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J Med Case Rep ; 12(1): 81, 2018 Mar 26.
Article in English | MEDLINE | ID: mdl-29576015

ABSTRACT

BACKGROUND: Leiomyomas are benign tumors observed mainly in adult women. The retroperitoneum is a rare location for leiomyomas; almost 100 cases have been reported. Because retroperitoneal leiomyomas are paucisymptomatic and the tumor size at diagnosis is relatively large, surgical management is challenging. Regular follow-up is required because recurrence and malignant sarcomatous transformation have been described in a few cases. CASE PRESENTATION: We report a case of a 52-year-old North African woman with a 22-cm retroperitoneal leiomyoma. A preoperative embolization was performed 2 days before surgery. The clinical, therapeutic, and evolutive aspects of this rare entity are discussed. CONCLUSIONS: Despite its benignity, retroperitoneal leiomyoma is a challenging diagnostic, therapeutic, and evolutive condition. Surgeons must consider mainly the tumor's vascularization. Regular follow-up is mandatory because malignant transformation cannot be excluded.


Subject(s)
Embolization, Therapeutic , Leiomyoma/pathology , Leiomyoma/surgery , Retroperitoneal Neoplasms/pathology , Retroperitoneal Neoplasms/surgery , Retroperitoneal Space/pathology , Female , Flank Pain , Humans , Leiomyoma/blood supply , Leiomyoma/diagnostic imaging , Middle Aged , Neoplasm Recurrence, Local , Preoperative Care , Renal Artery/pathology , Retroperitoneal Neoplasms/blood supply , Retroperitoneal Neoplasms/diagnostic imaging , Retroperitoneal Space/blood supply , Retroperitoneal Space/diagnostic imaging , Treatment Outcome
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