Leiomiomatose peritoneal disseminada: relato de caso

Abstract

Neste trabalho relata-se o caso de uma paciente de 46 anos de idade com queixa de aumento de volume periumbilical e dor leve antes da menstruação. O quadro evoluiu com aumento gradativo da dor. Foram realizados ultra-som, tomografia computadorizada e ressonância magnética. Após laparotomia exploradora, foi retirado material para biópsia que confirmou o diagnóstico de leiomiomatose peritoneal disseminada.

An Unusual Presentation of Pelvic Leiomyomatosis Misdiagnosed as Disseminated Malignancy

“…According to some authors, exposure to estrogen is the primary mechanism involved in the development of leiomyomatosis peritonealis disseminata. Two cases have been reported associating the disease with the utilization of tamoxifen for the management of breast cancer which might have been the causal factor in our case [ 5 ].…”

“…In 64 reports on LPD, 105 patients have been described and amongst them only 4 were postmenopausal [ 4 ]. Most times, the patients are asymptomatic, and the disease is incidentally found, so there is a possibility that the disease incidence is higher than the number of cases described in the literature [ 5 ].…”

“…Sometimes the imaging diagnosis may be difficult, considering that radiological findings may suggest the presence of a malignant condition [ 5 ]. The tiny peritoneal nodules of disseminated peritoneal leiomyomatosis may also be below the resolution of all radiologic techniques.…”