کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3962794 | 1255672 | 2007 | 5 صفحه PDF | دانلود رایگان |
We report on 2 cases of multiple leiomyomas arising in the pelvis after laparoscopic hysterectomy. One patient underwent laparoscopic myomectomy at 41 years of age and subsequently had a total laparoscopic hysterectomy for myomas 4 years later. Three years post-hysterectomy, she presented with pelvic masses that were removed laparoscopically and were leiomyomas on histopathologic examination. The other patient underwent supracervical hysterectomy for myomas with removal of a parasitic myoma from underneath the dome of the diaphragm. Eight months post-hysterectomy, she came to our office with a pelvic mass with a large myoma that was removed laparoscopically. Disseminated leiomyomas may occur after hysterectomy; and though various theories have been proposed to explain this remarkable entity, none has found universal acceptance. A thorough MEDLINE search did not reveal any reports of large pelvic masses of this size after hysterectomy or their management laparoscopically, and these are probably the first reported cases.
Journal: Journal of Minimally Invasive Gynecology - Volume 14, Issue 1, January–February 2007, Pages 123–127