Primer Leiomyoma Of Vagina: A Rare Case

Öz

Vaginal leiomyomas are bening tumors and they are rarely seen. Women patient is 45 years old. She has had palpated mass in the her vagina for last one month. We detected 3x2 cm leiomyoma in the posterior vaginal wall during gynecological examination. Solid mass was whose diameter is 33 mm showed in the posterior vaginal wall during transvaginal ultrasonography. The patient underwent excision and enucleation. It was showed vascular leiomyoma during pathological analysis. Leiomyomas are common tumors of the women genital tract but vaginal leiomyomas are seldom comed across. They cause various symptom as dysuria, vaginal bleeding, uriner retention. Vaginal enucleation and excision commonly treatment choice.

Anahtar Kelimeler

• Leiomyoma,vaginal,vaginal mass

Primer Vagina Leiomyomu: Nadir Bir Olgu

Öz

Vajinal leiomyomlar nadir görülen bening tümörlerdir. 45 yaşında bayan hasta son bir aydır vajende ele gelen kitle nedeniyle kliniğimize başvurdu. Hastanın jinekolojik muayenesinde vajen arka duvarda yaklaşık 3x2 cm boyutunda kitle palpe edildi. Yapılan transvajinal ultrasonografide; vajen arka duvarda 33mm çaplı solid kitle izlendi. Hastaya kitle enukleasyon ve eksizyonu yapıldı. Patolojik incelemede vasküler leiomyom olduğu tesbit edildi. Leomyomlar kadın genital traktının yaygın tümörleri olsalar da vajinal leomyomlara nadir rastlanır. Dizüri, vajinal kanama, üriner retansiyon gibi çeşitli semptomlara neden olabilirler. Vajinal yolla enukleasyon ve eksizyon genellikle tercih edilen tedavidir.

Anahtar Kelimeler

• Leiomyom,vajinal,vajinal kitle

Kaynakça

1. Chatzigeorgiou K, Burges A, Becker AJ, Friese K (2007) Intramural blad- der leiomyoma appearing as pelvic tumor: a case report. Eur J Obstet Gynecol Reprod Biol, January 30, (Epub ahead of print). doi:10. 1016/ j.
2. Dhaliwal LK, Das I, Gopalan S (1992) Recurrent leiomyoma of the vagi- na. Int J Gynaecol Obstet 37(4):281–283
3. Gowri R, Soundararaghavan S, Oumachigui A, Sistla SC, Iyengar KR (2003) Leiomyoma of the vagina: an unusual presentation. J Obstet Gy- naecol Res 29(6):395–398
4. Young SB, Rose PG, Reuter KL. Vaginal fibromyomata: Two cases with preoperative assessment, resection and reconstruction. Obstet Gyne- col. 1991;78:972–4. [PubMed]
5. Elsayes KM, Narra VR, Dillman JR, Velcheti V, Hameed O, Tongdee R, et al. Vaginal Masses: Magnetic Resonance Imaging Features with Patho- logic Correlation. Acta Radiol. 2007;8:921–33.[PubMed]
6. Cobanoglu O, Gürkan Zorlu C, Ergun Y, Kutluay L. Leiomyosarcoma of the vagina. Eur J Obstet Gynecol Reprod Biol 1996;70:205-7.
7. Lopez C, Balogun M, Ganesan R, Olliff JF. MRI of vaginal conditions. Clin Radiol 2005;60:648–62.
8. Theodoridis TD, Tarlatzis BC, Bontis JN (2005) Role of GnRH agonists prior to endoscopic surgical treatment of fibroids. Eur Clin Obstet Gyna- ecol 1(1):12–18