Large primary leiomyoma causing progressive cervical deformity.

Autor:	Al-Habib A; Division of Neurosurgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia amro.alhabib@gmail.com., Elgamal EA; Neurosurgery Division, Surgery Institute, Sheikh Khalifa Medical City, Abu Dhabi, UAE., Aldhahri S; Department of Otolaryngology, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Alokaili R; Department of Radiology, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia., AlShamrani R; Division of Neurosurgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Abobotain A; Division of Neurosurgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia., AlRaddadi K; Division of Neurosurgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Alkhalidi H; Department of Pathology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	Journal of surgical case reports [J Surg Case Rep] 2016 Nov 24; Vol. 2016 (11). Date of Electronic Publication: 2016 Nov 24.
DOI:	10.1093/jscr/rjw190
Abstrakt:	Leiomyomas are benign smooth tumors that rarely affect the neck area. Complete surgical resection is the treatment of choice. Here, we describe a 13-year-old girl with a large leiomyoma of the neck, which increased in size after incomplete resection. The tumor caused progressive cervical kyphotic deformity, difficulty breathing and severe malnourishment. The tumor was resected successfully in a second surgery, and the patient is stable after 3 years of follow-up. Histopathologically, the tumor was consistent with leiomyoma and showed strong reactivity to specific smooth muscle markers, such as desmin and caldesmon. This is the second reported case demonstrating massive growth of a leiomyoma, with emphasis on complete resection from the beginning. (Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2016.)
Databáze:	MEDLINE
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