U CƠ TRƠN DÂY CHẰNG TRÒN CỦA TỬ CUNG: BÁO CÁO CA BỆNH TẠI BỆNH VIỆN QUÂN Y 175

Khỏe Nguyễn Mạnh; Mạnh Nguyễn Văn; Huy Đoàn Thanh

doi:10.59354/ydth175.2024.327

Keywords:

Round ligament leiomyoma

Abstract

Leiomyomas are common benign tumors occurring in up to 30% of women. However, round ligament leiomyoma is very rare. Although there is no official study on the incidence of the disease, it is mostly found in women of reproductive age, more commonly in perimenopause. Most round ligament tumors have no symptoms and are easily confused with common inguinal diseases such as inguinal hernia, inguinal lymphadenitis, etc. Although it is benign, it is difficult to rule out with uterine smooth muscle cancer in this area without histological results, so surgical removal of the tumor is recommended early, this is also the only radical treatment method. We would like to report a case of a 51-year-old female patient with a left inguinal bulge. After examination, a left inguinal tumor was detected. The patient had surgery to remove the tumor safely. The tumor was determined to be a round ligament leiomyoma of the uterus by postoperative histopathology.

References

Najjar M, Mandel M. Round Ligament Leiomyoma Presenting as an Incarcerated Inguinal Hernia: Case Report and Review of the Literature. Case Rep Surg. 2016;2016:9380212.

Fasih N, Prasad Shanbhogue AK, Macdonald DB, Fraser-Hill MA, Papadatos D, Kielar AZ, et al. Leiomyomas beyond the uterus: unusual locations, rare manifestations. Radiographics. 2008;28(7):1931-48.

Warshauer DM, Mandel SR. Leiomyoma of the extraperitoneal round ligament: CT demonstration. Clin Imaging. 1999;23(6):375-

Smith P, Heimer G, Norgren A, Ulmsten U. The round ligament: a target organ for steroid hormones. Gynecol Endocrinol. 1993;7(2):97-100.

Kirkham JC, Nero CJ, Tambouret RH, Yoon SS. Leiomyoma and leiomyosarcoma arising from the round ligament of the uterus. J Am Coll Surg. 2008;207(3):452.

Ali SM, Malik KA, Al-Qadhi H, Shafiq M. Leiomyoma of the Round Ligament of the Uterus: Case report and review of literature. Sultan Qaboos Univ Med J. 2012;12(3):357-9.

Patil DT, Laskin WB, Fetsch JF, Miettinen M. Inguinal smooth muscle tumors in women-a dichotomous group consisting of Mullerian-type leiomyomas and soft tissue leiomyosarcomas: an analysis of 55 cases. Am J Surg Pathol. 2011;35(3):315-24