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Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report
Leiomyomatosis peritonealis disseminata (LPD) is a rare clinical condition characterized by the development of multiple smooth muscle-like nodules in the peritoneal or abdominal cavity. Here, we report a case of a patient who was diagnosed with LPD after laparoscopic myomectomy with power morcellati...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8633832/ https://www.ncbi.nlm.nih.gov/pubmed/34876953 http://dx.doi.org/10.1016/j.radcr.2021.10.045 |
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author | Hsieh, Yun-Chiao Kuo, Po-Yen Chiang, Ying-Cheng |
author_facet | Hsieh, Yun-Chiao Kuo, Po-Yen Chiang, Ying-Cheng |
author_sort | Hsieh, Yun-Chiao |
collection | PubMed |
description | Leiomyomatosis peritonealis disseminata (LPD) is a rare clinical condition characterized by the development of multiple smooth muscle-like nodules in the peritoneal or abdominal cavity. Here, we report a case of a patient who was diagnosed with LPD after laparoscopic myomectomy with power morcellation. Growing evidence has shown that LPD might develop after using power morcellation for hysterectomy or myomectomy, and this can worsen the prognosis if the spreading tissue contains malignancies, such as leiomyosarcoma. Thus, it is crucial to use laparoscopic morcellation for gynecologic procedures cautiously, and the use of a containment system is even better. If LPD develops without evidence of malignancy, the primary treatment is surgical intervention, and gonadotropin-releasing hormone agonists, aromatase inhibitors, and selective progesterone receptor modulators can be prescribed as adjuvant therapies for recurrent or refractory cases. |
format | Online Article Text |
id | pubmed-8633832 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-86338322021-12-06 Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report Hsieh, Yun-Chiao Kuo, Po-Yen Chiang, Ying-Cheng Radiol Case Rep Case Report Leiomyomatosis peritonealis disseminata (LPD) is a rare clinical condition characterized by the development of multiple smooth muscle-like nodules in the peritoneal or abdominal cavity. Here, we report a case of a patient who was diagnosed with LPD after laparoscopic myomectomy with power morcellation. Growing evidence has shown that LPD might develop after using power morcellation for hysterectomy or myomectomy, and this can worsen the prognosis if the spreading tissue contains malignancies, such as leiomyosarcoma. Thus, it is crucial to use laparoscopic morcellation for gynecologic procedures cautiously, and the use of a containment system is even better. If LPD develops without evidence of malignancy, the primary treatment is surgical intervention, and gonadotropin-releasing hormone agonists, aromatase inhibitors, and selective progesterone receptor modulators can be prescribed as adjuvant therapies for recurrent or refractory cases. Elsevier 2021-11-25 /pmc/articles/PMC8633832/ /pubmed/34876953 http://dx.doi.org/10.1016/j.radcr.2021.10.045 Text en © 2021 Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Hsieh, Yun-Chiao Kuo, Po-Yen Chiang, Ying-Cheng Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report |
title | Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report |
title_full | Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report |
title_fullStr | Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report |
title_full_unstemmed | Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report |
title_short | Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report |
title_sort | leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8633832/ https://www.ncbi.nlm.nih.gov/pubmed/34876953 http://dx.doi.org/10.1016/j.radcr.2021.10.045 |
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