title: Single-port laparoscopic debulking surgery of variant benign metastatic leiomyomatosis with simultaneous lymphatic spreading and intraperitoneal seeding.
abstract: Benign metastatic leiomyomatosis (BML) is a rare disease characterized by smooth muscle cell proliferation in extrauterine sites including the lung, abdomen, pelvis, and retroperitoneum. Depending on location, BML is classified as intravenous leiomyomatosis and diffuse peritoneal leiomyomatosis. Pathogenesis of BML can be iatrogenic after previous myomectomy or hysterectomy, hormonal, or coelomic metaplasia. Treatment options are observation, hormonal suppression, and/or surgical debulking via laparotomy or laparoscopy. Laparoscopic surgery is gaining in popularity in the gynecologic field compared to laparotomic surgery and single-port laparoscopy has the benefits of cosmesis and early tissue extraction by transumbilical morcellation. We report a 39-year-old woman with BML who underwent single-port laparoscopy debulking surgery.
authors.affiliation: Department of Obstetrics and Gynecology, The Catholic University of Korea School of Medicine, Seoul, Korea.
authors.forename: Yoo Hyun
authors.initials: YH
authors.lastname: Chung
authors.affiliation: Department of Obstetrics and Gynecology, Hallym University College of Medicine, Chuncheon, Korea.
authors.forename: Suk Woo
authors.initials: SW
authors.lastname: Lee
authors.affiliation: Department of Obstetrics and Gynecology, The Catholic University of Korea School of Medicine, Seoul, Korea.
authors.forename: So Young
authors.initials: SY
authors.lastname: Shin
authors.affiliation: Department of Obstetrics and Gynecology, Hallym University College of Medicine, Chuncheon, Korea.
authors.forename: Chae Chun
authors.initials: CC
authors.lastname: Rhim
authors.affiliation: Department of Pathology, The Catholic University of Korea School of Medicine, Seoul, Korea.
authors.forename: Soyoung
authors.initials: S
authors.lastname: Im
authors.affiliation: Department of Anesthesiology and Pain Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.
authors.forename: Sie Hyeon
authors.initials: SH
authors.lastname: Yoo
authors.affiliation: Department of Obstetrics and Gynecology, The Catholic University of Korea School of Medicine, Seoul, Korea.
authors.forename: Joo Hee
authors.initials: JH
authors.lastname: Yoon
keywords: Hysterectomy; Laparoscopy; Leiomyomatosis