved in red), had several cystic spaces and abscess.

Necrosis and an increase in mitotic rates (cell splitting) elevates this case from benign to a malignant leiomyosarcoma if my gross guess in correct. It’s my first encounter if it was but will just wait for the processed slides to come out and see.

If you made it this far reading, thank you for your time.

Posted with STEMGeeks