Αdnexal cystic lymphangiomas in patients with massive leiomyomatous uterus: a not so uncommon finding on pelvic MRI
AbstractPurposeTo investigate any association between the presence of an adnexal cystic lymphangioma (ACL) and an enlarged leiomyomatous uterus.MethodsA retrospective observational study was conducted by two expert radiologists using a 10-year MRI database (2008 –2018); 85 patients (mean age: 45.5 years ± 10.9) were considered eligible due to the presence of a single (n = 31) or multiple (n = 54) leiomyomas causing distortion of the uterine contour and uterine enlargement. The association of specific leiomyoma features (longest diameter (Dmax), location, number) and uterine volume with the presence of ACL was statistically tested. Diagnosis of ACL was based on typical imaging features (n = 14) and intraoperative/histological findings (n = 3).ResultsACL (unilateral = 9, bilateral = 8) was recorded in 17/85 (20%) of patients; it was more frequently observed when the largest leiomyoma was located in the uterine fundus (33.3%). Patients with ACL had significantly more leiomyomas (median: 5 vs. 2,p = 0.043), greater Dmax of largest leiomyoma (median: 13.3 vs. 7.2 cm,p
Bladder leiomyomas are rare and benign tumors of the bladder. They account for 0.43% of all bladder tumors, and only 250 cases have been reported in English literature. Based on the size and localization of th...
To study whether vitamin D (VitD) inhibits cell proliferation and Wnt/ β-catenin and transforming growth factor−β (TGFβ) signaling pathways in uterine leiomyomas independent of mediator complex subunit 12 (MED12) mutation status.
Publication date: Available online 6 October 2020Source: Case Reports in Women's HealthAuthor(s): Leo Reap, Kathleen McDonald, Archana Balakrishnan, Cynthia Vakhariya
Journal of Gynecologic Surgery, Ahead of Print.
Abstract Although secondary involvement of the broad ligament by malignant tumors arising elsewhere in the abdomen and pelvis is common, primary tumors in this location are rare. Tumors of the broad ligament can be of mesenchymal and mixed nature, such as leiomyoma, the most common neoplasm; epithelial tumors of M üllerian type, imposing a challenge to differentiate them from other adnexal masses; unique tumors from mesonephric origin; and tumor-like lesions. Most neoplasms in this region, whether benign or malignant, usually present clinically with vague symptoms and are often discovered during a routine gy necologic...
CONCLUSION: Florid cystic endosalpingiosis is a rare condition that may be associated with several bizarre hysteroscopic findings. PMID: 32991276 [PubMed - as supplied by publisher]
Conclusion: PCNSS for UTUC is a feasible approach to consider in carefully selected patients who agree to intensive follow-up, even for higher grade tumors. Where recurrent UTUC occurs, further management options still exist for disease treatment.
Journal of Women's Health, Ahead of Print.
No abstract available
Publication date: Available online 23 September 2020Source: International Journal of Surgery Case ReportsAuthor(s): Thakut Gowtham, Sheetal A. Murchite, Rajendra M. Kulkarni, Vaishali V. Gaikwad