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KMID : 1216720100020020124
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Korean Journal of Gynecologic Endocrinology
2010 Volume.2 No. 2 p.124 ~ p.129
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Laparoscopic Management of Benign Metastasizing Leiomyoma in Deep Retroperitoneal Space: A Case Report and Review of the Literature
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Yi Kyong-Wook
Shin Jung-Ho
Park Hyun-Tae
Kim Tak
Hur Jun-Young
Kim Sun-Haeng
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Abstract
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Benign metastasizing leiomyoma is characterized clinically by metastatic features, but histologically by benign smooth muscle tumor. We present the case of a patient with a benign metastasizing leiomyoma incidentally found in the retroperitoneum. A 56-year old woman underwent an abdominal hysterectomy due to a uterine leiomyoma 23 years previously. The patient was referred for the evaluation of an asymptomatic solid mass detected in the pelvic cavity. Clinical examination revealed no evidence of malignancy; the serum tumor markers and the systemic work-up were negative. Abdominal-pelvic magnetic resonance imaging was performed and revealed a 5 cm mass with a solid component in the left pelvis. Observation under laparoscopic guidance showed that the uterus was absent, the ovaries were reduced in size, bilaterally, but grossly normal. A protruding mass from the left retroperitoneum was noted. We opened the retroperitoneum and removed the mass by enucleation and subsequent morcellation. The histopathology confirmed a leiomyoma with no mitosis or nuclear atypia.
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KEYWORD
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Benign metastasizing leiomyoma, Laparoscopy, Retroperitoneum
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