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Intravenous leiomyomatosis as a rare tumor of myometrium


Authors: V. Regász 1,2;  Vladimír Boháč 2 ;  J. Rychnovský 3
Authors place of work: Oddělení patologie, Nemocnice Nový Jičín, primářka MUDr. R. Andělová ;  Gynekologicko-porodnické oddělení, Krajská nemocnice T. Bati, Zlín, primář MUDr. Z. Adamík, Ph. D. 1;  Gynekologicko-porodnické oddělení, Středomoravská nemocniční, Přerov, primář MUDr. J. Novota 2
Published in the journal: Ceska Gynekol 2018; 83(1): 53-56

Summary

 

Aim:
To present a case of a woman diagnosed with intravenous leiomyomatosis of the uterus.

Type of study:
Case report.

Setting:
Department of Obstetrics & Gynaecology, Středomoravská nemocniční a.s., Přerov Hospital.

Case report:
A 39-year old woman was referred to our unit with uterine fibroids, dysfunctional uterine bleeding and anaemia. Abdominal hysterectomy was performed. The histopathological analysis diagnosed the presence of intravenous leiomyomatosis. After a thorough literature review, we decided to perform an adnexectomy. It was not possible to perform this laparoscopically due to adhesions from previous operation. A conversion to open surgery was necessary.

Conclusion:
Intravenous leiomyomatosis is a rare clinical condition characterised by the ability of the leiomyoma to spread outside the uterus via the venous system. The diagnosis is difficult to obtain and can only be made after histopathological examination. There are no universal treatment guidelines in place at present.

Keywords:
intravenous leiomyomatosis, myoma/leiomyoma/fibroid, surgical treatment, hysterectomy, adnexectomy


Zdroje

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14. Šimetka, O., Klát, J., Bajsová, S. Možnosti užití selektivních modulátorů progesteronových receptorů v léčbě děložních myomů. Čes Gynek, 2016, 81, 6, s. 452–457.

15. Tomšová, M., Pohnětalová, D., Špaček, J. Vzácné nádory myometria – intravenózní leiomyomatóza a benigní metastazující leiomyom. Čes Gynek, 2007, 72, 2, s. 136–139.

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Štítky
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

Článok vyšiel v časopise

Czech Gynaecology

Číslo 1

2018 Číslo 1
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