Document Detail

Retroperitoneal sarcoma involving unilateral double ureter: management, treatment and psychological implications.
MedLine Citation:
PMID:  24932171     Owner:  NLM     Status:  PubMed-not-MEDLINE    
The case of a 45-year-old woman who was admitted to our university hospital for polymenorrhea, weight gain and pain in the left iliac region is reported. An abdominal ultrasound revealed a 9.5 × 5.2-cm, hypoechoic and inhomogeneous mass located on the left side of the pelvis and behind the ovary. The patient underwent surgery. The pelvic mass was firmly anchored to the small intestine, colon, sigma and uterine fundus. After removing the adhesions, double ureters, which had been incorporated in the mass, were observed on the left side. Resection of the unilateral double ureters was necessary in order to remove the entire mass, and thereafter, a left salpingoophorectomy was performed. A histological examination showed a malignant retroperitoneal mass. Termino-terminal ureteral anastomosis with two double-J stents was carried out. Total hysterectomy with preservation of the right adenexum and regional lymphadenectomy was performed. The purpose of this case report is to discuss the physical and psychological implications related to the combination of two rare entities: leiomyosarcoma and a double ureter located within the mass. A literature review on the clinical management and psychological aspects from a female cancer patient's perspective undergoing surgery with the aforementioned disorders will be discussed.
Vito Leanza; Claudia Garraffo; Gianluca Leanza; Antonio Leanza
Publication Detail:
Type:  Journal Article     Date:  2014-05-14
Journal Detail:
Title:  Case reports in oncology     Volume:  7     ISSN:  1662-6575     ISO Abbreviation:  Case Rep Oncol     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-06-16     Completed Date:  2014-06-16     Revised Date:  2014-06-18    
Medline Journal Info:
Nlm Unique ID:  101517601     Medline TA:  Case Rep Oncol     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  301-5     Citation Subset:  -    
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