Uterine leiomyoma presenting with unusual pathological features: a series of two cases

摘要

Leiomyomas are benign and most common smooth muscle neoplasms that can occur in any organ, most commonly in uterus, small bowel and esophagus. Leiomyomas may have unusual presentations either in form of location or various secondary changes like hyaline, myxoid, red degeneration, chondroid metaplasia, sarcomatous change, etc. We present two unusual cases of leiomyomas, one involving an unusual location (giant cervical fibroid) and the other a uterine leiomyoma with rare pure chondroid metaplasia. Both these entities are rare and hold importance in the differential diagnosis because it is imperative to differentiate the giant cervical fibroid from any ovarian neoplasm or procidentia and chondroid metaplasia from any other mesenchymal/mixed uterine tumor. Moreover giant leiomyomas require expert hands during surgical removal.