Department of Obstetrics and Gynecology, Ohta nisinouchi Hospital.
Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health.
Fukushima J Med Sci. 2022 Aug 18;68(2):123-127. doi: 10.5387/fms.2022-08. Epub 2022 Jun 1.
Parasitic myoma (PM) is a rare disease in which multiple leiomyomas are intraperitoneally formed. Recently, an increasing number of cases due to specimen morcellation during minimally invasive surgery has been reported. We present the first case of a PM identified intraoperatively during laparoscopic hysterectomy. A 40-year-old Japanese multiparous woman presented to our hospital with heavy menstrual bleeding. She had no history of previous surgery. Magnetic resonance imaging showed uterine myomas. As the patient did not wish for further pregnancy, she underwent oral gonadotropin-releasing hormone antagonist therapy followed by a total laparoscopic hysterectomy. Intraoperatively, we identified a thumb-sized tumor on the left side of the peritoneum. Histopathological examination showed evidence of benign leiomyoma.
寄生性子宫肌瘤（PM）是一种罕见的疾病，其特征是多个子宫肌瘤在腹腔内形成。最近，由于微创手术中的标本切割，报道了越来越多的病例。我们报告了首例在腹腔镜子宫切除术中术中发现的 PM 病例。一名 40 岁的日本多产妇因月经过多就诊于我院。她没有既往手术史。磁共振成像显示子宫平滑肌瘤。由于患者不希望再次妊娠，她接受了口服促性腺激素释放激素拮抗剂治疗，随后行全腹腔镜子宫切除术。术中，我们在腹膜左侧发现了一个拇指大小的肿瘤。组织病理学检查显示良性平滑肌瘤的证据。
