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Leiomyoma of the uterine round ligament: A case report

Leiomyomas are common benign tumours that can arise in any anatomical structure containing smooth muscle. Their localization in the uterine round ligament is rare, although leiomyomas are the most frequent tumour of this structure. Leiomyomas present as inguinal, labial or intra-abdominal masses, an...

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Autores principales: Tympa, Aliki, Grigoriadis, Charalampos, Terzakis, Emmanouil, Goudeli, Christina, Melemeni, Aikaterini
Formato: Online Artículo Texto
Lenguaje:English
Publicado: D.A. Spandidos 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8461511/
https://www.ncbi.nlm.nih.gov/pubmed/34630640
http://dx.doi.org/10.3892/etm.2021.10720
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author Tympa, Aliki
Grigoriadis, Charalampos
Terzakis, Emmanouil
Goudeli, Christina
Melemeni, Aikaterini
author_facet Tympa, Aliki
Grigoriadis, Charalampos
Terzakis, Emmanouil
Goudeli, Christina
Melemeni, Aikaterini
author_sort Tympa, Aliki
collection PubMed
description Leiomyomas are common benign tumours that can arise in any anatomical structure containing smooth muscle. Their localization in the uterine round ligament is rare, although leiomyomas are the most frequent tumour of this structure. Leiomyomas present as inguinal, labial or intra-abdominal masses, and are often misdiagnosed as hernias or enlarged lymph nodes. The aim of the present study was to describe a rare case of a large intra-abdominal mesenchymal neoplasm arising from the right round ligament of the uterus. A 51-year-old asymptomatic female patient (gravida 3, para 3) presented herself for a routine gynaecological examination. A transvaginal ultrasound examination revealed a solid heterogeneous mass with a maximum diameter of 9 cm localized at the right parametrial space. Further preoperative evaluation using magnetic resonance imaging revealed that the mass contained solid and cystic components, which was suggestive of a mesenchymal neoplasm with possible involvement of the right ovary. Complete excision of the tumour and total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed via laparotomy under general anaesthesia. The intraoperative findings, frozen section biopsies and final histological examination of the tumour established the diagnosis of an intra-abdominal myoma of the right uterine round ligament. The majority of abdominal round ligament myomas are initially asymptomatic. The role of synchronous imaging examinations, such as ultrasonography and magnetic resonance imaging, in the diagnosis of these lesions is crucial.
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spelling pubmed-84615112021-10-07 Leiomyoma of the uterine round ligament: A case report Tympa, Aliki Grigoriadis, Charalampos Terzakis, Emmanouil Goudeli, Christina Melemeni, Aikaterini Exp Ther Med Articles Leiomyomas are common benign tumours that can arise in any anatomical structure containing smooth muscle. Their localization in the uterine round ligament is rare, although leiomyomas are the most frequent tumour of this structure. Leiomyomas present as inguinal, labial or intra-abdominal masses, and are often misdiagnosed as hernias or enlarged lymph nodes. The aim of the present study was to describe a rare case of a large intra-abdominal mesenchymal neoplasm arising from the right round ligament of the uterus. A 51-year-old asymptomatic female patient (gravida 3, para 3) presented herself for a routine gynaecological examination. A transvaginal ultrasound examination revealed a solid heterogeneous mass with a maximum diameter of 9 cm localized at the right parametrial space. Further preoperative evaluation using magnetic resonance imaging revealed that the mass contained solid and cystic components, which was suggestive of a mesenchymal neoplasm with possible involvement of the right ovary. Complete excision of the tumour and total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed via laparotomy under general anaesthesia. The intraoperative findings, frozen section biopsies and final histological examination of the tumour established the diagnosis of an intra-abdominal myoma of the right uterine round ligament. The majority of abdominal round ligament myomas are initially asymptomatic. The role of synchronous imaging examinations, such as ultrasonography and magnetic resonance imaging, in the diagnosis of these lesions is crucial. D.A. Spandidos 2021-11 2021-09-13 /pmc/articles/PMC8461511/ /pubmed/34630640 http://dx.doi.org/10.3892/etm.2021.10720 Text en Copyright: © Tympa et al. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
spellingShingle Articles
Tympa, Aliki
Grigoriadis, Charalampos
Terzakis, Emmanouil
Goudeli, Christina
Melemeni, Aikaterini
Leiomyoma of the uterine round ligament: A case report
title Leiomyoma of the uterine round ligament: A case report
title_full Leiomyoma of the uterine round ligament: A case report
title_fullStr Leiomyoma of the uterine round ligament: A case report
title_full_unstemmed Leiomyoma of the uterine round ligament: A case report
title_short Leiomyoma of the uterine round ligament: A case report
title_sort leiomyoma of the uterine round ligament: a case report
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8461511/
https://www.ncbi.nlm.nih.gov/pubmed/34630640
http://dx.doi.org/10.3892/etm.2021.10720
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AT goudelichristina leiomyomaoftheuterineroundligamentacasereport
AT melemeniaikaterini leiomyomaoftheuterineroundligamentacasereport