Laparoscopic tumorectomy for a primary ovarian leiomyoma during pregnancy: A case report

Zhao,Xiaofeng; Chen,Lifeng; Zeng,Wenjie; Jin,Bihui; Du,Weijie

doi:10.3892/ol.2014.2596

December-2014 Volume 8 Issue 6

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December-2014 Volume 8 Issue 6

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Case Report

Laparoscopic tumorectomy for a primary ovarian leiomyoma during pregnancy: A case report

Authors:
- Xiaofeng Zhao
- Lifeng Chen
- Wenjie Zeng
- Bihui Jin
- Weijie Du
View Affiliations / Copyright

Affiliations: Department of Gynecology, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang 310014, P.R. China
Pages: 2523-2526
|
Published online on: October 9, 2014

https://doi.org/10.3892/ol.2014.2596
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Abstract

Few reports have explored laparoscopic adnexal tumorectomy as a treatment for large and symptomatic ovarian leiomyomas during pregnancy. The current study presents the case of a patient with a large and symptomatic ovarian leiomyoma at 14 weeks of pregnancy. A laparoscopic adnexal tumorectomy was performed without complications. The laparoscopic management of large primary ovarian leiomyoma during pregnancy has not been reported in literature. Therefore, laparoscopy may be considered as a minimally invasive and feasible alternative to laparotomy for the treatment of large ovarian solid tumors during pregnancy, resulting in reduced postoperative pain, a smaller scar and shorter recovery time. By contrast, with respect to the ovarian solid tumor, surgery prior to gestation is advised, even for tumors of <3 cm in diameter, due to the probability of rapid growth of the tumor during pregnancy.

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1	Tomas D, Lenicek T, Tuckar N, et al: Primary ovarian leiomyoma associated with endometriotic cyst presenting with symptoms of acute appendicitis: a case report. Diagn Pathol. 4:252009.
2	Lim SC and Jeon HJ: Bilateral primary ovarian leiomyoma in a young woman: case report and literature review. Gynecol Oncol. 95:733–735. 2004.
3	Nelson MJ, Cavalieri R, Graham D and Sanders RC: Cysts in pregnancy discovered by sonography. J Clin Ultrasound. 14:509–512. 1986.
4	Roberts JA: Management of gynecologic tumors during pregnancy. Clin Perinatol. 10:369–382. 1983.
5	Zanetta G, Mariani E, Lissoni A, Ceruti P, Trio D, Strobelt N and Mariani S: A prospective study of the role of ultrasound in the management of adnexal masses in pregnancy. BJOG. 110:578–583. 2003.
6	Shnider SM and Webster GM: Maternal and fetal hazards of surgery during pregnancy. Am J Obstet Gynecol. 92:891–900. 1965.
7	Kobayashi Y, Murakami R, Sugizaki K, et al: Primary leiomyoma of the ovary: a case report. Eur Radiol. 8:1444–1446. 1998.
8	Wei C, Lilic N, Shorter N and Garrow E: Primary ovarian leiomyoma: a rare cause of ovarian tumor in adolescence. J Pediatr Adolesc Gynecol. 21:33–36. 2008.
9	Khaffaf N, Khaffaf H and Wuketich S: Giant ovarian leiomyoma as a rare cause of acute abdomen and hydronephrosis. Obstet Gynecol. 87:872–873. 1996.
10	Vierhout ME, Pijpers L, Tham MN and Chadha-Ajwani S: Leiomyoma of the ovary. Acta Obstet Gynecol Scand. 69:445–447. 1990.
11	Safaei A, Khanlari M, Azarpira N and Monabati A: Large ovarian leiomyoma in a postmenopausal woman. Indian J Pathol Microbiol. 54:413–414. 2011.
12	Stewart EA: Uterine fibroids. Lancet. 357:293–298. 2001.
13	Zorlu CG, Cengiz S and Harmanlí HO: Primary ovarian leiomyoma. A case report. Gynecol Obstet Invest. 36:191–192. 1993.
14	Hsiao CH, Wang HC and Chang SL: Ovarian leiomyoma in a pregnant woman. Taiwan J Obstet Gynecol. 46:311–313. 2007.
15	Kohno A, Yoshikawa W, Yunoki M, Yanagida T and Fukunaga S: MR findings in degenerated ovarian leiomyoma. Br J Radiol. 72:1213–1215. 1999.
16	Balthazar U, Steiner AZ, Boggess JF and Gehrig PA: Management of a persistent adnexal mass in pregnancy: what is the ideal surgical approach? J Minim Invasive Gynecol. 18:720–725. 2011.
17	Soriano D, Yefet Y, Seidman DS, Goldenberg M, Mashiach S and Oelsner G: Laparoscopy versus laparotomy in the management of adnexal masses during pregnancy. Fertil Steril. 71:955–960. 1999.

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Laparoscopic tumorectomy for a primary ovarian leiomyoma during pregnancy: A case report

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Abstract

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