Parauterine leiomyomas in women: A clinicopathologic study of 22 cases

Honoré, Louis H.

doi:10.1016/0028-2243(81)90007-1

Cited by 11 publications

(6 citation statements)

References 13 publications

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Section: Discussionmentioning

confidence: 99%

“…Honore [7] defined parauterine leiomyoma as follows: (1) Their juxtauterine borders were easily separated from the uterus, (2) they were not covered externally by perimetrium directly continuous with that overlying the normal adjoining uterus, and (3) histologic study of the interface showed no direct continuity between the outer myometrium. Based on the observation of 22 parauterine leiomyomas, he reported that none were found in the distal perisalpinx or mesovarium [7]. Interestingly, Honore [7] mentioned that "It appears that smooth muscle in parauterine connective tissues, whether anatomically orthotopic or representing heterotopic myometrial rest, behaves oncologically like the myometrium, the closer it is to the uterus," while he seemed not to be aware of the mesometrial smooth muscle itself.…”

Section: Discussionmentioning

confidence: 99%

“…Traditionally, parauterine leiomyomas including paracornual, parametrial, and parasalpingeal types has been distinguished from retroperitoneal leiomyoma [4,5,7]. Honore [7] defined parauterine leiomyoma as follows: (1) Their juxtauterine borders were easily separated from the uterus, (2) they were not covered externally by perimetrium directly continuous with that overlying the normal adjoining uterus, and (3) histologic study of the interface showed no direct continuity between the outer myometrium.…”

Section: Discussionmentioning

confidence: 99%

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Mesometrial smooth muscle as an origin of female retroperitoneal (pelvic) leiomyomas

et al. 2007

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Retroperitoneal (pelvic) leiomyomas have recently come to be recognized as distinctive lesions. Retroperitoneal leiomyomas occur almost exclusively in women, and past studies on these invariably emphasized a striking similarity between their histological features, with those of uterine leiomyoma, whereas their origin remains unknown. In this study, we took notice of mesometrial smooth muscle, which has been little known either clinically or pathologically, as a possible origin of tumor. Anatomically, the mesometrial smooth muscle was an accumulation of thin bundles (approximately 1 mm in thickness) that ran parallel to the oviduct. It was connected broadly with the lateral wall of the uterine body and ended in the pelvic floor. The mesometrial smooth muscle was present just beneath the serosal surface of the anterior aspect of the mesometrium and continuously transited from the smooth muscle bundles of the outer layer of the uterine myometrium. The muscle cells were immunopositive for smooth muscle cell markers and estrogen/progesterone receptors. In all of the six female retroperitoneal leiomyomas examined, hormone receptor-positive nontumorous smooth muscle layers were present in the periphery of the tumors, seemingly representing the mesometrial smooth muscles. In conclusion, we believe most retroperitoneal (pelvic) leiomyomas in females arise from the mesometrial smooth muscle.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Mesometrial smooth muscle as an origin of female retroperitoneal (pelvic) leiomyomas

et al. 2007

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“…In contrast to the high frequency of leiomyomata in the uterine corpus, leiomyomata at other sites within the female genital tract are uncommon (Honore, 1981;Cramer et al, 1990;Doss et al, 1999). The prevalence of leiomyomata in the parauterine soft tissue (i.e., including the broad and ovarian ligaments, but excluding the ovary and fallopian tube) has been estimated to be 2.4% among patients undergoing hysterectomy (Honore, 1981).…”

mentioning

confidence: 92%

“…The prevalence of leiomyomata in the parauterine soft tissue (i.e., including the broad and ovarian ligaments, but excluding the ovary and fallopian tube) has been estimated to be 2.4% among patients undergoing hysterectomy (Honore, 1981). Such parauterine tumors are found near the uterine cornu slightly more frequently than parametrial or parasalpingeal sites and are more frequently encountered prior to menopause (Honore, 1981). Their precise histogenesis is uncertain, but they probably arise from smooth muscle cells of adnexal blood vessels or ligaments.…”

mentioning

confidence: 99%