1
|
Wang Y, Xu S, Wang C, Li W, Xu J, Zhu Z, Liu Q, Zhu L. Intravascular Leiomyoma Considered Preoperatively as Uterine Sarcoma: A Rare Case. WOMEN'S HEALTH REPORTS (NEW ROCHELLE, N.Y.) 2024; 5:334-339. [PMID: 38596477 PMCID: PMC11002323 DOI: 10.1089/whr.2023.0091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 01/18/2024] [Indexed: 04/11/2024]
Abstract
Intravascular leiomyoma (IVL) is usually defined as a histologically benign leiomyoma that originates in a uterine fibroid or the intrauterine vein wall and grows and expands intravenously. We report a case in which pelvic IVL was detected early and discuss the early diagnosis of and best treatment for this tumor.
Collapse
Affiliation(s)
- Yingyao Wang
- Department of Gynecology, Kunshan Maternity and Children's Health Care Hospital, Suzhou, China
| | - Song Xu
- Department of Pathology, Affiliated Kunshan Hospital of Jiangsu University, Suzhou, China
| | - Caibo Wang
- Department of Gynaecology, Affiliated Kunshan Hospital of Jiangsu University, Suzhou, China
| | - Wenjuan Li
- Department of Gynaecology, Affiliated Kunshan Hospital of Jiangsu University, Suzhou, China
| | - Jianhao Xu
- Department of Pathology, Affiliated Kunshan Hospital of Jiangsu University, Suzhou, China
| | - Zhiwei Zhu
- Department of Gynaecology, Affiliated Kunshan Hospital of Jiangsu University, Suzhou, China
| | - Qin Liu
- Department of Gynecology, Kunshan Maternity and Children's Health Care Hospital, Suzhou, China
- Department of Gynaecology, Affiliated Kunshan Hospital of Jiangsu University, Suzhou, China
| | - Lixia Zhu
- Department of Gynecology, Kunshan Maternity and Children's Health Care Hospital, Suzhou, China
- Department of Gynaecology, Affiliated Kunshan Hospital of Jiangsu University, Suzhou, China
| |
Collapse
|
2
|
Martínez de Mandojana A, Medina Benítez A, Láinez Ramos-Bossini AJ. Indirect imaging evidence of hematogenous spread of benign metastasizing leiomyomatosis. Arch Gynecol Obstet 2024; 309:1677-1678. [PMID: 38185751 DOI: 10.1007/s00404-023-07342-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Accepted: 12/08/2023] [Indexed: 01/09/2024]
Affiliation(s)
- Ana Martínez de Mandojana
- Department of Radiology, Hospital Universitario Virgen de Las Nieves, Avda. Fuerzas Armadas, 2, 18014, Granada, Spain
- Biosanitary Institute of Granada (IBS.Granada), 18016, Granada, Spain
| | - Antonio Medina Benítez
- Department of Radiology, Hospital Universitario Virgen de Las Nieves, Avda. Fuerzas Armadas, 2, 18014, Granada, Spain
- Biosanitary Institute of Granada (IBS.Granada), 18016, Granada, Spain
| | - Antonio Jesús Láinez Ramos-Bossini
- Department of Radiology, Hospital Universitario Virgen de Las Nieves, Avda. Fuerzas Armadas, 2, 18014, Granada, Spain.
- Biosanitary Institute of Granada (IBS.Granada), 18016, Granada, Spain.
| |
Collapse
|
3
|
Boavida Ferreira J, Cabrera R, Santos F, Relva A, Vasques H, Gomes A, Guimarães A, Moreira A. Benign Metastasizing Leiomyomatosis to the Skin and Lungs, Intravenous Leiomyomatosis, and Leiomyomatosis Peritonealis Disseminata: A Series of Five Cases. Oncologist 2022; 27:e89-e98. [PMID: 35305104 PMCID: PMC8842467 DOI: 10.1093/oncolo/oyab019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Accepted: 09/09/2021] [Indexed: 11/14/2022] Open
Abstract
Abstract
Benign metastasizing leiomyomatosis (BML) is a rare disease that typically occurs in women with a history of uterine leiomyomatosis. Benign metastasizing leiomyomatosis occurs more frequently in the lungs but may also develop in other organs and tissues. Other unusual variants of extra-uterine leiomyomatosis include intravenous leiomyomatosis (IVL) and leiomyomatosis peritonealis disseminata (LPD). In this article, three cases of BML are presented. One case, in a premenopausal woman, presented cutaneous metastases. We also present a case of IVL and a case of LPD, which occurred in postmenopausal women. Given the rarity of BML, IVL, and LPD, the authors reviewed the literature and herein discuss the implications for treatment in all five cases. Evidence for treating BML, IVL, and LPD is still scarce, and data available from our series and other small series seem to point to the patient’s hormonal status playing a fundamental part in the treatment plan. Furthermore, a collecting bag when performing excision of uterine leiomyomas may help avoid the potential spreading of leiomyomatosis. Hysterectomized patients with chronic cough, frequent respiratory infections, abdominal discomfort, right heart failure, or non-specific symptoms should be actively screened for BML, IVL, and LPD. Treatment should be individualized according to each patient’s hormonal status and desires.
Collapse
Affiliation(s)
- João Boavida Ferreira
- Serviço de Oncologia Médica, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
| | - Rafael Cabrera
- Serviço de Anatomia Patológica, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
| | - Filipa Santos
- Serviço de Anatomia Patológica, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
| | - Andreia Relva
- Serviço de Ginecologia, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
| | - Hugo Vasques
- Serviço de Cirurgia Geral, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
| | - António Gomes
- Serviço de Ginecologia, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
| | - António Guimarães
- Serviço de Oncologia Médica, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
| | - António Moreira
- Serviço de Oncologia Médica, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
| |
Collapse
|
4
|
Declas E, Lucot JP. [Extra uterine leiomyomatosis: Review of the literature]. ACTA ACUST UNITED AC 2019; 47:582-590. [PMID: 31255836 DOI: 10.1016/j.gofs.2019.06.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Indexed: 11/24/2022]
Abstract
Extra-uterine leiomyomatosis is a rare pathology defined by the presence of benign smooth uterine muscle cells in unusual localizations, including different entities. It mainly affects premenopausal women with a medical history of uterine myoma with or without surgical treatment. Three main types are discribed: intraveinous leiomyomatosis, benign metastatisizing leiomyoma and leiomyomatosis peritonealis disseminata. The diagnosis may be complex with many differential diagnosis, and relies on histology. The treatment depends on multiple factors such as age, localization, size, symptoms and associated comorbidities. It is based on surgical resection and hormonal privation, surgical (adnexectomy) or medical (hormonotherapy). There is a high risk of recurrence. Some malignant evolutions have been reported, mostly leiomyosarcoma following peritoneal disseminated leiomyomatosis. Long term follow-up of these patients is mandatory. A particular manifestation of extra-uterine leiomyomatosis is the hereditary leiomyomatosis and renal cell carcinoma (HLRCC) syndrome. It is an autosomal dominant disorder which confers an increased risk of cutaneous and uterine leiomyomas and renal cell cancer, with a poor prognosis due to the urologic tumor.
Collapse
Affiliation(s)
- E Declas
- Service de gynécologie-obstétrique, hôpital Saint-Vincent-de-Paul, groupe des hôpitaux de l'institut catholique de Lille (GHICL), boulevard de Belfort, 59000 Lille, France.
| | - J P Lucot
- Service de gynécologie-obstétrique, hôpital Saint-Vincent-de-Paul, groupe des hôpitaux de l'institut catholique de Lille (GHICL), boulevard de Belfort, 59000 Lille, France
| |
Collapse
|