Combined genital leiomyoma 1 case of abdominal wall leiomyomas.docVIP

 PAGE \* MERGEFORMAT 6 Combined genital leiomyoma 1 case of abdominal wall leiomyomas [Keywords:] uterine leiomyomas, genital smooth muscle tumors, abdominal wall leiomyomas A medical record Patients, female, 32 years old, married. Because of “abdominal mass that 1 year, 3 months mass in the right side of the vulva,” admitted in September 2008. Were past Fu check in September 2003 found that the line of uterine fibroids excavation technique of laparoscopic myoma. pathologic study of uterine leiomyoma .2005 Fu check again found a large uterus, uterine fibroids prompt ultrasound examination, as were the uterus was increased, accompanied by abdominal pain, consider the degeneration of fibroids The total abdominal hysterectomy. intraoperative see the posterior wall of the uterus of a 4  5 cm × 6 cm × 3  5 cm of the fibroid nodules, anterior wall of a 7  5 cm × 5 cm × 6 cm of the fibroids nodules are cystic. pathologic prompted multiple uterine leiomyoma with hyaline degeneration .2007 May found that laparoscopic puncture scar on the left has a size of 4 cm × 4  5 cm × 3 cm of the package blocks, untreated .2008 June found that the size of the vulva of a 6 cm × 5 cm × 4 cm of the mass, with pain. The admission physical examination the left lower quadrant scar at the puncture site with a 4 cm × 4.5 cm × 3 cm of the mass , protruding abdominal wall, border clearance, no tenderness. gynecological examination: palpable at the right side of the labia majora and a 6 cm × 5 cm × 4 cm of the mass, hard, tenderness, no palpable pelvic abnormalities. prompt abdominal ultrasound subcutaneous mass in the right labia majora skin material mass. vulvar biopsy cytology mass line: see blood cells, fiber cells. admission diagnosis: (1 abdominal puncture endometriosis: (2 genital package block nature of unknown origin (genital leiomyoma? Bartholin gland cyst?. in September 2008 with epidural anesthesia in abdominal mass in the right side of the vulva resection and mass ex