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Federación Mexicana de Ginecología y Obstetricia, A.C.

2018, Number 10

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Ginecol Obstet Mex 2018; 86 (10)

Rapidly growing vaginal leiomyoma. A case report

Robles-Fradejas M, Gonzalo-García I, Corcuera-Díez S, Vallejo-Blanco E, Blanco-Fernández T, Martínez-Guisasola CJ

Language: Spanish
References: 10
Page: 687-691
PDF size: 407.17 Kb.


ABSTRACT

Background: Vaginal leiomyomas are exceptional tumours. Only 330 cases have been reported in the world literature.
Clinic case: Patient of 37 years old, with a vagina tumour of rapid growth. The physical examination showed a mass of hard consistency, without pain on palpation, of approximately 30 mm in average diameter, in the lower third of the right lateral of the vagina, compatible with the vaginal myoma. At that time the patient refused to receive treatment. After a few months, a consultation for vaginal discomfort, metrorrhagia greater than the menstrual cycle and dyspareunia. Ultrasonography and magnetic resonance showed a tumour that increased in size (58 x 57 x 60 mm), had a rounded shape and a solid appearance, located in the vesicovaginal space. With these data the diagnosis of pediculated vaginal leiomyoma was established. Ulipristal acetate (5 mg / day) was prescribed to decrease volume and myomatous bleeding. After two treatment cycles, an increase in the tumour was observed, which reached a size of 70 x 55 mm. It was decided to perform myomectomy vaginally, without objectifying the pedicle dependent on the uterus and the cervix. The postoperative period was uneventful. The histopathological study confirms the diagnosis of vaginal leiomyoma.
Conclusion: The signs and symptoms (bleeding or abnormal staining, vaginal discharge, pain or pelvic mass) of the extrauterine leiomyosarcomas make it difficult to establish precise recommendations to establish the diagnosis and treatment.


REFERENCES

  1. Halder A, et al. Vaginal leiomyoma presenting as tumour in the paracolpium. J Obstet Gynaecol 2009;29(8):775-6. https://doi.org/10.3109/01443610903168366

  2. Wu Y, et al. A Misdiagnosed Vaginal Leiomyoma: Case Report. Urology Case Reports 2015;3:82-83. https://doi. org/10.1016/j.eucr.2015.02.004

  3. Dane C, et al. Vaginal leiomyoma in pregnancy presenting as a prolapsed vaginal mass. Hong Kong Med J 2012;18(5):533-535.

  4. Yogesh K, et al. Vaginal leiomyoma developing after hysterectomy - Case report and literature review. Australian and New Zealand Journal of Obstetricas and Gynecology 2005;45(1). https://doi.org/10.1111/j.1479- 828X.2005.00354.x

  5. Sayammagaru S, Livanos P, Maulik T. Vaginal leiomyoma. Journal of Obstetrics and Gynaecology. 2006;26(5):485- 486.

  6. Briceño-Perez C, et al. Leiomioma vaginal. Ginecol Obstet Mex 2006;74(5):277-281.

  7. Sim C, Lee J, Kwak J, Song S. Necrotizing ruptured vaginal leiomyoma mimicking a malignant neoplasm. Obstet Gynecol Sci 2014;57(6):560-63. https://doi.org/10.5468/ ogs.2014.57.6.560

  8. Valdera Simbron CJ, et al. Leiomioma vaginal. Progres Obstet Ginecol 2012;55(3):130-133.

  9. Chakrabarti I, et al. Vaginal leiomioma. J Mid-life Health 2011;2:42-3. http://www.jmidlifehealth.org/text. asp?2011/2/1/42/83274

  10. Imai A, et al. Leiomyoma and rhabdomyoma of the vagina Vaginal myoma. J Obstet Gynaecol 2008;28(6): 563-66. https://doi.org/10.1080/01443610802310333




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