title: Aberrant implantation and growth of uterine leiomyoma in the abdominal wall after laparoscopically assisted myomectomy.
abstract: OBJECTIVE
  To report a case of aberrant implantation and growth of uterine leiomyoma in the abdominal wall after laparoscopically assisted myomectomy.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  One 27-year-old woman with a newly developed solid mass in the abdominal wall near the minilaparotomic site of a previous laparoscopically assisted myomectomy.
  
  
  METHODS
  Surgical removal of the mass.
  
  
  METHODS
  Histologic examination of the mass.
  
  
  RESULTS
  A newly developed mass measuring approximately 9 cm was surgically removed. The mass was located in the fascial area of abdomen close to the incision site of a previous laparoscopically assisted myomectomy. Histologic diagnosis including Hematoxylin-Eosin staining and immunohistochemistry confirmed that the lesion was compatible with uterine leiomyoma.
  
  
  CONCLUSIONS
  Implantation and growth of uterine leiomyoma fragments after myomectomy is a rare event. However, this complication should be considered as a differential diagnosis when a progressively growing mass is observed at the incision site.
authors.affiliation: Department of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. osamu.hiraike@gmail.com
authors.forename: Osamu
authors.initials: O
authors.lastname: Wada-Hiraike
authors.forename: Naoko
authors.initials: N
authors.lastname: Yamamoto
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Osuga
authors.forename: Tetsu
authors.initials: T
authors.lastname: Yano
authors.forename: Shiro
authors.initials: S
authors.lastname: Kozuma
authors.forename: Yuji
authors.initials: Y
authors.lastname: Taketani
mesh_terms: D034861:Abdominal Wall; D000328:Adult; D010064:Embryo Implantation / Q000502:physiology; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D007889:Leiomyoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D009364:Neoplasm Recurrence, Local / Q000150:complications; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000209:etiology; D011271:Pregnancy, Ectopic / Q000209:etiology*; D014594:Uterine Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery