Leiomyoma in the Transverse Colon With Resection

Pellegrini, James R.; Russe, Jose; Munshi, Rezwan; Smoller, Rebecca; Khan, Nausheer

doi:10.7759/cureus.15535

Cited by 5 publications

(11 citation statements)

References 7 publications

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“…Uterine leiomyomas (UL) are an extremely common gynecologic pathology of the uterus, and up to 77% of women of reproductive age are diagnosed with UL [1]. Previous reports proved the relationships between UL with dysmenorrhea, menorrhagia, pelvis pain, miscarriage, and infertility [2]. Numerous different treatment modalities, including drug therapy, embolization of UL, ablation with ultrasound, and open and laparoscopic myomectomy, were described for UL [3].…”

Section: Introductionmentioning

confidence: 99%

Quality and Reliability of YouTube Videos on Surgical Treatment of Uterine Leiomyomas

Ergul¹

2021

Cureus

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IntroductionTo determine the quality of English language YouTube videos on uterine leiomyomas (UL) and their surgical treatment. MethodsThe present study was performed from October 1 to October 8, 2021. A gynecologist with 10 years of experience searched for keywords on YouTube, including 'UL surgery', 'laparoscopic myomectomy,' 'myomectomy,' 'surgical treatments for UL,' and 'operations for UL.' Videos were categorized into three groups according to content as informative videos, personal experience videos, and news update videos. All videos characteristics, including the number of views, the length and duration of the video, number of 'likes,' 'dislikes,' and 'comments,' were recorded. Medical information and content index (MICI) score, DISCERN score, and Global Quality Score (GQS) were calculated for each video. ResultsIn total, 54 videos were categorized as informative videos, 46 videos were classified as patient experience videos, and 37 videos were accepted as news agency videos. The mean comment numbers were 105.6 for patient experience videos, and the difference was statistically different in favor of patient experience videos (p= 0.001). The GQS and DISCERN scores were significantly higher for the informative group in comparison with the other two groups (p=0.001 and p=0.001 for both groups). Clinical symptoms and treatment outcomes were the most frequently mentioned content in informative videos (81.8% and 97.1%). The mean MICI score was 2.7. ConclusionThe present study demonstrated that YouTube videos about UL and its surgical treatments have low quality and utility. However, informative videos that are mostly uploaded by professional health providers have significantly better DISCERN and GQS scores.

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Section: Introductionmentioning

confidence: 99%

Quality and Reliability of YouTube Videos on Surgical Treatment of Uterine Leiomyomas

Ergul¹

2021

Cureus

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“…Colonic leiomyomas are very rare, accounting for only 3% GI smooth muscle tumors, and usually located in the descending or sigmoid colon [3][4][5][6]. However, polypoid leiomyomas in the colon and rectum are increasingly detected during colonoscopy [7].…”

Section: Discussionmentioning

confidence: 99%

An Asymptomatic Patient with Colonic Leiomyoma

Alkhowaiter,

Alsheikh,

Alotaibi

2023

Case Rep Gastroenterol

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Subepithelial lesions (SELs) originating from muscularis mucosae of the colon are very rare findings on endoscopy. Appropriate management of SELs involves making a correct diagnosis and estimating their malignant potential. In this case study, a 58-year-old Saudi man presented with a small, 8-mm sigmoid polyp during screening colonoscopy. The polyp was removed by hot snare polypectomy and sent to pathology laboratory. Report showed an unremarkable colonic mucosa and underlying well-circumscribed submucosal lesion composed of monotonous spindle cells. Immunohistochemical (IHC) analysis ruled out CD117-/DOG1-positive GIST and confirmed the lesion as leiomyomatous polyp. Colonic leiomyomas are usually benign and often asymptomatic and discovered during CRC screening procedures. Diagnosis is made on histology/IHC analysis since endoscopically they might be indistinguishable from other SELs. Conventional polypectomy is an appropriate treatment for small colonic leiomyoma and these benign lesions typically do not recur.

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“…Nevertheless, benign proliferations of nonepithelial cells such as those from underlying smooth muscle layers, known as leiomyomas, can arise in the colon and are typically found incidentally [4]. Small sessile polyps have been reported as the most common presentation of colonic leiomyomas; however, there have also been reports of leiomyomas of the colon presenting as firm, well-circumscribed, intraluminal, semi-pedunculated, or pedunculated polyps [6].…”

Section: Discussionmentioning

confidence: 99%

“…The therapeutic strategy of colonic leiomyomas can also change according to the endoscopic findings and may vary from simple endoscopic resections to elective surgical removal of the lesion in cases involving voluminous tumors, the presence of multiple lesions, or if malignancy (tumor size >5 cm, presence of mesenteric adenopathy) is suspected [6,9,10]. Complete resection with an adequate margin of tissue all around the polyp, such as in the present patient, is crucial to prevent repeat colonoscopies, reducing the financial burden and emotional distress for patients, which is important in the context of quaternary prevention.…”

Section: Discussionmentioning

confidence: 99%

Colonic Leiomyoma: A Case Report of an Uncommon Endoscopic Finding

Silva,

Mendes,

Gaspar

et al. 2023

Cureus

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Leiomyomas are rare, benign tumors composed of smooth muscle cells. When found in the colon, they account for only about 3% of gastrointestinal leiomyomas. Typically asymptomatic, they are often incidentally discovered during endoscopic evaluations. This report describes the case of a 71-year-old female with abdominal pain and distension, whose colonoscopy revealed a 7 mm sessile polyp in the sigmoid colon. Histological analysis confirmed it to be a submucosal leiomyoma. Although endoscopic resection is a common therapeutic strategy, surgical treatment may be necessary for larger tumors or when malignancy is suspected. This case emphasizes the limitations of polyp classification through endoscopy alone and the important role histopathological analysis continues to play in this regard. Accurately diagnosing these lesions is crucial for appropriate treatment and surveillance, namely, in the primary healthcare context. Further research is needed to improve diagnostic capabilities and reduce the need for repeat colonoscopies, reducing patient burden.

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Leiomyoma in the Transverse Colon With Resection

Cited by 5 publications

References 7 publications

Quality and Reliability of YouTube Videos on Surgical Treatment of Uterine Leiomyomas

Quality and Reliability of YouTube Videos on Surgical Treatment of Uterine Leiomyomas

An Asymptomatic Patient with Colonic Leiomyoma

Colonic Leiomyoma: A Case Report of an Uncommon Endoscopic Finding

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