Abstract
Leiomyomas are very rare as retroperitoneal neoplasms. The pathogenesis of retroperitoneal leiomyomas remains obscure. A 42-year-old multiparous woman presented with a large abdominopelvic mass. At surgery, the uterus was displaced laterally to the right and the right kidney was displaced medially by three isolated large retroperitoneal masses. A total abdominal hysterectomy and complete excision of the retroperitoneal masses was performed. The histopathologic findings of the resected three tumors revealed leiomyomas without evidence of malignancy and the remaining surgical specimens were normal. This is the first case of three isolated large retroperitoneal leiomyomas without a uterine leiomyoma. The distribution of retroperitoneal leiomyomas in our case suggests that these may be of primary multifocal origin, rather than metastatic or parasitic.
References
Enzinger SM, Weiss SW (2007) Soft tissue tumors. Mosby, New York
Fasih N, Prasad Shanbhogue AK, Macdonald DB et al (2008) Leiomyomas beyond the uterus: unusual locations, rare manifestations. Radiographics 28(7):1931–1948. doi:10.1148/rg.287085095
Dursun P, Salman MC, Taskiran C, Yüce K, Ayhan A (2005) Retroperitoneal leiomyomatosis: a case report. Int J Gynecol Cancer 15(6):1222–1225. doi:10.1111/j.1525-1438.2005.00329.x
Poliquin V, Victory R, Vilos GA (2008) Epidemiology, presentation, and management of retroperitoneal leiomyomata: systematic literature review and case report. J Minim Invasive Gynecol 15:152–160. doi:10.1016/j.jmig.2007.12.009
Zaitoon MM (1986) Retroperitoneal parasitic leiomyoma causing unilateral ureteral obstruction. J Urol 135:130–131
Stutterecker D, Umek W, Tunn R, Sulzbacher I, Kainz C (2001) Leiomyoma of the space of Retzius: a report of 2 cases. Am J Obstet Gynecol 185:248–249. doi:10.1067/mob.2001.114503
Conflict of interest statement
We declare that we have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kang, W.D., Kim, S.M., Kim, Y.H. et al. Three isolated, large retroperitoneal leiomyomas. Arch Gynecol Obstet 280, 499–501 (2009). https://doi.org/10.1007/s00404-009-0945-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00404-009-0945-z