After performing laparoscopic unilateral adnexectomy in a 53-year-old woman for a rapidly grown unilateral adnexal mass, pathologists reported a primary ovarian leiomyoma with no genuine ovarian tissue. This rare diagnosis is found in less than 100 reports after systematic literature review, a greater number of asymptomatic ovarian leiomyomas can be expected. Thorough preoperative diagnostic measures are essential as rare cases of malignancy have been described.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10435588PMC
http://dx.doi.org/10.1007/s00404-022-06842-4DOI Listing

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