Disseminated Hormone-Producing Leiomyomatosis after Laparoscopic Supracervical Hysterectomy: A Case Report

被引:3
作者
Krentel, H. [1 ]
Hucke, J. [2 ]
机构
[1] CEGPA, Lima, Peru
[2] Bethesda Krankenhaus Wuppertal, Klin Frauenheilkunde & Geburtshilfe, Wuppertal, Germany
关键词
supracervical hysterectomy; leiomyomatosis; morcellation; DISSEMINATED PERITONEAL LEIOMYOMATOSIS; COMPLICATION; MYOMECTOMY; ESTROGEN;
D O I
10.1055/s-0030-1250509
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The following case report describes the occurrence of multiple peritoneal leiomyomas associated with endometriosis and endosalpingiosis after laparoscopic supracervical hysterectomy using electromorcellation. Interestingly, we found a positive correlation between leiomyomas and serum estrogen levels even after bilateral adnexectomy. The increasing incidence of such cases after electromorcellation, a popular treatment approach, and the different therapeutic options for this metastatic tumor are discussed. The important conclusion for daily clinical practice is the necessity of completely removing all tissue fragments after morcellation. A correlation with autocrine hormone production in such tumors should be further investigated.
引用
收藏
页码:894 / 897
页数:4
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