Kruczynski D, Merz E, Beck T, Bahlmann F, Wilkens C, Weber G, Macchiella D, Knapstein P G
Frauenklinik, Johannes-Gutenberg-Universität Mainz.
Geburtshilfe Frauenheilkd. 1994 Mar;54(3):181-3. doi: 10.1055/s-2007-1023578.
Leiomyomatosis peritonealis disseminata (LPD) is a rare benign disease characterised by the presence of multiple intraabdominal nodules, consisting of benign smooth muscle. LPD has only been found in women, predominantly in their late reproductive age. There is a very high association with excess exogenous and endogenous female gonadal steroids, specifically oestrogen and progesterone. Since it is grossly indistinguishable from diffuse carcinomatosis of the peritoneum, several unnecessary radical procedures have resulted. We describe the 44th documented case and the first case of minimal invasive surgery in a 42-year-old women with peritoneal leiomyoma on the right pelvic wall and uterine subserous and submucous leiomyoma.
播散性腹膜平滑肌瘤病（LPD）是一种罕见的良性疾病，其特征是存在多个由良性平滑肌组成的腹腔内结节。LPD仅在女性中发现，主要发生在生殖年龄晚期。它与外源性和内源性女性性腺类固醇过多，特别是雌激素和孕激素有很高的相关性。由于它在肉眼上与弥漫性腹膜癌难以区分，已经导致了一些不必要的根治性手术。我们描述了第44例有记录的病例以及首例对一名42岁患有右盆腔壁腹膜平滑肌瘤以及子宫浆膜下和黏膜下平滑肌瘤的女性进行微创手术的病例。
