Balaji Adhithya N, Balasubramanian Balaji, Arora Simran, Shetty Panna
Internal Medicine, Università Cattolica Del Sacro Cuore, Rome, ITA.
Surgery and Oncology, New Medical Centre Specialty Hospital, Abu Dhabi, ARE.
Cureus. 2024 Dec 16;16(12):e75829. doi: 10.7759/cureus.75829. eCollection 2024 Dec.
Disseminated peritoneal leiomyomatosis (DPL) is a rare entity. It is a benign disease but can mimic disseminated malignancy with extensive disease at multiple sites within the abdominopelvic cavity. The primary contributing factor is postulated to be peritoneal spillage of benign leiomyoma, especially after laparoscopic intervention, although hormonal influences might also play a role. It primarily affects females of childbearing age. Cross-sectional imaging studies offer guidance regarding the extensive nature of the disease and surgery is the primary treatment modality. Complete resection, personalized according to the extent of the disease, has to be planned through a multidisciplinary approach. The diagnosis can only be confirmed by histopathology. Hormone suppression might have a role in selected cases.
播散性腹膜平滑肌瘤病（DPL）是一种罕见疾病。它是一种良性疾病，但可在腹腔盆腔内多个部位出现广泛病变，类似播散性恶性肿瘤。据推测，主要促成因素是良性平滑肌瘤的腹膜播散，尤其是在腹腔镜干预后，不过激素影响可能也起作用。它主要影响育龄女性。横断面成像研究可为疾病的广泛程度提供指导，手术是主要治疗方式。必须通过多学科方法，根据疾病范围规划个体化的完整切除。诊断只能通过组织病理学确诊。在特定病例中，激素抑制可能起作用。
