RECURRENT LEIOMYOMA OF THE CORPUS UTERI IN THE SCAR AFTER MYOMECTOMY


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The paper describes a case of uterine scar leiomyoma developed in a 36-year-old patient 3 years after myomectomy. Intraoperative laparoscopy visualizes a previous myomectomy scar on the posterior uterine wall near the left rib. A 2.0 cm subserous nodule of the histologically verified myoma arises from the scar. The cicatrical tissue is represented by coarse collagen fibers, fields of hyalinosis, and single small vessels (hemosiderin deposits) with the formation of smooth muscle cuffs around individual arterioles. The individual vessels encased in the scar had thickened walls due to smooth muscle cell hyperplasia. The tumor itself is made up of intertwining bundles of smooth muscle cells separated by fibrous septa and fields of hyalinosis.

Full Text

Restricted Access

About the authors

Yu. E KARAVAYEV

Moscow State University of Medicine and Dentistry, Ministry of Health and Social Development of Russia

Email: byraya@mail.ru

S. I ASKOLSKAYA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: s_askolskaya@oparina4.ru

E. A KOGAN

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: e_kogan@oparina4.ru

P. N BURYKINA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: p_burykina@oparina4.ru

A. S ARAKELYAN

Moscow State University of Medicine and Dentistry, Ministry of Health and Social Development of Russia

Email: arakelyan@mail.ru

References

  1. Адамян Л.В., Киселев С.И., Зурабиани З.Р. Эндоскопия в диагностике и лечении патологии матки. М.; 1997; 1: 200—4.
  2. Ванке Н.С. Оценка эффективности эндохирургических органосберегающих операций у больных с миомой матки: Автореф. дис.. канд. мед. наук. М.; 2008. 24 с.
  3. Вихляева Е.М. Руководство по диагностике и лечению лейомиомы матки. М.; 2004: 186—289.
  4. Демина Л.M. Лапароскопическая консервативная миомэктомия. Отдаленные результаты: Автореф. дис.. канд. мед. наук. М.; 2001. 23 с.
  5. Коган Е.А., Ганзен Т.Н., Серов В.В. Склероз и канцерогенез. Архив патологии. 1992; 54(8): 5—11.
  6. Parazzini F., Chiaffarino F. The epidemiology of uterine leiomyomata. In: Brosens I., ed. Uterine leiomyomata pathogenesis and management. London; New York: Taylor and Francis; 2006: 3—9.
  7. Parker W.H. Laparoscopic myomectomy and abdominal myomectomy. Clin. Obstet. Gynecol. 2006; 49(4): 789—97.
  8. Yoo E.H., Lee P.I., Huh C.Y., Kim D.H., Lee B.S., Lee J.K., Kim D. Predictors of leiomyoma recurrence after laparoscopic myomectomy.
  9. J. Minim. Invasive Gynecol. 2007; 14(6): 690—7.
  10. Hanafi M. Predictors of leiomyoma recurrence after myomectomy. Obstet. Gynecol. 2005; 105(4): 877—81.
  11. Li M.H., Leng J.H., Shi J.H., Jia S.Z., Lang J.H. Comparison of postoperative residue, recurrence and pregnancy outcome between laparoscopic and transabdominal myomectomy. Zhonghua Fu Chan Ke Za Zhi. 2011; 46(9): 669—73.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2012 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies