Large leiomyomatosis peritonealis disseminata after laparoscopic myomectomy: A case report with literature review

Yoshino, Yasunori; Yoshiki, Naoyuki; Nakamura, Reiko; Iwahara, Yoshihito; Ishikawa, Takaaki; Matsuda, Naoyuki

doi:10.1016/j.ijscr.2020.12.005

Cited by 9 publications

(10 citation statements)

References 18 publications

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“…PM was first reported by Willson and Peale in 1952 11) . Since then, approximately 130 cases in the Englishlanguage literature have been reported 4) . Apart from the above three unusual smooth muscle cell growing patterns, secondary or iatrogenic PM is the most common form of PM and seen as a complication of previous myomectomy, particularly following laparoscopy using a morcellator.…”

Section: Discussionmentioning

confidence: 99%

“…Apart from the above three unusual smooth muscle cell growing patterns, secondary or iatrogenic PM is the most common form of PM and seen as a complication of previous myomectomy, particularly following laparoscopy using a morcellator. Previous reports on parasitic fibroids are sparse, and most reported cases have been linked to previous laparoscopic surgery 4,11) . Unlike previous reports, the present case had no history of previous surgery.…”

Section: Discussionmentioning

confidence: 99%

“…During laparoscopic surgery, power morcellation devices are used to remove sizable specimens through small incisions. However, dissemination of benign tissues is an increasing concern, and sequelae have been reported 4,5) .…”

Section: Introductionmentioning

confidence: 99%

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A case of spontaneous parasitic myoma in a patient without a history of myomectomy treated laparoscopically

Kyozuka

Jin

Sugeno

et al. 2022

FJMS

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Parasitic myoma (PM) is a rare disease in which multiple leiomyomas are intraperitoneally formed. Recently, an increasing number of cases due to specimen morcellation during minimally invasive surgery has been reported. We present the first case of a PM identified intraoperatively during laparoscopic hysterectomy. A 40 -yearold Japanese multiparous woman presented to our hospital with heavy menstrual bleeding. She had no history of previous surgery. Magnetic resonance imaging showed uterine myomas. As the patient did not wish for further pregnancy, she underwent oral gonadotropinreleasing hormone antagonist therapy followed by a total laparoscopic hysterectomy. Intraoperatively, we identified a thumbsized tumor on the left side of the peritoneum. Histopathological examination showed evidence of benign leiomyoma.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A case of spontaneous parasitic myoma in a patient without a history of myomectomy treated laparoscopically

Kyozuka

Jin

Sugeno

et al. 2022

FJMS

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“…The nodules of iatrogenic LPD are usually large in size and less numerous, which differs from the carcinomatosis-like dissemination of typical LPD ( 4 ). An iatrogenic nodule as large as 34 cm in diameter has been reported ( 12 ).…”

Section: Discussionmentioning

confidence: 99%

“…In our case series, some cases were suspected of malignant tumors because imaging examination showed multiple lesions in the abdominal cavity. In suspected patients, imageguided FNA is a good choice to exclude the probability of malignancy and avoid inappropriate surgical treatment (11)(12)(13)(14). Unclear diagnosis makes it impossible to perform pre-operative treatment.…”

Section: Discussionmentioning

confidence: 99%

Leiomyomatosis Peritonealis Disseminata Following Laparoscopic Surgery With Uncontained Morcellation: 13 Cases From One Institution

et al. 2021

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Objectives: To investigate the clinical characteristics, treatment and prognosis of leiomyomatosis peritonealis disseminata (LPD) following laparoscopic surgery with uncontained morcellation and to summarize clinical features of iatrogenic LPD based on published literature together with our own experience.Methods: A cohort of 13 cases with iatrogenic LPD diagnosed and treated in Peking Union Medical College Hospital from 2011 to 2020 was reported focusing on clinical characteristics, treatment and prognosis.Results: All the patients had a history of laparoscopic myomectomy with uncontained morcellation. The average age was 35.6 (range 25–47) years. The interval between initial laparoscopic surgery and first diagnosis of LPD was 6.08 years on average (range 1–12). Most of the patients had no obvious symptoms. The accuracy of pre-operative diagnosis was low. Two patients had been treated with gonadotropin-releasing hormone agonist (GnRH-a) before surgery without obvious effect. The nodules of LPD are usually located in the lower half of the peritoneal cavity. The most commonly involved site was the pouch of Douglas. The number of nodules ranged from 3 to over 10, and they ranged in size ranged from 0.3 to 22 cm. All patients underwent surgical treatment: six patients underwent laparoscopy and seven underwent laparotomy. Pathology results confirmed LPD. The immunohistochemical profile indicated LPD tends to be positive strongly for desmin, caldesmon, ER, PR and SMA. Only one patient underwent post-operative treatment with GnRH-a. All patients were followed for an average period of 49 months without recurrence.Conclusion: Iatrogenic LPD is a relatively rare condition. Patients usually exhibit no hormonal stimulation factors. Surgery is the main method of treatment, and hormone suppressive therapy is only rarely used. The nodules are usually large and less numerous, and most involve the pelvis. The prognosis of iatrogenic LPD seems good.

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Leiomyomatosis peritonealis dissemianata five years after laparoscopic uterine myomectomy: A case report

Thắng

Thien

Anh

et al. 2021

Annals of Medicine &Amp; Surgery

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Large leiomyomatosis peritonealis disseminata after laparoscopic myomectomy: A case report with literature review

Cited by 9 publications

References 18 publications

A case of spontaneous parasitic myoma in a patient without a history of myomectomy treated laparoscopically

A case of spontaneous parasitic myoma in a patient without a history of myomectomy treated laparoscopically

Leiomyomatosis Peritonealis Disseminata Following Laparoscopic Surgery With Uncontained Morcellation: 13 Cases From One Institution

Leiomyomatosis peritonealis dissemianata five years after laparoscopic uterine myomectomy: A case report

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