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KMID : 0358420100530060546
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Korean Journal of Obstetrics and Gynecology
2010 Volume.53 No. 6 p.546 ~ p.550
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Disseminated peritoneal leiomyomatosis arising after laparoscopic myomectomy
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Park Shin-Young
Choi Jong-Yoon
Baek Mi-Suk
Koh Suk-Bong
Lee Tae-Sung
Choi Youn-Seok
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Abstract
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Disseminated peritoneal leiomyomatosis is rare condition characterized by multiple subperitoneal nodules of benign smooth muscle proliferations. It is associated with high level of estrogen such as pregnancy, oral contraceptives or estrogen producing ovarian tumor, and occasionally associated with operation history of myomectomy or hysterectomy. Clinical course of disseminated peritoneal leiomyomatosis is usually benign, but malignant changes also rarely have been reported. We experienced a case of disseminated peritoneal leiomyomatosis who has history of laparoscopic myomectomy 10 years ago. The patient was a 35-year-old woman, and her chief complaint was palpable masses in lower abdomen. She underwent laparoscopic surgery which revealed numerous solid masses on the surface of peritoneum, descending colon, rectosigmoid colon, uterus, round ligament, and broad ligament. We present it with a brief review of literature.
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KEYWORD
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Leiomyomatosis, Myomectomy
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