Port-site implantation of parasitic leiomyoma after laparoscopic myomectomy and its histopathology
Although parasitic leiomyoma could be spontaneous or iatrogenic in origin, port-site implantation of parasitic leiomyoma is an iatrogenic benign sequela of laparoscopic surgery. A 30-year-old, primigravida Japanese woman was referred after unresponsiveness to preoperative gonadotropin-releasing horm...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-09-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X20959223 |
| _version_ | 1819062217713123328 |
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| author | Kentaro Kai Yoko Aoyagi Masakazu Nishida Motoki Arakane Yasushi Kawano Hisashi Narahara |
| author_facet | Kentaro Kai Yoko Aoyagi Masakazu Nishida Motoki Arakane Yasushi Kawano Hisashi Narahara |
| author_sort | Kentaro Kai |
| collection | DOAJ |
| description | Although parasitic leiomyoma could be spontaneous or iatrogenic in origin, port-site implantation of parasitic leiomyoma is an iatrogenic benign sequela of laparoscopic surgery. A 30-year-old, primigravida Japanese woman was referred after unresponsiveness to preoperative gonadotropin-releasing hormone for intramural fibroids. Magnetic resonance imaging showed multiple intramural fibroids and left ovarian endometrioma with no malignant features. Laparoscopic myomectomy with power morcellation and ovarian cystectomy were performed, followed by treatment with a combined oral contraceptive. Seven years after the primary surgery, she underwent abdominal myomectomy for a port-site, and peritoneal recurrence of the leiomyoma and intramural leiomyomas was detected. Microscopic examination revealed that resected specimens from the port-site demonstrated leiomyoma with lesser cell density and more prominent hyalinization than those from the uterus. Therefore, clinicians should counsel patients regarding the risks and benefits of laparoscopy with morcellation versus laparotomy. Further development of techniques for uterine tissues extraction is warranted. |
| first_indexed | 2024-12-21T14:55:16Z |
| format | Article |
| id | doaj.art-c4f171c1d2e3466d9365bd584796814a |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-12-21T14:55:16Z |
| publishDate | 2020-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-c4f171c1d2e3466d9365bd584796814a2022-12-21T18:59:46ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2020-09-01810.1177/2050313X20959223Port-site implantation of parasitic leiomyoma after laparoscopic myomectomy and its histopathologyKentaro Kai0Yoko Aoyagi1Masakazu Nishida2Motoki Arakane3Yasushi Kawano4Hisashi Narahara5Department of Obstetrics and Gynecology, Faculty of Medicine, Oita University, Oita, JapanDepartment of Obstetrics and Gynecology, Faculty of Medicine, Oita University, Oita, JapanDepartment of Obstetrics and Gynecology, Faculty of Medicine, Oita University, Oita, JapanDepartment of Diagnostic Pathology, Faculty of Medicine, Oita University, Oita, JapanDepartment of Obstetrics and Gynecology, Faculty of Medicine, Oita University, Oita, JapanDepartment of Obstetrics and Gynecology, Faculty of Medicine, Oita University, Oita, JapanAlthough parasitic leiomyoma could be spontaneous or iatrogenic in origin, port-site implantation of parasitic leiomyoma is an iatrogenic benign sequela of laparoscopic surgery. A 30-year-old, primigravida Japanese woman was referred after unresponsiveness to preoperative gonadotropin-releasing hormone for intramural fibroids. Magnetic resonance imaging showed multiple intramural fibroids and left ovarian endometrioma with no malignant features. Laparoscopic myomectomy with power morcellation and ovarian cystectomy were performed, followed by treatment with a combined oral contraceptive. Seven years after the primary surgery, she underwent abdominal myomectomy for a port-site, and peritoneal recurrence of the leiomyoma and intramural leiomyomas was detected. Microscopic examination revealed that resected specimens from the port-site demonstrated leiomyoma with lesser cell density and more prominent hyalinization than those from the uterus. Therefore, clinicians should counsel patients regarding the risks and benefits of laparoscopy with morcellation versus laparotomy. Further development of techniques for uterine tissues extraction is warranted.https://doi.org/10.1177/2050313X20959223 |
| spellingShingle | Kentaro Kai Yoko Aoyagi Masakazu Nishida Motoki Arakane Yasushi Kawano Hisashi Narahara Port-site implantation of parasitic leiomyoma after laparoscopic myomectomy and its histopathology SAGE Open Medical Case Reports |
| title | Port-site implantation of parasitic leiomyoma after laparoscopic myomectomy and its histopathology |
| title_full | Port-site implantation of parasitic leiomyoma after laparoscopic myomectomy and its histopathology |
| title_fullStr | Port-site implantation of parasitic leiomyoma after laparoscopic myomectomy and its histopathology |
| title_full_unstemmed | Port-site implantation of parasitic leiomyoma after laparoscopic myomectomy and its histopathology |
| title_short | Port-site implantation of parasitic leiomyoma after laparoscopic myomectomy and its histopathology |
| title_sort | port site implantation of parasitic leiomyoma after laparoscopic myomectomy and its histopathology |
| url | https://doi.org/10.1177/2050313X20959223 |
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