Parasitic leiomyomas: a systematic review

Lete, Iñaki; González, Janire; Ugarte, Lorea; Barbadillo, Nagore; Lapuente, Oihane; Álvarez-Sala, J.

doi:10.1016/j.ejogrb.2016.05.025

Cited by 60 publications

(71 citation statements)

References 111 publications

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“…Some cases of DPL are associated with surgery of uterine fibroids, especially using a power morcellator. Morcellation is a risk factor of DPL presentation [14, 15]. One author describes fibroid tissue implantation at the point of laparoscopic trocar entry after laparoscopic myomectomy; the patient was referred because of the easily palpable tumor [16].…”

Section: Discussionmentioning

confidence: 99%

“…There are attempts to use chemotherapy in cases of DPL [20]. It is currently believed that laparoscopic morcellation can contribute to relapse of leiomyomatous changes [14, 21, 22]. After the FDA alarm was exposed, a fierce debate about continuation of morcellation use started, and it still takes place; experts are divided [15].…”

Section: Discussionmentioning

confidence: 99%

“…It is explained that fibroid tissue fragments which are left after laparoscopy in the abdominal cavity are rising due to stimulation by steroid hormones. Therefore, in the case of recurrent fibroids, some authors suggest bilateral oophorectomy to eliminate the main source of estrogens [5, 10, 14]. Therefore, in case of recurrent fibroids or leiomyomatosis, some authors suggest ovariectomy in order to eliminate the main source of estrogens [5, 23].…”

Section: Discussionmentioning

confidence: 99%

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A case of disseminated peritoneal leiomyomatosis after two laparoscopic procedures due to uterine fibroids.

Ciebiera¹,

Słabuszewska-Jóźwiak²,

Zaręba³

et al. 2017

Videosurgery and Other Miniinvasive Techniques

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Disseminated peritoneal leiomyomatosis (DPL) is a rare disorder characterized by the presence of multifocal nodules and tumors composed of proliferating smooth muscle tissue, spread throughout the peritoneum. Estrogens and progesterone are considered to be the main factors initiating the formation of disseminated leiomyomatosis. Disseminated peritoneal leiomyomatosis is often asymptomatic, and acyclic vaginal bleeding or pain in the lower abdomen is associated with leiomyomatous rebuilt uterus corpus. Disseminated peritoneal leiomyomatosis can have other ambiguous presentation. The difficulty in DPL diagnosis is that it is not always accompanied by scattered leiomyomas and can occur after menopause. Some cases of DPL are associated with surgical procedures on uterine fibroids, especially with the use of a morcellator. We present the case of a 39-year-old woman with DPL who underwent laparoscopic myomectomy and laparoscopic supracervical hysterectomy before the final diagnosis of DPL. After the complete surgical treatment performed in our center the patient is free of symptoms.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A case of disseminated peritoneal leiomyomatosis after two laparoscopic procedures due to uterine fibroids.

Ciebiera¹,

Słabuszewska-Jóźwiak²,

Zaręba³

et al. 2017

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

show abstract

“…8 Whether iatrogenic or sporadic in origin, steroid hormones, and growth factors are thought to contribute to the formation of parasitic leiomyoma. 9 Correspondingly, most cases are found in women of reproductive age.…”

Section: Discussionmentioning

confidence: 99%

Parasitic Leiomyomas Following Laparoscopic Myomectomy

Clark

Leon

Feltmate

et al. 2017

CRSLS

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“…The formation of PL was attributed to a previous history of laparoscopic morcellation of fibroids (secondary PL). However, some patients diagnosed with PL, have no previous myomectomy or hysterectomy or any other uterine surgery (Primary PL) [1]. of a PL is performed either open or laparoscopic or robotic.…”

Section: Introductionmentioning

confidence: 99%

Case Report: Parasitic Leiomyoma

Yared¹,

Darido²,

Chahine³

et al. 2019

JCT

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Parasitic Leiomyoma (PL) is considered a rare variant of uterine fibroids occurring outside the uterus. We hereby report a challenging case of parasitic leiomyoma that is considered rare in the literature with all its particularities. A 62 YO lady is known to have a history of diabetes, right breast carcinoma, appendectomy and normal vaginal deliveries presenting with a two-year history of back and abdominal pain with recent urinary symptoms. Therefore, an abdominopelvic Ct scan and MRI were done showing uterine fibroids compressing the bladder. The patient underwent an exploratory laparotomy. A palpable intravesical mass was identified. Transurethral cystoscopic resection was performed. Pathology results confirmed the leiomyomatous nature of the mass. Postoperatively, the surgery was complicated with a wound dehiscence and a hematoma formation on the left lateral wall of the bladder that was treated conservatively with a good follow-up outcome.

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Parasitic leiomyomas: a systematic review

Cited by 60 publications

References 111 publications

A case of disseminated peritoneal leiomyomatosis after two laparoscopic procedures due to uterine fibroids.

A case of disseminated peritoneal leiomyomatosis after two laparoscopic procedures due to uterine fibroids.

Parasitic Leiomyomas Following Laparoscopic Myomectomy

Case Report: Parasitic Leiomyoma

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