Author/Authors :
Pafumi, Carlo Catania University - Department of Surgery, Italy , Teodoro, Maria Cristina Catania University - Department of Surgery, Italy , D’Agati, Alfio Catania University - Department of Surgery, Italy , Marilli, Ilaria Catania University - Department of Surgery, Italy , Leanza, Gianluca Catania University - Department of Surgery, Italy , Leanza, Vito Catania University - Department of Surgery, Italy
Abstract :
A 37 year old woman (para 1 spontaneous delivery) was admitted to our university hospital for menometrorrhagia. The case history showed that the patient had menometrorrhagia for six months; moreover, during the abdominal examination we found a mass occupying the hipogastric and mesogastric area. The tumefaction was hard and it reached the level of the umbilicus. On combined vaginal-abdominal examination a mass on the anterior wall and multiple myomata were felt; the uterus was found to have been enlarged to the size equivalent to 18 weeks pregnancy; adnexa regular were felt. During the surgery multiple myomas were found.The largest,10 cm diameter, was soft in consistence with a gelatinous structure. Total abdominal hysterectomy with preservation of adnexa was performed. Histopathological result gave evidence of myxoidleiomyosarcoma in the largest myoma, whereas the others fibroid nodes were without atypia.
NaturalLanguageKeyword :
Myxoidleiomyosarcoma , Clinical findings , Ultrasonography , Doppler
