Single-port laparoscopic debulking surgery of variant benign metastatic leiomyomatosis with simultaneous lymphatic spreading and intraperitoneal seeding.

Autor: Chung YH; Department of Obstetrics and Gynecology, The Catholic University of Korea School of Medicine, Seoul, Korea., Lee SW; Department of Obstetrics and Gynecology, Hallym University College of Medicine, Chuncheon, Korea., Shin SY; Department of Obstetrics and Gynecology, The Catholic University of Korea School of Medicine, Seoul, Korea., Rhim CC; Department of Obstetrics and Gynecology, Hallym University College of Medicine, Chuncheon, Korea., Im S; Department of Pathology, The Catholic University of Korea School of Medicine, Seoul, Korea., Yoo SH; Department of Anesthesiology and Pain Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea., Yoon JH; Department of Obstetrics and Gynecology, The Catholic University of Korea School of Medicine, Seoul, Korea.
Jazyk: angličtina
Zdroj: Obstetrics & gynecology science [Obstet Gynecol Sci] 2015 Jul; Vol. 58 (4), pp. 314-8. Date of Electronic Publication: 2015 Jul 16.
DOI: 10.5468/ogs.2015.58.4.314
Abstrakt: Benign metastatic leiomyomatosis (BML) is a rare disease characterized by smooth muscle cell proliferation in extrauterine sites including the lung, abdomen, pelvis, and retroperitoneum. Depending on location, BML is classified as intravenous leiomyomatosis and diffuse peritoneal leiomyomatosis. Pathogenesis of BML can be iatrogenic after previous myomectomy or hysterectomy, hormonal, or coelomic metaplasia. Treatment options are observation, hormonal suppression, and/or surgical debulking via laparotomy or laparoscopy. Laparoscopic surgery is gaining in popularity in the gynecologic field compared to laparotomic surgery and single-port laparoscopy has the benefits of cosmesis and early tissue extraction by transumbilical morcellation. We report a 39-year-old woman with BML who underwent single-port laparoscopy debulking surgery.
Databáze: MEDLINE