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vol.89 número10Leiomioma vulvar de localización en la glándula de Bartolino: un dilema diagnósticoDiagnóstico de leucemia mieloide aguda durante el embarazo. Reporte de caso índice de autoresíndice de assuntospesquisa de artigos
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Ginecología y obstetricia de México

versão impressa ISSN 0300-9041

Resumo

RUSSI, Luis; BLENGIO, Valeria; GORTARI, Patricia  e  CITERA, Julio. Vulvo-Vaginal Leiomyomatosis: Case Report and Review of the Literature. Ginecol. obstet. Méx. [online]. 2021, vol.89, n.10, pp.826-831.  Epub 04-Abr-2022. ISSN 0300-9041.  https://doi.org/10.24245/gom.v89i10.5329.

BACKGROUND:

Leiomyomas are the most frequent pelvic tumors in women; however, their vaginal location is unusual. They are usually asymptomatic and present as a clinical finding. In the last 20 years only 85 cases have been reported, and only two have been recurrent.

OBJECTIVE:

To report a case of recurrent vaginal myomatosis in a hysterectomized patient and review the literature.

CLINICAL CASE:

A 58-year-old hysterectomized patient with a vaginal tumor. The histopathologic report reported a fusocellular proliferation, properly delimited, arranged in crisscross bundles. The nuclei were elongated, monomorphous and blunt ended. The stroma was sparse and collagenous. No cytonuclear atypia or necrosis were observed. Immunohistochemical study of the lesion with anti-smooth muscle antibody actin and desmin was reported positive. Recurrent vulvovaginal myomatosis was diagnosed. It was treated by surgical resection.

CONCLUSION:

Vulvovaginal leiomyomas are extremely rare, and the literature is sparse; their recurrence is truly exceptional. Hence the importance of publishing these cases, providing information to be considered by other clinicians at the time of diagnosis.

Palavras-chave : Leiomyoma; Vaginal neoplasms; Pelvic neoplasms; Actins; Desmin; Middle age; Pelvic tumors; Hysterectomized; necrosis.

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