Intravascular leiomyoma‑A rare case in the context of Covid‑19 outbreak: A case report.

extrauterine leiomyomas intravenous leiomyomatosis laparoscopic myomectomy

Journal

Experimental and therapeutic medicine
ISSN: 1792-1015
Titre abrégé: Exp Ther Med
Pays: Greece
ID NLM: 101531947

Informations de publication

Date de publication:
Jan 2023
Historique:
received: 17 07 2022
accepted: 10 11 2022
entrez: 26 12 2022
pubmed: 27 12 2022
medline: 27 12 2022
Statut: epublish

Résumé

The present study reported a case of a uterine leiomyoma with an unusual growth pattern featuring areas of intravascular leiomyomatosis, rarely described in the international literature available in English. It presented the case of a 44-year-old woman who, fearing the Covid-19 outbreak, postponed the recommended surgical intervention to remove a uterine leiomyoma. The two-year delay worsened the symptoms, doubled the size of the tumor, and facilitated the development of intravascular leiomyomatosis. It was possible to establish the correct diagnosis only after the histopathological examination of the excised uterine myoma, as it was not suspected prior to surgery. No other vascular tumors were identified via magnetic resonance imaging and computed tomography imaging investigations. The careful follow-up of recovering patients is essential because of the high recurrence rate of such tumors and their potential to behave aggressively, possibly even fatally. Clinicians should be aware of this rare condition and its cardiovascular implications to improve the initial and long-term management of such cases.

Identifiants

pubmed: 36569434
doi: 10.3892/etm.2022.11737
pii: ETM-25-1-11737
pmc: PMC9764289
doi:

Types de publication

Case Reports

Langues

eng

Pagination

38

Informations de copyright

Copyright: © Schaas et al.

Déclaration de conflit d'intérêts

The authors declare that they have no competing interests.

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Auteurs

Carmina Mihaiela Schaas (CM)

Department of Obstetrics and Gynecology, Cuza-Voda Hospital of Obstetrics and Gynecology, 700398 Iași, Romania.
Department of Mother and Child, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iași, Romania.

Ludmila Lozneanu (L)

Department of Morpho-Functional Sciences I - Histology, Pathology, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iași, Romania.
Department of Pathology, Sf. Spiridon Clinical Emergency County Hospital, 700111 Iași, Romania.

Monica Titianu (M)

Department of Obstetrics and Gynecology, Cuza-Voda Hospital of Obstetrics and Gynecology, 700398 Iași, Romania.

Sabina Schaas (S)

Department of Obstetrics and Gynecology, Cuza-Voda Hospital of Obstetrics and Gynecology, 700398 Iași, Romania.

Bogdan Schaas (B)

Department of Obstetrics and Gynecology, Cuza-Voda Hospital of Obstetrics and Gynecology, 700398 Iași, Romania.

Iuliana Elena Bujor (IE)

Department of Mother and Child, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iași, Romania.

Alexandra Ursache (A)

Department of Mother and Child, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iași, Romania.

Daniela Roxana Matasariu (DR)

Department of Mother and Child, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iași, Romania.

Classifications MeSH