Document Detail


Giant perineal leiomyoma incidentally manifested at a recent episiotomy site: case report.
MedLine Citation:
PMID:  21354077     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Benign leiomyomas are common soft tumors, arising especially in the female genital tract; unlike uterine leiomyomas, they rarely occur in perineal regions. They can develop wherever smooth muscle is present. Herein is reported the case of a large perineal leiomyoma in a 36-year-old woman who noted a palpable mass close to the rectum 1 year after she had delivered vaginally, in the same region of as a mediolateral episiotomy. Complete surgical excision was performed. Histopathologic findings were compatible with benign leiomyoma. At postoperative follow-up, no signs of anal dysfunction were noted. There was no pathologic correlation between formation of the leiomyoma and the episiotomy despite a possible association between the presence of fibrosis and development of leiomyomas, which was found during a literature review. Microarray analysis will be necessary to elucidate this hypothesis.
Authors:
Luiz Gustavo Oliveira Brito; Luciana Falcão Motoki; Pedro Sérgio Magnani; Maurício Mesquita Sabino-de-Freitas; Glaúcia Aparecida Magnani Landell; Silvana Maria Quintana
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  18     ISSN:  1553-4669     ISO Abbreviation:  J Minim Invasive Gynecol     Publication Date:    2011 Mar-Apr
Date Detail:
Created Date:  2011-02-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  267-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 AAGL. Published by Elsevier Inc. All rights reserved.
Affiliation:
Division of Urogynecology, Gynecological and Pelvic Reconstructive Surgery, Department of Gynecology and Obstetrics, Faculty of Medicine of Ribeirão Preto, São Paulo University, São Paulo, Brazil.
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