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Re: Diffuse Peritoneal Leiomyomatosis-an interesting caseFrom: ENDODOK@aol.comFri Apr 27 13:18:05 2007
40 yr.old G2P2 underwent uneventful LSH for symptomatic 12 week singular fibroid, in 2002. Subsequently seen by another gyn, (Jan 2007) and found to have a 17cm pelvic mass. At laparotomy, gyn onc found large lobulated mass adherent to upper sigmoid. Also 2 mesenteric nodules Mass resected as well as 10cm of colon,BSO, & trachelectomy & omentectomy .Frozen section, possible low grade sarcoma. Final path= leiomyoma (histologically the same as original leiomyoma); endometriosis of small bowel mesentary, and omentum. Tissue positive progesterone receptors,negative ER. Pt now on Megace This case was deemed highly unusual by Stanford consultants. Moral of the story: If LSH, thorough removal of all tissue pieces after morcellation; copious irrigation to remove any residual detached endometrium. Anyone have any thoughts re incidence this bizarre post LSH occurence?? J. Glenn Bradley ************************************** See what's free at http://www.aol.com. -------------------------------1177697860 Content-Type: text/html; charset="US-ASCII" Content-Transfer-Encoding: quoted-printable <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> 40 yr.old G2P2 underwent uneventful LSH for
symptomatic 12 week singular fibroid, in 2002. Subsequently seen by another gyn,
(Jan 2007) and found to have a 17cm pelvic mass. At laparotomy, gyn onc
found large lobulated mass adherent to upper sigmoid. Also 2
mesenteric nodules
Mass resected as well as 10cm of
colon,BSO, & trachelectomy & omentectomy .Frozen section,
possible low grade sarcoma.
Final path= leiomyoma (histologically the same as
original leiomyoma); endometriosis of small bowel mesentary, and omentum.
Tissue positive progesterone receptors,negative ER.
Pt now on Megace
This case was deemed highly unusual by Stanford consultants.
Moral of the story: If LSH, thorough removal of all tissue pieces after
morcellation; copious irrigation to remove any residual detached
endometrium. Anyone have any thoughts re incidence this bizarre post LSH
occurence??
J. Glenn Bradley See what's free at AOL.com.
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