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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
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