DEGENERESCENCE KYSTIQUE DE MYOMES UTERINS SIMULANT UN CANCER DE L’OVAIRE : ETUDE D’UN CAS AU CHU DE KARA, AU NORD DU TOGO

Abstract

Objective : We repport a case of cystic degeneration of two uterine myomas mimicking ovarian cancer. Observation : It concerned a fourty yaers old patient with uterine polymyoma, receeved at jully 15th, 2014 for progressive abdominal tumefaction and recurrent menemetrorrhagia. Huge and renitent mass distended her abdomen. Hemoglogin concentration was 5,78 g/dl and renal assessment was normal. Abdominal ultrasound revealed a huge mixte tumor with ascendancy of the cystic component and uterine polymyoma. Abdominopelvic scanner noted the mixte character of the tumor and suspected his ovarian origin and his malignancy. Tumor was 38 cms of main line. Ther was neither vegetation, nor ascite and nor abdominopelvic lymphatic nods. Xyphopubian laparotomy was practised after correction of the anemia and after prevention of thromboembolic desaese. In the openning, ovaries were normal ; there was left hydrosalpinx ; uterus was polymyomatous with two pediculed cystic degenerescence sub serous myoma measuring 40 cms and 15 cms. Conclusion : Cystic degenerescence of uterus myoma, whatever is rare, can be huge and mimic ovarian cancer instead of médical imaging contribution. It’s necessary to think of behind renitent adnexial masse in clinical context of uterus myoma.