Malignant leiomyomatosis peritonealis disseminata

Akkersdijk, G. J. M.; Flu, Peter K.; Giard, Raymond W.M.; Lent, Mattheus van; Wallenhurg, Henk C.S.

doi:10.1016/0002-9378(90)91205-q

Cited by 55 publications

(33 citation statements)

References 1 publication

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“…The few cases of primary intraosseous leiomyosarcoma described in the literature [2,3,4] displayed a far higher rate of atypical mitoses. In these cases the radiograph showed osteolysis starting in the centre of the tumour and eventually destroying the cortical layer also; no border of sclerosis was seen.…”

Section: Discussionmentioning

confidence: 99%

Intraosseous leiomyoma of the neck of the femur

Braun

Kotter

Kundel

et al. 1994

International Orthopaedics

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Section: Discussionmentioning

confidence: 99%

Intraosseous leiomyoma of the neck of the femur

Braun

Kotter

Kundel

et al. 1994

International Orthopaedics

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“…Most cases occur in women in the reproductive age group and are often associated with pregnancy or oral contraceptive use, although there have been a few reports of LPD Correspondence to: A. S. Fulcher in postmenopausal women and one report in a man [5,10,11,15]. Although LPD may be asymptomatic and discovered incidentally during cesarean section, laparotomy, or laparoscopy, LPD may occasionally be symptomatic or undergo malignant transformation [11,14,16].…”

mentioning

confidence: 98%

“…Since the first report by Willson and Peale in 1952 [2], there have been approximately 60 cases reported in the literature [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16]. Most cases occur in women in the reproductive age group and are often associated with pregnancy or oral contraceptive use, although there have been a few reports of LPD Correspondence to: A. S. Fulcher in postmenopausal women and one report in a man [5,10,11,15].…”

mentioning

confidence: 99%

Leiomyomatosis peritonealis disseminata complicated by sarcomatous transformation and ovarian torsion: presentation of two cases and review of the literature

Fulcher

Szucs

1998

Abdom Imaging

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Leiomyomatosis peritonealis disseminata (LPD) is a rare disorder usually discovered incidentally in women of child-bearing age and is characterized by multiple subperitoneal smooth muscle nodules. Case reports of two patients with complications related to LPD and a review of the literature are presented. In one case, the patient carried the diagnosis of LPD for 11 years and experienced sarcomatous transformation; this is the first report of the magnetic resonance appearance of this entity. In the second case, LPD was diagnosed after an LPD implant on the ovary-induced ovarian torsion. We also present a patient in whom large, pedunculated uterine leiomyomas mimicked LPD. The clinical presentation, possible pathogenesis, imaging features, and therapeutic options of LPD are reviewed. Because this uncommon condition is being reported with increasing frequency, familiarity with its imaging features and pitfalls is important to suggest the diagnosis in the appropriate clinical setting.

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“…Due to the atypical manifestation of DPL, there are three theories concerning its histogenesis. Some investigators theorize that the primary uterine smooth muscle tumor may actually be a low-grade leiomyosarcoma with a low malignant potential that has not been adequately diagnosed [6] . Others suggest that extra-uterine smooth muscle tumors should be regarded as the result of implantation and proliferation of benign smooth muscle tissue or cells originating from a uterine leiomyoma, based on the clonal analysis of 4 cases of DPL [7] .…”

Section: A Case Of Disseminated Peritoneal Leiomyomatosis Developing mentioning

confidence: 99%

A Case of Disseminated Peritoneal Leiomyomatosis Developing after Laparoscope-Assisted Myomectomy

Miyake

Enomoto

Ueda

et al. 2008

Gynecol Obstet Invest

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A 36-year-old nulliparous woman developed multiple extra-uterine fibroids in the pelvic cavity years after laparoscopic myomectomy. Molecular genetic analysis by methylation-specific polymerase chain reaction (MSPCR) of the human X-linked androgen receptor gene and loss of heterozygosity (LOH) analysis at 5 microsatellite loci was performed on the tumors. All tumors showed an identical non-random X-chromosome inactivation pattern by MSPCR and an identical pattern of LOH was found in all the tumors by LOH analysis. This demonstrated that 3 fibroids resected 2 years later and 14 fibroids resected 6 years later were all metastatic tumors originating from the uterine leiomyoma found during the initial surgery, suggesting that morcellation before removal of the leiomyoma nodule during laparoscopic myomectomy may have been associated with the pathogenesis of this case.

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Malignant leiomyomatosis peritonealis disseminata

Cited by 55 publications

References 1 publication

Intraosseous leiomyoma of the neck of the femur

Intraosseous leiomyoma of the neck of the femur

Leiomyomatosis peritonealis disseminata complicated by sarcomatous transformation and ovarian torsion: presentation of two cases and review of the literature

A Case of Disseminated Peritoneal Leiomyomatosis Developing after Laparoscope-Assisted Myomectomy

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