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Diffuse uterine leiomyomatosis with ovarian and parametrial involvement
A Robles-Frías1, C E Severín, M J Robles-Frías
1Servicio de Anatomía Patológica, Hospital Universitario de Valme, Ctra. de Cádiz s/n, 41014 Seville, Spain. apaarf@valme.sas.junta-andalucia.es
Obstetrics and Gynecology
|May 5, 2001
Summary
Diffuse uterine leiomyomatosis, a rare benign condition, can involve the parametria, pelvis, and ovaries. This case highlights the extensive spread of this smooth muscle tumor.
Area of Science:
- Gynecologic Pathology
- Reproductive Endocrinology
Background:
- Diffuse uterine leiomyomatosis is an exceptionally rare benign smooth muscle neoplasm.
- Fewer than 30 cases have been documented in medical literature.
Observation:
- A 42-year-old woman presented with abdominal pain and a uterine mass identified via ultrasound.
- Surgical exploration revealed extensive nodularity in the uterus, ovaries, broad ligament, and pelvis.
- Histopathological examination confirmed benign smooth muscle tissue in all observed nodules.
Findings:
- The case demonstrates diffuse uterine leiomyomatosis with significant extrauterine involvement.
- Microscopic analysis confirmed the benign nature of the smooth muscle tissue.
Implications:
- This condition, though rare, can present with widespread pelvic and adnexal masses.
- Understanding the full extent of leiomyomatosis is crucial for accurate diagnosis and management.