Management of a giant retroperitoneal leiomyoma: a case report

Autor: O. Karray, R. Boulma, A. Abdi, A. Ben Miled, A. Dhaoui, N. Menif, K. Bellil, H. Khouni, A. Chouchen
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Journal of Medical Case Reports, Vol 12, Iss 1, Pp 1-5 (2018)
Druh dokumentu: article
ISSN: 1752-1947
DOI: 10.1186/s13256-018-1617-z
Popis: Abstract Background Leiomyomas are benign tumors observed mainly in adult women. The retroperitoneum is a rare location for leiomyomas; almost 100 cases have been reported. Because retroperitoneal leiomyomas are paucisymptomatic and the tumor size at diagnosis is relatively large, surgical management is challenging. Regular follow-up is required because recurrence and malignant sarcomatous transformation have been described in a few cases. Case presentation We report a case of a 52-year-old North African woman with a 22-cm retroperitoneal leiomyoma. A preoperative embolization was performed 2 days before surgery. The clinical, therapeutic, and evolutive aspects of this rare entity are discussed. Conclusions Despite its benignity, retroperitoneal leiomyoma is a challenging diagnostic, therapeutic, and evolutive condition. Surgeons must consider mainly the tumor’s vascularization. Regular follow-up is mandatory because malignant transformation cannot be excluded.
Databáze: Directory of Open Access Journals
Nepřihlášeným uživatelům se plný text nezobrazuje