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Retroperitoneal Sarcoma Involving Unilateral Double Ureter: Management, Treatment and Psychological Implications

The case of a 45-year-old woman who was admitted to our university hospital for polymenorrhea, weight gain and pain in the left iliac region is reported. An abdominal ultrasound revealed a 9.5 × 5.2-cm, hypoechoic and inhomogeneous mass located on the left side of the pelvis and behind the ovary. Th...

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Autores principales: Leanza, Vito, Garraffo, Claudia, Leanza, Gianluca, Leanza, Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049017/
https://www.ncbi.nlm.nih.gov/pubmed/24932171
http://dx.doi.org/10.1159/000363052
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author Leanza, Vito
Garraffo, Claudia
Leanza, Gianluca
Leanza, Antonio
author_facet Leanza, Vito
Garraffo, Claudia
Leanza, Gianluca
Leanza, Antonio
author_sort Leanza, Vito
collection PubMed
description The case of a 45-year-old woman who was admitted to our university hospital for polymenorrhea, weight gain and pain in the left iliac region is reported. An abdominal ultrasound revealed a 9.5 × 5.2-cm, hypoechoic and inhomogeneous mass located on the left side of the pelvis and behind the ovary. The patient underwent surgery. The pelvic mass was firmly anchored to the small intestine, colon, sigma and uterine fundus. After removing the adhesions, double ureters, which had been incorporated in the mass, were observed on the left side. Resection of the unilateral double ureters was necessary in order to remove the entire mass, and thereafter, a left salpingoophorectomy was performed. A histological examination showed a malignant retroperitoneal mass. Termino-terminal ureteral anastomosis with two double-J stents was carried out. Total hysterectomy with preservation of the right adenexum and regional lymphadenectomy was performed. The purpose of this case report is to discuss the physical and psychological implications related to the combination of two rare entities: leiomyosarcoma and a double ureter located within the mass. A literature review on the clinical management and psychological aspects from a female cancer patient's perspective undergoing surgery with the aforementioned disorders will be discussed.
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spelling pubmed-40490172014-06-13 Retroperitoneal Sarcoma Involving Unilateral Double Ureter: Management, Treatment and Psychological Implications Leanza, Vito Garraffo, Claudia Leanza, Gianluca Leanza, Antonio Case Rep Oncol Published online: May, 2014 The case of a 45-year-old woman who was admitted to our university hospital for polymenorrhea, weight gain and pain in the left iliac region is reported. An abdominal ultrasound revealed a 9.5 × 5.2-cm, hypoechoic and inhomogeneous mass located on the left side of the pelvis and behind the ovary. The patient underwent surgery. The pelvic mass was firmly anchored to the small intestine, colon, sigma and uterine fundus. After removing the adhesions, double ureters, which had been incorporated in the mass, were observed on the left side. Resection of the unilateral double ureters was necessary in order to remove the entire mass, and thereafter, a left salpingoophorectomy was performed. A histological examination showed a malignant retroperitoneal mass. Termino-terminal ureteral anastomosis with two double-J stents was carried out. Total hysterectomy with preservation of the right adenexum and regional lymphadenectomy was performed. The purpose of this case report is to discuss the physical and psychological implications related to the combination of two rare entities: leiomyosarcoma and a double ureter located within the mass. A literature review on the clinical management and psychological aspects from a female cancer patient's perspective undergoing surgery with the aforementioned disorders will be discussed. S. Karger AG 2014-05-14 /pmc/articles/PMC4049017/ /pubmed/24932171 http://dx.doi.org/10.1159/000363052 Text en Copyright © 2014 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published online: May, 2014
Leanza, Vito
Garraffo, Claudia
Leanza, Gianluca
Leanza, Antonio
Retroperitoneal Sarcoma Involving Unilateral Double Ureter: Management, Treatment and Psychological Implications
title Retroperitoneal Sarcoma Involving Unilateral Double Ureter: Management, Treatment and Psychological Implications
title_full Retroperitoneal Sarcoma Involving Unilateral Double Ureter: Management, Treatment and Psychological Implications
title_fullStr Retroperitoneal Sarcoma Involving Unilateral Double Ureter: Management, Treatment and Psychological Implications
title_full_unstemmed Retroperitoneal Sarcoma Involving Unilateral Double Ureter: Management, Treatment and Psychological Implications
title_short Retroperitoneal Sarcoma Involving Unilateral Double Ureter: Management, Treatment and Psychological Implications
title_sort retroperitoneal sarcoma involving unilateral double ureter: management, treatment and psychological implications
topic Published online: May, 2014
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049017/
https://www.ncbi.nlm.nih.gov/pubmed/24932171
http://dx.doi.org/10.1159/000363052
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