Leiomyoma Of Round Ligament Research Articles

Symptomatic Round Ligament Leiomyoma in a Patient with Müllerian Agenesis

Symptomatic Round Ligament Leiomyoma in a Patient with Müllerian Agenesis

A Case Report of Laparoscopic Resection of Primary Round Ligament Leiomyoma

53歳，女性．3年前から2カ月に一度，右下腹部の間欠的な疼痛を自覚したため近医産婦人科を受診．精査で卵巣腫瘍が疑われ，当院産婦人科へ紹介された．経膣超音波検査で子宮および両側付属器に明らかな病変を認めず，また腹部造影CTでは右骨盤内に小腸と接する造影効果を有する3.5cm大の類縁形腫瘤を認め，骨盤造影MRIではT1強調脂肪抑制像で内部不均一な高信号病変を認めた．PET-CTで同病変に異常集積を伴っていたため，小腸GIST疑いで当科へ紹介となった．腹腔鏡観察では腫瘤は類円形，表面平滑で可動性は良好であり，腫瘍径・腫瘍局在が画像診断と一致していたため，切除の方針とした．腫瘍周囲を剥離すると子宮円靱帯由来の腫瘍と判明し，腹腔鏡下に腫瘍摘出術を施行した．病理組織学的検査では紡錘状の平滑筋細胞が錯綜する像を認め，腫瘍細胞はα-SMA陽性，Desmin陽性，DOG-1陰性であったため，子宮円靱帯平滑筋腫の診断であった．子宮円靱帯由来の平滑筋腫は稀であり，文献的考察を含め報告する．

Sonographic Diagnosis of Extraperitoneal Round Ligament Leiomyoma in Inguinal Area

Sonographic Diagnosis of Extraperitoneal Round Ligament Leiomyoma in Inguinal Area

Leiomyoma of round ligament masquerading as an inguinal hernia

Tumors of the round ligament of uterus are uncommon, with leiomyoma being the most common type among them with unknown exact incidence. Leiomyoma is a benign tumor and its location at inguinal area is confused with the clinical diagnosis of inguinal hernia, lymph node, or other nodal masses. Here, we report the case of a 47-year-old parous woman who presented with complaints of heavy menstrual bleeding and right groin swelling. A preoperative diagnosis of adenomyosis of uterus with inguinal hernia was made. She underwent nondescent vaginal hysterectomy, following which, on exploration of the inguinal region, a myoma was found and was confirmed as leiomyoma on histopathology. Hence, although rare, it is prudent to consider a round ligament leiomyoma as one of the differential diagnoses of the more common inguinal hernia, especially in a female patient.

Large, extra-abdominal leiomyoma of the round ligament with carneous degeneration

Round ligament tumours represent a rare entity that can present similarly to an incarcerated hernia. Basic understanding and appropriate preoperative management is imperative in order to differentiate between the two...

LEIOMYOMA

A rare case of leiomyoma of round ligament is reported. It presented as irreducibleright inguinal hernia. Its shape and size was of a normal kidney for which peroperative I.V.U wasdone to exclude the ectopic kidney. No. such case has been reported in the literature so for.

A Large Leiomyoma of Round Ligament of Uterus Presenting as Ovarian Tumor: A Rare Case Report

Introduction Fibroid is the most common benign tumor of the uterus and occurs in 20–50% of women, mostly situated in the body of the uterus (Metzger et al. J Reprod Med 33:246–248, 1988). They rarely arise from extrauterine sites with round ligament which is very uncommon. Its incidence is not known exactly, and the mean age ranges from 13 to 70 years. However, by clinical examination and newer imaging modalities, we can easily know about size, number and origin of these tumors, and any anatomical distortion of surrounding vital organs, but sometimes, it is very difficult to differentiate preoperatively between large round ligament leiomyomas and ovarian/adnexal pathology especially if cystic degeneration or necrosis is present in leiomyoma.

English

A rare case of leiomyoma of round ligament is reported. It presented as irreducibleright inguinal hernia. Its shape and size was of a normal kidney for which peroperative I.V.U wasdone to exclude the ectopic kidney. No. such case has been reported in the literature so for.

Round Ligament Leiomyoma Presenting as an Incarcerated Inguinal Hernia: Case Report and Review of the Literature.

Leiomyomas are common benign gynecologic tumors occurring in up to 30% of women. Round ligament leiomyomas however are very rare and, if symptomatic, can present as an inguinal hernia. We report the case of a 47-year-old woman who presented with an irreducible inguinal mass consistent with an incarcerated hernia. Intraoperatively, the mass was found to be a round ligament leiomyoma, a diagnosis that was confirmed by histopathology following excision of the mass. Although rare, round ligament leiomyomas should be part of the differential diagnosis of an inguinal hernia in females.

A rare inguinal mass: Round ligament leiomyoma

INTRODUCTIONLeiomyoma of the round ligament is a rare condition and usually appears like an inguinal hernia. PRESENTATION OF CASEWe report a case of a 40 year-old women found to have an inguinal mass which it was finally diagnosed as leiomyoma.The patient was admitted to our hospital with a history of painless groin mass. The mass was thought to be irreducible inguinal hernia. Surgical exploration demonstrated a round ligament leiomyoma. DISCUSSIONA smooth muscle tumor in the round ligament of the uterus in the inguinal region is a rare entity and can be mistaken for an irreducible inguinal hernia. It is a rare condition occurring predominantly in premenopausal middle-aged women. Abdominal, inguinal, and vulvar locations have been described. Surgical excision is the curative treatment. CONCLUSIONLeiomyoma of the round ligament should be entertained as a possible etiology of inguinal mass.

Leiomyoma of the round ligament in a postmenopausal woman

Objective: Leiomyoma of the round ligament of the uterus is a rare condition. We present the first case of a postmenopausal, previously hysterectomised, woman who received combined hormonal replacement therapy and developed a leiomyoma of the right round ligament. Method: In sections of the tumor, immunohistochemical reaction with monoclonal antibodies against smooth muscle actin, desmin, vimentin, estrogen receptor and progesterone receptor was performed. Results: The leiomyoma showed bizarre histologic appearance in absence of mitotic figures and degenerative changes. Leiomyocytes presented a positive immunohistochemical reaction with monoclonal antibodies against smooth muscle actin, desmin vimentin and progesterone receptor in absence of estrogen receptor. Conclusion: Progestin as part of a combined hormonal replacement therapy may play an important role in promoting the development of leiomyoma in hormonal responsive tissue of the round ligament in postmenopausal women.