An unusual case of ectopic or "parasitic" leiomyoma excised by laparoscopic surgery.
A 47-year-old woman underwent a laparoscopic resection of a large ectopic or "parasitic" fibroid filling the pelvis and placed within the rectosigmoid mesentery. The tumor was excised completely without a need for hysterectomy. Immunohistochemical and ultrastructural studies confirmed a "parasitic" leiomyoma, excluding sarcoma or a gastrointestinal stromal tumor. Because of its bizarre location in relation to the large bowel, a combined general surgical and gynecological approach was used successfully. The pathology of this rare tumor is reviewed.
Odofin
Olubunmi
O
Department of Surgery, Royal Free and University College Medical School, London, United Kingdom. bunmi5832@hotmail.com
Nasir
Nabila
N
Satyadas
Thomas
T
Lower
Adrian Michael
AM
Akle
Charles
C
D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D010386:Pelvic Neoplasms / Q000473:pathology / Q000601:surgery*