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Hidden past history Uterine myomectomy Surgical findings

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Presentation on theme: "Hidden past history Uterine myomectomy Surgical findings"— Presentation transcript:

1 Hidden past history Uterine myomectomy Surgical findings Omental mass 및 T-colon mesentery부근의 mass의 excision시행 Feeding vessel은 right colic artery에서 유래한 것으로 보임 Pathology report Leiomyoma

2 Mesenteric and omental lesions (In Gore textbook)
Primary neoplasm Desmoid tumors Malignant peritoneal mesothelioma Primary peritoneal serous carcinoma Well-differentiated papillary mesothelioma Multicystic peritoneal mesothelioma Desmoplastic small round cell tumor Adenomatoid tumor Other primary mesenchymal tumors : hemangioma, hemangiopericytoma, lymphangioma, lipoma, liposarcoma, neurogenic tumor, leiomyomatosis peritonealis disseminata (LPD), sarcoma Secondary tumors Peritoneal carcinomatosis Carcinoid tumor Lymphoma

3 Benign uterine variants of leiomyoma with extra-uterine disease
Primarily in reproductive age women Often respond to therapies that reduce serum estrogen concentration Pathobiological mechanism: remains to be determined Estrogen stimulation Peritoneal dissemination secondary to fibroid resection or hysterectomy Peritoneal metaplasia: sometimes developed in female with no uterine myoma Leiomyomatosis peritonealis disseminata (LPD), intravenous leiomyomatosis, benign metastasizing leiomyomas 

4 Leiomyomatosis peritonealis disseminata or disseminated peritoneal leiomyomatosis
Generally benign and asymptomatic a small number (probably <5 %) undergo malignant transformation Imaging CT: homogeneous enhancing masses in all over the peritoneal surfaces (esp. near the uterus) MRI: multiple well-defined peritoneal nodules T1 intermediate SI (similar to pelvic wall muscles), T2 low SI, homogeneous enhancement Malignant transformation: large peritoneal nodules with central necrosis, smooth outer margins, liver metastasis


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