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KMID : 0358420140570060560
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Korean Journal of Obstetrics and Gynecology
2014 Volume.57 No. 6 p.560 ~ p.563
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Necrotizing ruptured vaginal leiomyoma mimicking a malignant neoplasm
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Sim Chae-Hee
Lee Jin-Hee
Kwak Jyung-Sik
Song Seung-Hun
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Abstract
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Leiomyomas are common benign uterine tumors. However, the incidence of vaginal myoma is very rare and may be confused with a variety of vaginal tumors. We report a case of 43-year-old nulligravida who presented with a protruding painful vaginal mass for 7 days. The mass had initially appeared 3 years prior, as 2 to 3 cm that had not subsequently increased. However suddenly, there was rapid severe enlargement over the course of 7 days. Physical exam revealed a monstrous shaped, black color with focal necrosis, odorous protruding vaginal mass about 7 cm in size. The vaginal mass was infected and degenerated. And vaginal wall was also destroyed by the enlarged mass. Because of the clinical features and radiologic findings, the preoperative diagnosis was a vaginal malignancy. We reported an extremely rare case of vaginal myoma that had several characteristics of malignancy, with a brief review of the literature.
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KEYWORD
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Myoma, Paraurethral mass, Ruptured vaginal leiomyoma, Vaginal malignancy
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