RECURRENT LEIOMYOMA OF THE CORPUS UTERI IN THE SCAR AFTER MYOMECTOMY


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Resumo

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.

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Sobre autores

Yu. KARAVAYEV

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

Email: byraya@mail.ru

S. 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. 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. 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. ARAKELYAN

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

Email: arakelyan@mail.ru

Bibliografia

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