Author :
Abstract
Primer vajinal leyomiyom çoğunlukla ön vajinal duvardan kaynaklanan nadir bir patolojik tanıdır. Genellikle kitle le ilişkili bası semptomları ile karşımıza çıkar ve klinik tanısı bir çıkmaz olarak görünmektedir. İlk olarak Gardner kisti olarak değerlendirilip vajinal operasyona alınan fakat intraoperatif bulguları ve patoloji raporu leyomiyomla uyumlu ön vajinal duvarda idrar semptomlarına yol açan bir kitlesi olan 45 yaşında histerektomize bir kadın olguyu bildiriyoruz. Vajinal leyomiyomun cerrahi olarak çıkarılması malignite potansiyelini ekarte etmek için tercih edilen bir tedavi yöntemidir. Semptomlu veya semptomsuz herhangi bir vajinal kitle cerrahi çıkarma işleminden önce dikkatlice değerlendirilmelidir. Uygun cerrahi eksizyonu takiben hastalar geç nüks gelişimi açısından dikkatli bir şekilde takip edilmelidir.
Keywords
Abstract
Primary vaginal leiomyoma is a pathological diagnosis of a rarity which arises mostly from the anterior vaginal wall. Usually presented with symptoms related to the compression of the mass and clinical diagnosis seems a dilemma.We report a case of a 45 years old hysterectomised woman having a mass in the anterior vaginal wall with urinary symptoms who was initially evaluated as Gardner’s cyst and operated vaginally but intraoperative findings and pathological report were correlated with leiomyoma. Surgical removal of the vaginal leiomyoma is the preferred treatment by ruling out the malignant potential Any vaginal mass with or without symtoms should be evaluated carefully before surgical removal. Patients should be monitored carefully for the development of late recurrences following proper surgical removal.
Keywords
- 1. Zuber I, Nadkarni PK, Nadkarni AA, Nadkarni A.Unusual clinical presentation of rare case of vaginalleiomyoma: a case report. Int J Reprod Contracept Obstet Gynecol. 2016;5(6):2047-2048.
- assessment, resection and reconstruction. Obstet Gynecol. 1991;78(5):972-974.
- 4. Curtin JP, Sorgo P, Slusher B. Soft tissue sarcoma ofthe vagina and vulva: a clinopathologic study. Obstet Gynecol. 1995;86(2): 269–272.
- 5. Gupta V and Arya P. A rare case of vaginal fibroidpresenting as ovarian tumour. Journal of Obstetrics Gynaecology of India. 2006;5(6):537-538.
- 6. Cooney EJ, Borowsky M, Flynn C. Case report:Atypical, ‘symplastic’ leiomyoma recurring asleiomyosarcoma in the vagina. Gynecologic Oncology Reports 14 2015;14: 4–5.
- 7. Adeyemi AO, Aloy OU, Emmanuel O, Habibat FK,Luqman AA, Olaniyi AK, Jubril OK, et al. Primaryvaginal leiomyosarcoma: case report of a raregynaecological malignancy and diagnostic challenge ina resource-constraint setting, Oxford Medical Case Reports. 2020:2020(9):omaa081
- 8. Egbe TO, Kobenge FM, Metogo JAM, Wankie EM,Tolefac PN, Belley-Priso E. Vaginal leiomyoma:medical imaging and diagnosis in a resource lowtertiary hospital: case report. BMC Women’s Health. 2020;20:12.
- 10. Shadbolt CL, Coakley FV, Qayyum A, Donat SM.MRI of vaginal leiomyomas. J Comput Assist Tomogr. 2001;25(3):355-357.
- Nezhat F. Combined laparoscopic and radical vaginaltreatment of primary vaginal leiomyosarcoma in apatient with unicornuate uterus and pelvic kidney.Journal of Minimally Invasive Gynecology. 2007;4(14): 518–520.
- Inheritance in Man. OMIM website. Johns Hopkins University. Updated March 3, 2013. Accessed
- September 11, 2018. https://www.omim.org/entry/150699
- 14. Mehine M, Mӓkinen N, Heinonen H-R, aaltoren LA,Vahteristo P. Genomics of uterineleiomyomas: insights from high-throughput sequencing. Fertil Steril. 2014; 102(3):621-629.
- 15. Fumarate hydratase. Online MendelianUniversity. Updated September 9, 2016. Accessedhttps://www.omim.org/entry/136850?search=fumara
