Vaginal Vault Leiomyoma: 25 Years After Total Abdominal Hysterectomy

Yarcı, Aslı; Bayramov, Vugar; Şükür, Yavuz Emre; Berker, Bülent

doi:10.1016/j.jmig.2009.10.004

Cited by 12 publications

(12 citation statements)

References 7 publications

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“…Yanamandra et al propuseram como etiologia, uma disseminação intravascular de células de leiomioma de útero para estruturas adjacentes como a vagina 8 . Outra teoria seria que o leiomioma poderia se desenvolver das camadas de músculo liso da vagina 3 . Alguns autores propõem ainda que miomas da parede vaginal não têm origem neoplásica e sim hamartomatosa, sendo que, hamartomas são malformações focais por diferenciação mesenquimal anormal.…”

Section: Discussionunclassified

“…Essa neoplasia em sua maioria é benigna e bem circunscrita, sendo o mais comum tumor mesenquimal da vagina, composto de tecido conectivo e músculo liso, apresentando características microscópicas típicas idênticas aos leiomiomas encontrados em outras localizações 3 .…”

Section: Introductionunclassified

“…A ultrassonografia transvaginal (USTV), a tomografia computadorizada (TC), a ressonância magnética (RM), a uretrografia e a uretrocistoscopia deverão ser considerados na avaliação de qualquer massa da parede anterior da vagina, pois são úteis na exibição da extensão da lesão e da sua relação com estruturas vizinhas 3 . A enucleação cirúrgica através de uma abordagem vaginal é o tratamento de eleição 6 .…”

Section: Introductionunclassified

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Leiomioma de vagina cursando com sintoma obstrutivo uretral

Kfouri¹,

România²,

Silva³

et al. 2018

RRCC

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RESUMO O leiomioma de vagina é uma neoplasia rara e benigna, na sua maioria, circunscrita e composta de tecido conjuntivo e músculo liso. Manifesta-se principalmente em mulheres em idade fértil como um tumor na parede anterior e, menos frequentemente, na parede lateral da vagina. Pode produzir os sintomas de compressão, disúria e dispareunia ou até mesmo ser assintomático. Esse presente trabalho tem por objetivo relatar um caso de leiomioma de vagina em mulher de 62 anos, multípara, histerectomizada há 17 anos e com sintomas urinários obstrutivos baixos e após a investigação diagnóstica confirmou o leiomioma de vagina. Descritores: Leiomioma. Cistadenoma Seroso. Neoplasias Vaginais. Obstrução Uretral. Laparotomia.

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Section: Discussionunclassified

Section: Introductionunclassified

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Leiomioma de vagina cursando com sintoma obstrutivo uretral

Kfouri¹,

România²,

Silva³

et al. 2018

RRCC

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“…4 Leiomyoma of the vagina is a rare condition. The earliest reference made to such a tumor is attributed to Denys De Leyden in 1773, and the first review of the literature concerning such tumors was published in 1882.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic-Guided Vaginal Excision of Posterior-Lateral Vaginal Fibroid

Iyer

Al-Inizi

2013

Journal of Gynecologic Surgery

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Background: Leiomyomas are benign mesenchymal tumors that tend to develop in the uterus but there are extrauterine occurences as well, such as in the vaginal wall. Case: A 35-year old woman had a history of pelvic and vaginal pain, accompanied by a sensation of a mass in her vagina. Examination revealed that she did indeed have such a mass, and laparoscopic excision was planned to relieve her pain. During the operation, the mass was visualized as bulging through her posterolateral pelvic side wall on her right side. The mass was removed. Results: The mass was determined to be a benign vaginal wall leiomyoma. The patient's recovery was uneventful and she had no problems at a follow-up. Conclusions: Because vaginal wall fibroid tumors are close to ureters, laparoscopic guidance is recommended for the removal of such tumors. ( J GYNECOL SURG 29:143)

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“…Kang et al found only 46 reported cases during their PubMed search up to October 2008 [1]. We updated this search using the keywords 'extra-uterine', 'leiomyoma' and 'retroperitoneal leiomyoma' up to September 2011 to find only four more reported cases in that time period [2-5]. This rarity makes it an unexpected incident that is either mistaken preoperatively for a retroperitoneal mass which could be malignant or, as in our case, dealt with as a huge leiomyoma that presents intraoperatively as a huge retroperitoneal mass of unknown nature.…”

Section: Introductionmentioning

confidence: 99%

Degenerated huge retroperitoneal leiomyoma presenting with sonographic features mimicking a large uterine leiomyoma in an infertile woman with a history of myomectomy: a case report

et al. 2011

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IntroductionRetroperitoneal leiomyomata are rare. They are either mistaken preoperatively for malignant retroperitoneal tumors or dealt with as cases of subserous leiomyomata that turn out intraoperatively to be huge retroperitoneal masses of unknown nature.Case presentationWe report the case of a 46-year-old nulligravid female patient of Middle Eastern ethnicity who presented to our university hospital with lower abdominal as well as pelvic pain along with a bloated sensation. She also reported noticing an unusual increase in her abdominal girth. These symptoms developed over the previous two months. Preoperative investigation by means of an ultrasound suggested a degenerated subserous huge uterine leiomyoma. An abdominal hysterectomy was planned. Intraoperatively, a normal sized uterus was found, the surface of which was studded with multiple variable sized pedunculated subserous leiomyomata. Another huge retroperitoneal soft to firm mass was found extending from her left pelvic wall to the level of her spleen, with no connections to her uterus. The mass was excised and a histopathological examination revealed a degenerated leiomyoma.ConclusionSome unusually located extra-uterine leiomyomata have been reported; retroperitoneal leiomyoma being among them. The origin of such tumors is still obscure; a parasitic origin as well as Müllerian cell rests or smooth muscle cells in the retroperitoneal vessels wall have been suggested. An 'iatrogenic' origin for such growths is also a possible theory. The origin of uncommonly located leiomyomata is an unexplored issue that merits more investigation.

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Vaginal Vault Leiomyoma: 25 Years After Total Abdominal Hysterectomy

Cited by 12 publications

References 7 publications

Leiomioma de vagina cursando com sintoma obstrutivo uretral

Leiomioma de vagina cursando com sintoma obstrutivo uretral

Laparoscopic-Guided Vaginal Excision of Posterior-Lateral Vaginal Fibroid

Degenerated huge retroperitoneal leiomyoma presenting with sonographic features mimicking a large uterine leiomyoma in an infertile woman with a history of myomectomy: a case report

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