Abstract
Retroperitoneal leiomyoma: A case report A retroperitioneal smooth muscle tumor must be accepted as prime if it is not related with genital organs or other organs out of peritoneum. Retroperitoneal leiomyomas were considered as autoamputaded. In past, uterine leimyomas are accept-ed as soft tissue lesions those developed from hormone sensitive smooth muscle cells, but this opinion is not acceptable today. Some authorities say that i is a suspicious situation to use the term leimyoma for the retroperitoneal smooth muscle tumor greater than 5 cm. Because the benign characteritic tumors more than this size of this part can show recurrence and matastasis. Some other authorities accept that the size of the tumor, cellulàrity, atypia, and necrosis may show correlation with the malignity up to a degree and they mention that the mitosis index is the most appe-ciated parameter that we have. Our case is a retroperioneal smooth muscle tumor about 8x10 cm sizes and we accepted this case as benign leiomyoma. Because it has no mitotic activ-ity and atypia. These cases may show malign char-acteristics and we wanted to take attention for the enters of their evaluation, so that we decided to report it.
Keywords
Case report Leiomyoma Neoplasms Muscle Tissue Diagnosis Differential Ultrasonography Tomography X-Ray Computed Adult
References
- (1): Abulafia O, Sherer DM. Ultrasonographic and magnetic resonance imaging findings of a large asymptomatic retroperitoneal pelvic lieomyoma. Am J Obstet Gynecol 1995;173/l:228-230
- (2): WeinrebfC, BarkoffND, Megibow A, Deopolos R. The value of MR imaging in distinguishing leiomyomas from other solid pelvic massses when sonography is inadequate. AJR Am J Roentgenol 1990; 154: 295-9
- (3): Ranchod M, Kempson RL. Smooth muscle tumors of the gastrointestinal tract and retroperitoneum: a pathologic analysis of 100 cases. Cancer 1997;39:255-62
- (4): Shmoohler BM, Lauer DH. Retroperitoneal leiomyosarcoma. A clinicopathologic analysis of 36 cases. Am J Surg Pathol 1983;7:269-80
- (5):Kempson RL, Fletcher CDM, Evans HL,Hendrickson MR,Sibley RK. Tumors of the Soft Tissues. Washington, DC; Armed Forces Institute of Pathology;2001.Atlas of Tumor Pathology, Third Series, Fascicle 30 (6): Weiss SW, Goldblum JR. Enzinger and Weiss's Soft Tissue Tumors. St Louis: Mosby, Inc.;2001 (7):Zaitoon MM.Retroperitoneal parasitic leiomyoa causing unilateral ureteral obstruction.] Urol 1986;135:130-l
- (8):Ovadia Abulafia MD.AMJ Obstet Gynaecol 1995,173:228-30
- (9):Warshauer DM;Mandel SR.Clin Imaging Utenn leiomyom 1999 Nov-Dec; 23(6) :375-6 (10).GflHimore FM, Booker A. Aust N Z J Uterin leiomyom Obstet Gynaecol 2000 Aug ; 40(3): 352-3
Abstract
Bir retroperitoneal düz. kas tümörü eğer genital organ-lar veya peritonun dışındaki yapılarla ilişkili değilse primer olarak kabul edilmelidir. Geçmişte, otoamputasyona uğramış uterin leiomyomlar olarak değerlendirilen retroperitoneal leiomyomlar, artık hormona duyarlı düz kas hücrelerinden gelişen yumuşak doku lezyonlan olarak kabul edilmektedir. Bazı otörler, 5 cm'den daha büyük bir retroperitoneal düz kas tümörünü tanımlamak için leiomyom teriminin kullanılmasının oldukça şüpheli bir durum olduğunu; çünkü bu bölgenin verilen ölçüden büyük selim görünüşlü tümörlerinin rekürrens ve yayılım gösterebileceğini söylemektedir. Bazı otörler ise tümör büyüklüğü, sellülerite, atipi ve nekrozun bir dereceye kadar malignité ile korelasyon gösterdiğini kabul etmekle birlikte, mitoz indeksinin eldeki en güvenilir parametre olduğunu belirtmekte-dirler. Bizim olgumuz 10 x 8x 8 cm boyutlarında retroperi-toneal düz. kas tümörüdür. Mitotik aktivitesi ve atipisi olmadığından selim leiomyom kabul ettiğimiz olgumuzu, bu olguların malign karakter taşıyabileceğine ve değerlendirilmelerindeki kriterlere dikkat çekmek için yayınlamaya karar verdik
Keywords
Olgu sunumu Leyomiyom Neoplazmlar kas dokusu Tanı ayırıcı Ultrasonografi Tomografi x-ışınlı bilgisayarlı Erişkin
References
- (1): Abulafia O, Sherer DM. Ultrasonographic and magnetic resonance imaging findings of a large asymptomatic retroperitoneal pelvic lieomyoma. Am J Obstet Gynecol 1995;173/l:228-230
- (2): WeinrebfC, BarkoffND, Megibow A, Deopolos R. The value of MR imaging in distinguishing leiomyomas from other solid pelvic massses when sonography is inadequate. AJR Am J Roentgenol 1990; 154: 295-9
- (3): Ranchod M, Kempson RL. Smooth muscle tumors of the gastrointestinal tract and retroperitoneum: a pathologic analysis of 100 cases. Cancer 1997;39:255-62
- (4): Shmoohler BM, Lauer DH. Retroperitoneal leiomyosarcoma. A clinicopathologic analysis of 36 cases. Am J Surg Pathol 1983;7:269-80
- (5):Kempson RL, Fletcher CDM, Evans HL,Hendrickson MR,Sibley RK. Tumors of the Soft Tissues. Washington, DC; Armed Forces Institute of Pathology;2001.Atlas of Tumor Pathology, Third Series, Fascicle 30 (6): Weiss SW, Goldblum JR. Enzinger and Weiss's Soft Tissue Tumors. St Louis: Mosby, Inc.;2001 (7):Zaitoon MM.Retroperitoneal parasitic leiomyoa causing unilateral ureteral obstruction.] Urol 1986;135:130-l
- (8):Ovadia Abulafia MD.AMJ Obstet Gynaecol 1995,173:228-30
- (9):Warshauer DM;Mandel SR.Clin Imaging Utenn leiomyom 1999 Nov-Dec; 23(6) :375-6 (10).GflHimore FM, Booker A. Aust N Z J Uterin leiomyom Obstet Gynaecol 2000 Aug ; 40(3): 352-3
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | April 1, 2002 |
| Published in Issue | Year 2002 Volume: 33 Issue: 3 |