Abstract

Background Primary Leiomyomas of ovary are rare tumors and account for less than 1 of benign ovarian tumors Only about 60 cases have been reported in literature out of which most presented in child bearing age group Case A 65 year old postmenopausal multipara presented with history of back pain and pain in lower abdomen Pelvic examination and transvaginal ultrason-ography revealed presence of bilateral ovarian mass An intra-operative frozen section showed serous cystade-noma in both ovaries with adenofibroma like areas in the left ovary She underwent Panhysterectomy with Bilateral salpingo-oophorectomy Histopathologically a diagnosis of bilateral ovarian serous cyastadenoma with features of ovarian leiomyoma in left ovary was made Ovarian fibroma-thecoma cellular fibroma and sclerosing stromal tumour were considered as its differentials and ruled out The possibility of leiomyos-arcoma was also ruled out Conclusions Although these tumors have a benign course and are very rare they should be emphasized as a possible differential whenever solid ovarian masses are detected