Leiomyoma of the round ligament in a postmenopausal woman

Lösch, Alexander; Haider-Angeler, Maria Gabriela; Kainz, Christian; Breitenecker, G.; Lahodny, J.

doi:10.1016/s0378-5122(98)00105-4

Cited by 22 publications

(13 citation statements)

References 11 publications

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“…Preoperative diagnosis was generally difficult, in keeping with the findings of other authors [6,68]. Specifically, distinguishing the tumor from the ovaries [82,85] was cited as a major challenge on diagnostic imaging. Unusual locations of the leiomyomata, such as at the upper pole of the kidney [67] or in close proximity to paraaortic lymph nodes [68], often raised suspicion of malignancy especially in the presence of otherwise normal pelvic structures.…”

Section: Investigationsmentioning

confidence: 62%

“…Of these, 60 were excluded: 31 for pathology other than leiomyoma [5,8 -36], 9 for nonretroperitoneal leiomyomata [37][38][39][40][41][42][43][44][45], 9 for intravenous or intracardiac leiomyomatosis [46 -55], 5 for leiomyomata of known gastrointestinal or renal origin [56 -60], 5 for containing review material only [61][62][63][64][65] and 1 for restriction to the biochemical analysis of smooth muscle tumors [66], leaving 17 publications for review [2,6,7,[67][68][69][70][71][72][73][74][75][76][77][78][79][80]. In addition, 7 articles were found [3,4,[81][82][83][84][85] through the bibliographies of other articles providing a total of 24 articles.…”

Section: Methodsmentioning

confidence: 99%

“…The mean age was 46.27 years, SD 13.19 (95% CI 41.87-50.67). Menopausal status was provided for 7 patients and, of these, 2 were postmenopausal [82,83]. One postmenopausal patient was undergoing hormone replacement therapy [82].…”

Section: Epidemiology and Presentationmentioning

confidence: 99%

See 2 more Smart Citations

Epidemiology, Presentation, and Management of Retroperitoneal Leiomyomata: Systematic Literature Review and Case Report

Poliquin

Victory

Vilos

2008

Journal of Minimally Invasive Gynecology

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Section: Investigationsmentioning

confidence: 62%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Epidemiology, Presentation, and Management of Retroperitoneal Leiomyomata: Systematic Literature Review and Case Report

Poliquin

Victory

Vilos

2008

Journal of Minimally Invasive Gynecology

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“…Intra-round-ligament fibroid may grow at any point along the track of the ligament, from the uterine horns to the entry opening of the inguinal canal, in the inguinal canal, or after exiting the inguinal canal in the labia majora or mons pubis mimicking therefore other mass lesions in the region such as adenopathy or inguinal hernias [1][2][3][4]. Unlike other leiomyomas, intra-ligamentous tumors can grow in already hysterectomised patients [5]. In this paper, we report a case of round ligament fibroid that was successfully managed using a minimal invasive route.…”

Section: Introductionmentioning

confidence: 99%

Intra-ligamentous fibroid removed laparoscopically

Heaton¹,

Walid²

2011

OJOG

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In this paper, we report the case of a left round ligament fibroid in a 24 year-old, gravida 0, female that was successfully managed laparoscopically. Operative findings also included severe adnexal adhesions bilaterally, severe adhesions of the liver to the anterior abdominal wall (Fitz-Hugh-Curtis syndrome), pigmented areas on the left tube, uterus and posterior broad ligament (that proved to be endometriosis), and low capacity bladder (450 cc at 70 cm water pressure) with florid glomerulations and Hunner's ulcers consistent with typical interstitial cystitis. Beside the feasibility of laparoscopic management of intra-ligamentous tumors this case highlights the common multifactorial nature of chronic pelvic pain and the frequent association of endometriosis and interstitial cystitis.

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“…Diagnoses before an operation can be difficult, missing with ovary as the most common challenge (14,15). In many cases, the exact location of the mass cannot be determined, even by MRI.…”

mentioning

confidence: 99%

A Rare Case of a Retroperitoneal Leiomyoma in the Obturator Fossa

Arab

Farzaneh

Ghavami

et al. 2016

Iran Red Crescent Med J

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Introduction: Uterine leiomyomas are the most common benign solid tumors of the female pelvis. Retroperitoneal myomas are extremely rare and usually malignant with the common location being in the pelvis. Case Presentation: Our case involved a woman who was suffering from dysparonia and radiculating right pelvic pain. The pelvic examination revealed a palpable tender mass of about 3-4 cm in size in the right adnexa near the pelvis bone. An orthopedic consultation was in favor of the mass being of gynecologic origin. A retroperitoneal approach on the right side revealed a 3 cm mass in the right obturator fossa. Conclusions:The most common place for a myoma is in the uterus. However, other sites have also been presented as case reports. Most smooth muscle tumors originating in the retroperitoneum are malignant. Retroperitoneal sites for myomas are mostly in the pelvis (73.1%). The frequent symptoms of retroperitoneal masses, including myoma, are discomfort, fatigue, weight loss, and radiating pain. The common sonographic findings in these patients is a pelvic solid mass with heterogeneous features. Surgical excision is the main treatment of retroperitoneal smooth muscle tumors.

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Leiomyoma of the round ligament in a postmenopausal woman

Cited by 22 publications

References 11 publications

Epidemiology, Presentation, and Management of Retroperitoneal Leiomyomata: Systematic Literature Review and Case Report

Epidemiology, Presentation, and Management of Retroperitoneal Leiomyomata: Systematic Literature Review and Case Report

Intra-ligamentous fibroid removed laparoscopically

A Rare Case of a Retroperitoneal Leiomyoma in the Obturator Fossa

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