Browse > Article
http://dx.doi.org/10.13104/imri.2020.24.3.162

Disseminated Peritoneal Leiomyomatosis with Atypical Features and Comorbid Uterine STUMP: a Case Report and Review of the Literature  

Ryu, Kyunghwa (Department of Radiology, Soonchunhyang University Hospital)
Lee, Eun Ji (Department of Radiology, Soonchunhyang University Hospital)
Chang, Yun-Woo (Department of Radiology, Soonchunhyang University Hospital)
Hong, Seong Sook (Department of Radiology, Soonchunhyang University Hospital)
Hwang, Jiyoung (Department of Radiology, Soonchunhyang University Hospital)
Oh, Eunsun (Department of Radiology, Soonchunhyang University Hospital)
Nam, Bo Da (Department of Radiology, Soonchunhyang University Hospital)
Choi, Inho (Department of Radiology, Soonchunhyang University Hospital)
Lee, Hyo-Pyo (Department of Obstetrics and Gynecology, Soonchunhyang University Hospital)
Publication Information
Investigative Magnetic Resonance Imaging / v.24, no.3, 2020 , pp. 162-167 More about this Journal
Abstract
Disseminated peritoneal leiomyomatosis (DPL) is a very rare benign disease, characterized by multiple solid subperitoneal or peritoneal smooth muscle nodules in abdominopelvic cavity and malignant transformation is extremely rare. Also, uterine smooth muscle tumors of unknown malignant potential (STUMP) is a rare tumor, which is regarded as subclassification in uterine smooth muscle tumors between benign and malignant criteria. Pathogenesis of DPL is uncertain, but increasing evidence of iatrogenic cause including laparoscopic myomectomy has been reported. We report a case of a 28-year-old female with previous history of laparoscopic myomectomy diagnosed with DPL with atypical feature and concurrent uterine STUMP using computed tomography (CT) and magnetic resonance imaging (MRI), as well as present a review of the literature.
Keywords
Magnetic resonance imaging; Leiomyomatsis; Smooth muscle tumor; Laparoscopy; Computed tomography;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Bell SW, Kempson RL, Hendrickson MR. Problematic uterine smooth muscle neoplasms. A clinicopathologic study of 213 cases. Am J Surg Pathol 1994;18:535-558   DOI
2 Oliva E, Carcangiu ML, Carinelli SG, et al. Chapter 5: Tumours of the uterine corpus: mesenchymal tumors. In Kurman RJ, Carcangiu ML, Herrington CS, Young RH, eds. WHO classification of tumours of female reproductive organs. 4th ed. Lyon, France: International Agency for Research on Cancer, 2014:138-139
3 Rezai S, Hughes A, Ligorski J, et al. Disseminated peritoneal leiomyomatosis (DPL); a case report and review of literature. Obstet Gynecol Int J 2017;7:00240
4 Al-Talib A, Tulandi T. Pathophysiology and possible iatrogenic cause of leiomyomatosis peritonealis disseminata. Gynecol Obstet Invest 2010;69:239-244   DOI
5 Thiry T, Dohan A, Naneix AL, et al. Diffuse abdominopelvic leiomyomatosis: CT and MR imaging findings with histopathological correlation. Diagn Interv Imaging 2014;95:105-108   DOI
6 Wu C, Zhang X, Tao X, Ding J, Hua K. Leiomyomatosis peritonealis disseminata: a case report and review of the literature. Mol Clin Oncol 2016;4:957-958   DOI
7 Xu S, Qian J. Leiomyomatosis peritonealis disseminata with sarcomatous transformation: a rare case report and literature review. Case Rep Obstet Gynecol 2019;2019:3684282
8 Willson JR, Peale AR. Multiple peritoneal leiomyomas associated with a granulosa-cell tumor of the ovary. Am J Obstet Gynecol 1952;64:204-208   DOI
9 Chiu HC, Wu MY, Li CH, et al. Epithelial-mesenchymal transition with malignant transformation leading multiple metastasis from disseminated peritoneal leiomyomatosis. J Clin Med 2018;7:207   DOI
10 Syed M, Parida B, Mankeshwar T, Patil A. Imaging findings in a rare case of leiomyomatosis peritonealis disseminata with malignant transformation. Pol J Radiol 2017;82:426-430   DOI
11 Bacanakgil BH, Deveci M, Karabuk E, Soyman Z. Uterine smooth muscle tumor of uncertain malignant potential: clinicopathologic-sonographic characteristics, follow-up and recurrence. World J Oncol 2017;8:76-80   DOI
12 Shahin NA, Al-Khader A, Ahram M, Elmuhtaseb MS, Bata MS. Case Report-Malignant leiomyomatosis peritonei display inter-tumor genetic heterogeneity among synchronous and metachronous lesions: molecular evidence from a single case. Am J Clin Exp Obstet Gynecol 2017;4:29-36
13 Zyla MM, Dzieniecka M, Kostrzewa M, et al. Leiomyomatosis peritonealis disseminata of unusual course with malignant transformation: case report. Acta Obstet Gynecol Scand 2015;94:220-223   DOI
14 Sato K, Yuasa N, Fujita M, Fukushima Y. Clinical application of diffusion-weighted imaging for preoperative differentiation between uterine leiomyoma and leiomyosarcoma. Am J Obstet Gynecol 2014;210:368 e361-368 e368
15 Lamarca M, Rubio P, Andres P, Rodrigo C. Leiomyomatosis peritonealis disseminata with malignant degeneration. A case report. Eur J Gynaecol Oncol 2011;32:702-704