Epidemiology, presentation, and management of retroperitoneal leiomyomata: systematic literature review and case report.

摘要: Abstract We report a case of retroperitoneal leiomyoma and systematic review the literature regarding this finding. A 45-year-old woman with menorrhagia complex pelvic mass underwent preoperative imaging consequent total abdominal hysterectomy bilateral salpingo-oophorectomy. Histopathology revealed 13-cm retroperitoneal, pedunculated arising from uterus anterior to internal cervical os. Literature identified 105 cases leiomyomata 1941 through 2007, 37 cases, including our own, containing sufficient information for analysis. Abstracted variables included patient age, race, obstetric gynecologic history, presentation duration symptoms, investigations, management, surgical findings, pathologic immunohistochemical characteristics, follow-up, evidence recurrence its management. Mean age (±SD) population was 46.27 ± 13.19 years. More than 40% patients had either undergone uterine previously or concurrent leiomyomata. Of patients, 25% were asymptomatic, 31.3% experienced fullness, 18.8% urinary weight loss, pain. Diagnostic evaluation inconclusive excision undertaken in all but 1 case. Median size 12.0 cm (range 2.0–37.0 cm) most posterior retroperitoneum, independent uterus. Pathologic investigations comparable those Surgery mostly curative 5 reported recurrence, 3 which then considered sarcomatous. Retroperitoneal present diagnostic therapeutic challenges, as such require heightened surveillance.