2022, Number 06
Retroperitoneal parasitic leiomioma: A case report
Velasco-García A, González-Muñoz A, Barrios JÁ, Mendoza-Quevedo J
Full text
Language: Spanish
References: 8
Page: 538-542
PDF size: 296.54 Kb.
ABSTRACT
Background: Parasitic leiomyomas are a rare entity, defined as an unusual variant of uterine myomatosis. Have been documented in the abdominal wall, small intestine, cervical or vaginal stump, iliac vessels, ovaries, sigmoid colon, and greater omentum.Objective: To report a clinical case of retroperitoneal parasitic leiomyoma and review the literature.
Clinical case: A 57-year-old patient with a diagnosis of CIN-III and secondary abnormal uterine bleeding, who consulted for a sensation of abdominal mass and pain, subjective weight loss, hyporexia, dysphagia and gastric fullness, of four months of evolution. Extension studies document a large retroperitoneal mass and elevation of tumor markers Ca 125 and Ca 19-9. We practice surgical management of her gynecological pathology and resection of the mass by laparotomy, with histopathological finding of myoma.
Conclusion: Parasitic leiomyomas should be suspected in patients with a detected mass and a history of hysterectomy or myomectomy, especially in the context of morcellation. The treatment of this condition is surgical and, in cases of disseminated peritoneal leiomyomatosis, pharmacological treatments have been used with aromatase inhibitors and gonadotropin-release hormone analogues.
REFERENCES
Barnaś E, Książek M, Raś R, Skręt A, et al. Benign metastasizingleiomyoma: A review of current literature in respectto the time and type of previous gynecological surgery.PLoS One 2017; 12 (4): e0175875.https://www.researchgate.net/publication/316287010_Benign_metastasizing_leiomyoma A_review_of_current_literature_in_respect_to_the_time_and_type_of_previous_gynecological_surgery