Recurrent Large Extrauterine Lipoleiomyoma in a Postmenopausal Woman: A Case Report.
| Autor: | Braganza JS; General Surgery, WellSpan York Hospital, York, USA., Wilson MR; Medical Education, St. George's University School of Medicine, St. George, GRD., Huang ZL; General Surgery, WellSpan York Hospital, York, USA., Shih-Della Penna D; Surgery, WellSpan York Hospital, York, USA., Johnson DE; Surgical Oncology, WellSpan York Hospital, York, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Aug 09; Vol. 15 (8), pp. e43193. Date of Electronic Publication: 2023 Aug 09 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.43193 |
| Abstrakt: | Lipoleiomyoma is a type of tumor usually found in the uterine corpus. The pathophysiology is unclear; however, it is commonly seen in obese perimenopausal and postmenopausal women. While intrauterine lipoleiomyoma may be surveilled, there is less information about the management of extrauterine lipoleiomyoma, especially significantly large tumors. This is a case involving a 51-year-old female who was incidentally found to have a 23-cm extrauterine lipoleiomyoma emanating from the peritoneum between uterosacral ligaments. She underwent hand-assisted laparoscopic removal of an intra-abdominal tumor, which was found to be an extrauterine lipoleiomyoma. Six months later, she was found to have a recurrent mass on a follow-up computed tomography (CT) of the abdomen and pelvis. She underwent a robotic-assisted total abdominal hysterectomy, bilateral salpingo-oophorectomy, and removal of the recurrent tumor. While the mass is benign in nature, the mass effect that it may cause prompts a discussion about the best course of management and an investigation into recurrence rates, specifically in similar extrauterine presentations. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Braganza et al.) |
| Databáze: | MEDLINE |
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