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
相关论文
共 22 条
  • [1] Leiomyomatosis peritonealis disseminata: Does malignant transformation occur? A literature review
    Bekkers, RLM
    Willemsen, WNP
    Schijf, CPT
    Massuger, LFAG
    Bulten, J
    Merkus, JMWM
    [J]. GYNECOLOGIC ONCOLOGY, 1999, 75 (01) : 158 - 163
  • [2] Leiomyomatosis peritonealis disseminata: immunohistochemical profile and origin
    Bucher, Maya
    Pusztaszeri, Marc
    Bouzourene, Hanifa
    [J]. ANNALES DE PATHOLOGIE, 2006, 26 (03) : 207 - 210
  • [3] Progesterone receptor activity in leiomyomatosis peritonealis disseminata
    Butnor, KJ
    Burchette, JL
    Robboy, SJ
    [J]. INTERNATIONAL JOURNAL OF GYNECOLOGICAL PATHOLOGY, 1999, 18 (03) : 259 - 264
  • [4] LEIOMYOMATOSIS PERITONEALIS DISSEMINATA
    DALLENBACH, C
    MIKLAW, H
    DALLENBACH, FD
    DALLENBACHHELLWEG, G
    [J]. GEBURTSHILFE UND FRAUENHEILKUNDE, 1989, 49 (02) : 201 - 204
  • [5] Posthysterectomy pelvic adenomyotic masses observed in 8 cases out of a series of 1405 laparoscopic subtotal hysterectomies
    Donnez, Olivier
    Squifflet, Jean
    Leconte, Isabelle
    Jadoul, Pascale
    Donnez, Jacques
    [J]. JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2007, 14 (02) : 156 - 160
  • [6] Parasitic myomas after laparoscopic myomectomy: case report
    Epstein, Jason H.
    Nejat, Edward J.
    Tsai, Tony
    [J]. FERTILITY AND STERILITY, 2009, 91 (03) : 932.e13 - 932.e14
  • [7] PROGESTERONE-INDUCED SMOOTH MUSCLE-LIKE CELLS IN THE SUB-PERITONEAL NODULES PRODUCED BY ESTROGEN - EXPERIMENTAL APPROACH TO LEIOMYOMATOSIS PERITONEALIS DISSEMINATA
    FUJII, S
    NAKASHIMA, N
    OKAMURA, H
    TAKENAKA, A
    KANZAKI, H
    OKUDA, Y
    MORIMOTO, K
    NISHIMURA, T
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1981, 139 (02) : 164 - 172
  • [8] Recurrent leiomyomatosis peritonealis disseminata after hysterectomy and bilateral salpingo-oophorectomy during combined hormone replacement therapy
    Heinig, J
    Neff, A
    Cirkel, U
    Klockenbusch, W
    [J]. EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2003, 111 (02): : 216 - 218
  • [9] Removal of pelvic leiomyomata and endometriosis five years after supracervical hysterectomy
    Hilger, Wesley S.
    Magrina, Javier F.
    [J]. OBSTETRICS AND GYNECOLOGY, 2006, 108 (03) : 772 - 774
  • [10] Postmenopausal intravenous lelomyomatosis with high levels of estradiol and estrogen receptor
    Kokawa, K
    Yamoto, M
    Yata, C
    Mabuchi, Y
    Umesaki, N
    [J]. OBSTETRICS AND GYNECOLOGY, 2002, 100 (05) : 1124 - 1126