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Management of a giant retroperitoneal leiomyoma: a case report

Article scientifique 2018 Anglais

Résumé

BACKGROUND: Leiomyomas are benign tumors observed mainly in adult women. The retroperitoneum is a rare location for leiomyomas; almost 100 cases have been reported. Because retroperitoneal leiomyomas are paucisymptomatic and the tumor size at diagnosis is relatively large, surgical management is challenging. Regular follow-up is required because recurrence and malignant sarcomatous transformation have been described in a few cases. CASE PRESENTATION: We report a case of a 52-year-old North African woman with a 22-cm retroperitoneal leiomyoma. A preoperative embolization was performed 2 days before surgery. The clinical, therapeutic, and evolutive aspects of this rare entity are discussed. CONCLUSIONS: Despite its benignity, retroperitoneal leiomyoma is a challenging diagnostic, therapeutic, and evolutive condition. Surgeons must consider mainly the tumor's vascularization. Regular follow-up is mandatory because malignant transformation cannot be excluded.

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Karray, O., Boulma, R., Abdi, A., Miled, A., Dhaoui, A., Menif, N., Bellil, K., Khouni, H., Chouchen, A. (2018). Management of a giant retroperitoneal leiomyoma: a case report. https://doi.org/10.1186/s13256-018-1617-z

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Auteur(s)

Omar Karray Rami Boulma Ahmed Bonnahy Abdi Aïcha Ben Miled Amen Dhaoui Najla Menif Khadija Bellil H. Khouni A. Chouchen

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