A Rare Case of a Retroperitoneal Leiomyoma in the Obturator Fossa
نویسندگان
1 General Physician, Preventative Gynecology Research center (PGRC), Imam Hossein Medical Center, Tehran, IR Iran
2 Assistant of OB and Gynecology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
3 Assistant of OB and Gynecology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
4 Professor of Gyneco-Oncology, Gyneco-Oncology Department, Preventative Gynecology Research Center (PGRC), Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
5 Associate Professor of Gyneco-Oncology, Gyneco-Oncology Department, Preventative Gynecology Research center (PGRC), Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
6 Assistant of OB and Gynecology, Shariati Medical Center, Tehran University of Medical Sciences, Tehran, IR Iran
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چکیده
Uterine leiomyomas are the most common benign solid tumors of the female pelvis. Retroperitoneal myomas areextremely rare and usually malignant with the common location being in the pelvis.Case Presentation: Our case involved a woman who was suffering from dysparonia and radiculating right pelvic pain. The pelvicexamination revealed a palpable tender mass of about 3-4 cm in size in the right adnexa near the pelvis bone. An orthopedic consultationwas in favor of the mass being of gynecologic origin. A retroperitoneal approach on the right side revealed a 3 cm mass inthe right obturator fossa.Conclusions: The most common place for a myoma is in the uterus. However, other sites have also been presented as case reports.Most smooth muscle tumors originating in the retroperitoneum are malignant. Retroperitoneal sites for myomas are mostly inthe pelvis (73.1%). The frequent symptoms of retroperitoneal masses, including myoma, are discomfort, fatigue, weight loss, andradiating pain. The common sonographic findings in these patients is a pelvic solid mass with heterogeneous features. Surgicalexcision is the main treatment of retroperitoneal smooth muscle tumors.
