Surgical management of a large neurilemmoma-like leiomyoma of the uterine cervix mimicking a retroperitoneal tumor

Morales, Amilcar Flores; Suescún, G. Oscar; Martínez, Laura; Dulcey, Isabel

doi:10.1016/j.gore.2017.06.011

Cited by 6 publications

(9 citation statements)

References 10 publications

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“…While PNST shows positivity for S-100, CD34 and neuron-specific enolase; leiomyoma is positive for desmin and SMA, as noted in our case. The similar diagnostic dilemmawas reported by Wagay et al and Morales et al where vaginal leiomyoma and cervical leiomyoma, respectively, were mistaken for schwannoma 3 6…”

Section: Discussionsupporting

confidence: 75%

“…Although the age at presentation varies from 15 to 70 years, it is most commonly reported among postmenopausal women. Size of the reported cases varies from 0.5 to 15 cm 3. As noted in our case, very few cases of giant leiomyoma (>10 cm) have been reported in the literature 4.…”

Section: Discussionmentioning

confidence: 51%

“…Wide local excision with excision of surrounding normal tissue is the treatment of choice as it reduces recurrence 3 7. In a case series on vulval smooth muscle tumours by Nielsen et al , there was 5% recurrence of vulval leiomyoma and they suggested the need for long-term follow-up 4.…”

Section: Discussionmentioning

confidence: 99%

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Recurrent leiomyoma of the vulva mimicking peripheral nerve sheath tumour

et al. 2019

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Leiomyoma, a benign monoclonal tumour, is very rarely found in extrauterine sites, especially in the vulval region. Histopathology of the soft tissue tumours affecting this region is similar and immunohistochemistry (IHC) may be essential to confirm the diagnosis. We report a case of a 63-year-old postmenopausal woman who presented with a recurrent vulval mass involving the clitoris and left labia majora with suspected urethral involvement. Although the wedge biopsy was reported as peripheral nerve sheath tumour, staining with smooth muscle actin clinched the diagnosis of leiomyoma, highlighting the importance of IHC for diagnosis.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 51%

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Recurrent leiomyoma of the vulva mimicking peripheral nerve sheath tumour

et al. 2019

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“…Hysterectomy can be carried out abdominally, vaginally, or laparoscopically. 11 In literature reported from all parts of the world have described various complications with variables rates in pregnancies implicated with fibroids which are predominantly more prevalent in large sub-mucosal and retro placental fibroids.…”

Section: Uterine Fibroidsmentioning

confidence: 99%

Assessment of adverse pregnancy outcomes in women presenting with uterine fibroids at a tertiary care hospital.

Khakwani

Parveen

Rasheed

2022

TPMJ

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Objective: To determine frequency of adverse pregnancy outcomes in women presenting with uterine fibroids at a tertiary care hospital. Study Design: Descriptive Case Series. Setting: Department of Obstetrics & Gynaecology, Nishtar Hospital, Multan. Period: 25th November 2020 to 24th June 2021. Material & Methods: The detailed history was taken and patients were examined thoroughly. Data was collected for basic demographics i.e. Age, parity, BMI, duration of complaints and pregnancy outcomes. Patients were booked and followed up for the pregnancy outcomes like preterm labour and post-partum hemorrhage. Results: Mean age of our study cases was noted to be 28.98 ± 3.68 years. Mean duration of fibroids was noted to be 26.46 ± 8.11 months and most of them i.e. 86 (53.8%) presented with duration of disease for more than 2 years. Mean body mass index of our study cases was noted to be 26.21 ± 2.14 kg/m2 and obesity was present in 47 (29.4 %) of our study cases. Mean gestational age was noted to be 37.11 ± 3.09 weeks and 100 (62.4%) had gestational age more than 34 weeks. Large fibroids were observed in 21 (13.1 %), small in 48 (30 %), single fibroids in 39 (24.4 %), multiple fibroids in 39 (24.4 %), intramural in 7 (4.4%) and submucosal in 6 (3.8%). Preterm labor was noted in 88 (55 %) and Postpartum hemorrhage was noted in 66 (41.3 %) of our study cases. Conclusion: Uterine fibroids are associated with significantly increased adverse pregnancy outcomes as the frequencies of preterm births and postpartum hemorrhage were very high in our study. Preterm births were significantly associated with age, parity, obesity and characteristics of fibroids. Postpartum hemorrhage was significantly associated with age, parity, residential status, obesity and characteristics of fibroids.

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“…Nuclear palisading of the spindle cells and Verocay bodies are characteristic findings of schwannoma. Nuclear palisading of the tumor cells can be seen focally in uterine leiomyoma; however, uterine leiomyomas showing predominantly nuclear palisading have been rarely reported [1] , [2] , [3] . Herein, we report a rare case of a uterine leiomyoma predominantly showing a schwannoma-like pattern.…”

Section: Introductionmentioning

confidence: 98%

Schwannoma-like uterine leiomyoma with fever of unknown origin and surgical management in a middle-aged woman: A case report

Yorita

Nakagawa

Hirano

et al. 2023

Radiology Case Reports

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Surgical management of a large neurilemmoma-like leiomyoma of the uterine cervix mimicking a retroperitoneal tumor

Abstract: HighlightsA large cervical neurilemmoma-like leiomyoma can simulate a retroperitoneal tumor.They are extremely rare tumors that require adequate bleeding control.Comprehensive anatomo-pathological study should be done to rule out malignancy.

Cited by 6 publications

References 10 publications

Recurrent leiomyoma of the vulva mimicking peripheral nerve sheath tumour

Recurrent leiomyoma of the vulva mimicking peripheral nerve sheath tumour

Assessment of adverse pregnancy outcomes in women presenting with uterine fibroids at a tertiary care hospital.

Schwannoma-like uterine leiomyoma with fever of unknown origin and surgical management in a middle-aged woman: A case report

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