Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report

Leiomyomatosis peritonealis disseminata (LPD) is a rare clinical condition characterized by the development of multiple smooth muscle-like nodules in the peritoneal or abdominal cavity. Here, we report a case of a patient who was diagnosed with LPD after laparoscopic myomectomy with power morcellati...

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Autores principales:	Yun-Chiao Hsieh, M.D, Po-Yen Kuo, M.D, Ying-Cheng Chiang, M.D., Ph.D
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Leiomyomatosis peritonealis disseminata Laparoscopic port site Power morcellation Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/cdb9f1037f684ce8a39914790a781320
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spelling	oai:doaj.org-article:cdb9f1037f684ce8a39914790a7813202021-11-28T04:29:42ZLeiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report1930-043310.1016/j.radcr.2021.10.045https://doaj.org/article/cdb9f1037f684ce8a39914790a7813202022-02-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007688https://doaj.org/toc/1930-0433Leiomyomatosis peritonealis disseminata (LPD) is a rare clinical condition characterized by the development of multiple smooth muscle-like nodules in the peritoneal or abdominal cavity. Here, we report a case of a patient who was diagnosed with LPD after laparoscopic myomectomy with power morcellation. Growing evidence has shown that LPD might develop after using power morcellation for hysterectomy or myomectomy, and this can worsen the prognosis if the spreading tissue contains malignancies, such as leiomyosarcoma. Thus, it is crucial to use laparoscopic morcellation for gynecologic procedures cautiously, and the use of a containment system is even better. If LPD develops without evidence of malignancy, the primary treatment is surgical intervention, and gonadotropin-releasing hormone agonists, aromatase inhibitors, and selective progesterone receptor modulators can be prescribed as adjuvant therapies for recurrent or refractory cases.Yun-Chiao Hsieh, M.DPo-Yen Kuo, M.DYing-Cheng Chiang, M.D., Ph.DElsevierarticleLeiomyomatosis peritonealis disseminataLaparoscopic port sitePower morcellationMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 2, Pp 293-297 (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Leiomyomatosis peritonealis disseminata Laparoscopic port site Power morcellation Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	Leiomyomatosis peritonealis disseminata Laparoscopic port site Power morcellation Medical physics. Medical radiology. Nuclear medicine R895-920 Yun-Chiao Hsieh, M.D Po-Yen Kuo, M.D Ying-Cheng Chiang, M.D., Ph.D Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report
description	Leiomyomatosis peritonealis disseminata (LPD) is a rare clinical condition characterized by the development of multiple smooth muscle-like nodules in the peritoneal or abdominal cavity. Here, we report a case of a patient who was diagnosed with LPD after laparoscopic myomectomy with power morcellation. Growing evidence has shown that LPD might develop after using power morcellation for hysterectomy or myomectomy, and this can worsen the prognosis if the spreading tissue contains malignancies, such as leiomyosarcoma. Thus, it is crucial to use laparoscopic morcellation for gynecologic procedures cautiously, and the use of a containment system is even better. If LPD develops without evidence of malignancy, the primary treatment is surgical intervention, and gonadotropin-releasing hormone agonists, aromatase inhibitors, and selective progesterone receptor modulators can be prescribed as adjuvant therapies for recurrent or refractory cases.
format	article
author	Yun-Chiao Hsieh, M.D Po-Yen Kuo, M.D Ying-Cheng Chiang, M.D., Ph.D
author_facet	Yun-Chiao Hsieh, M.D Po-Yen Kuo, M.D Ying-Cheng Chiang, M.D., Ph.D
author_sort	Yun-Chiao Hsieh, M.D
title	Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report
title_short	Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report
title_full	Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report
title_fullStr	Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report
title_full_unstemmed	Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report
title_sort	leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: a case report
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/cdb9f1037f684ce8a39914790a781320
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Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report

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