Vaginal leiomyoma

Chakrabarti, Indranil; Pati, Shyamapada; De, Anuradha

doi:10.4103/0976-7800.83274

Cited by 27 publications

(33 citation statements)

References 5 publications

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“…Sarcomatous change has, however, been reported. 8,11,12 If a lesion is reported to be fast growing, fixed to underlying structures with irregular borders on clinical examination, the diagnosis of a leiomyosarcoma becomes more likely. Appropriate preoperative imaging may be of value to help differentiate between a benign and a malignant process and aid in treatment planning.…”

Section: Discussionmentioning

confidence: 99%

“…[7][8][9][10] Symptoms seem to be dependent on size and location of the tumour and many patients complain only of a bulging mass.…”

Section: Discussionmentioning

confidence: 99%

“…In the majority of cases the leiomyoma is located in the anterior vaginal wall. 8 In this instance the anterior vaginal wall is incised and the tumour dissected off the vaginal wall and underlying structures. Care must be taken not to injure the urethra and bladder -surgical planes should be developed and the tumour is then carefully resected from the underlying structures.…”

Section: Managementmentioning

confidence: 99%

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Vaginal leiomyoma presenting as a lateral vaginal wall mass

Wethmar

Mouton

Dreyer

2017

Southern African Journal of Gynaecological Oncology

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Leiomyomas are classified as benign mesenchymal neoplasms and consist of smooth muscle cells with variable amounts of fibrous stroma. The tumours occur most frequently in the uterus, affecting 20-30% of women of reproductive age but vaginal leiomyomas are rare with only around 300 cases reported since the first case was described in 1733. These tumours are thought to arise from Müllerian smooth muscle cells in the sub-epithelium of the vagina. Vaginal leiomyomas are usually situated in the anterior vaginal wall. This article reports a case of primary leiomyoma arising from the left lateral vaginal wall, which presented with vaginal discharge and a lateral vaginal wall mass.

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Section: Discussionmentioning

confidence: 99%

“…[7][8][9][10] Symptoms seem to be dependent on size and location of the tumour and many patients complain only of a bulging mass.…”

Section: Discussionmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

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Vaginal leiomyoma presenting as a lateral vaginal wall mass

Wethmar

Mouton

Dreyer

2017

Southern African Journal of Gynaecological Oncology

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“…5 A vaginal myoma can be mistaken for a cervical myoma. 6 Sometimes a cervical fibroid can mimic chronic inversion. 7 Acute retention of urine is one of the complications in a cervical fibroid, which is managed with cystoscopy and transurethral endoscopic resection.…”

Section: Casementioning

confidence: 99%

Interesting Cases of Different Types of Cervical Fibroids

Narmadha¹,

Hameed²,

Radhika³

et al. 2014

jemds

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ABSTRACT:The incidence of cervical fibroids is 0.5-1%. It is usually single; they are usually confined to supravaginal portion of the cervix. Rarely it becomes submucous and polypoidal. So it is usually subserous or interstitial. It can be anterior, posterior or central in position. We had different types of cervical fibroids of which we will describe a few. Usually cervical fibroids cause infertility, difficulty in labor, infections, metrorrhagia, menorrhagia, constipation, retention of urine and dyspareunia. The cervical fibroid distorts the shape of cervix and grows bigger. It pushes the uterus upward giving the appearance of lantern of Saint Paul's dome in a case of a central cervical fibroid. Most of the patients in the reproductive age get admitted for menorrhagia due to fibroid. Its growth is dependent on estrogen. It does not grow after menopause. KEYWORDS: Cervical fibroid, fibroid polyp, hysterectomy. CASE 1:A 52 year old housewife, completed the family, who had previous two LSCS section and sterilization done 20 years ago, got admitted with retention of urine for the past 12 hours. She gave history of burning micturition and frequent retention of urine for which catheterization was done a number of times outside.She had lower abdominal pain and post coital bleeding. She had irregular menstrual history. Foley's catheter was introduced. Bimanual examination showed cervix was replaced by huge mass 8×11 cm occupying the whole cervix and vagina. This was a central cervical fibroid wherein the uterus was found sitting on top of it.The uterus was palpable per abdomen as a soft globular mass2×3 cm suggestive of a fundal fibroid. Patient was anemic and 2 units of blood transfusion were given. Routine investigations were normal. Ultrasound(USG) report showed a small fundal fibroid 2×2 cm and a huge central cervical fibroid of size 8.3×11.3 cm (figure1). Patient was explained and consent for laparotomy was obtained.Laparotomy showed plenty of adhesions due to previous surgeries which were released .The bladder was found plastered with the mass. So a transverse incision was made at the level of the UV fold to push the bladder up. Uterine vessels supplying the fibroid were engorged and tortuous were carefully cut and ligated (figure 2).The uterus along with the central cervical fibroid shelled out without injuring the bladder, ureter and rectum. Pre-operative ureteric stenting could have helped in the surgery of shelling the cervical fibroid. Vault and abdomen closed after perfect hemostasis. The cut section of the specimen showed the uterus sitting on top of the cervical fibroid and had a small fundal fibroid of size 3×3cm.The specimen was sent for histopathology, because of the increased cellularity and mitosis, leiomyosarcoma was thought of initially by the pathologist. Later on, they confirmed it as a feature of highly cellular leiomyoma with hyaline and cystic degeneration (figure 2) Post-operative period was uneventful. Patient passed urine freely. She came for follow up. She had no complaints.

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“…There are only 300-330 cases have been reported till date. 1,2 These benign tumours have various clinical presentation such as swelling, something coming out of vagina, dyspurunia, dysuria and pain in lower abdomen. The most common age group is between 35-50 years and it may or may not be associated with leiomyoma elsewhere in the body.…”

Section: Introductionmentioning

confidence: 99%

Paraurethral leomyoma: a manageable challenge

Khatuja

Verma

Sarda

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Leiomyoma is a most common benign tumour of uterus. But it is very rare in vagina urethral and paraurethral. There are approximately 330 case reports are available in literature and the paraurethral site is extremely uncommon. Here, we report a case of 38-year nulliparous woman presented with complain of mass coming out of vagina as well as dyspareunia. Provisional diagnosis of anterior vaginal cyst along with the differential diagnosis of paraurethral and anterior wall vaginal leiomyoma was made. Transvaginal removal of mass was done and diagnosis of paraurethral leiomyoma was confirmed by histopathology.

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Vaginal leiomyoma

Cited by 27 publications

References 5 publications

Vaginal leiomyoma presenting as a lateral vaginal wall mass

Vaginal leiomyoma presenting as a lateral vaginal wall mass

Interesting Cases of Different Types of Cervical Fibroids

Paraurethral leomyoma: a manageable challenge

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