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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 509 - 519 (11page)
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초록· 키워드
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ObjectiveIntravenous leiomyomatosis (IVL) and benign metastasizing leiomyoma (BML) are uncommon variants of benignuterine leiomyomas with extrauterine manifestations. Categorizing the extent of disease allows clinicians to delineatethe clinical spectrum and the level of sophistication for complete surgical resection. MethodsTwelve patients with IVL and BML were reviewed. They were divided into early versus late stage disease groups,and initial manifestation, clinical characteristics, laboratory values, surgical pathology, and follow up data weresummarized. ResultsPatients were mostly pre- or peri-menopausal and parous. Patients with late stage disease were more likely to presentwith cardiac symptoms or abnormal findings on chest X-ray, whereas those with early stage disease presented withclassical leiomyoma symptoms including heavy menstrual bleeding, increased myoma size, or lower abdominaldiscomfort. Tumor marker levels were within normal ranges. A trend of higher neutrophil to leukocyte ratio wasobserved in the late versus the early stage group (10.4 vs. 1.51, P=0.07); the platelet leukocyte ratio was statisticallyhigher in patients with late stage IVL (0.23 vs. 0.13, P=0.04). The overall recurrence rate was 25%. No recurrence wasobserved in stage I or stage III IVL groups, while 50% of the stage II IVL group showed recurrence in the pelvic cavity. ConclusionIVL and BML are benign myoma variants with paradoxically metastatic clinical presentation. Careful inquiry ofsystemic symptoms, the presence of underlying systemic inflammation, and a high index of suspicion are requiredfor preoperative diagnosis. Furthermore, a multidisciplinary approach is necessary to improve outcomes of surgicalresection.
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참고문헌 (17)
참고문헌 신청
Norris HJ / 1975 / Mesenchymal tumors of the uterus. V. Intravenous leiomyomatosis. A clinical and pathologic study of 14 cases / Cancer 36:2164~2178
Nam MS / 2003 / Pelvic leiomyomatosis with intracaval and intracardiac extension: a case report and review of the literature / Gynecol Oncol 89:175~180
Solomon LA / 2005 / Clinical update of smooth muscle tumors of the uterus / J Minim Invasive Gynecol 12:401~408
Clement PB / 1988 / Intravenous leiomyomatosis of the uterus. A clinicopathological analysis of 16 cases with unusual histologic features / Am J Surg Pathol 12:932~945
Vaquero ME / 2009 / Uterine smoothmuscle tumors with unusual growth patterns / J Minim Invasive Gynecol 16:263~268
Nam MS / 2003 / Pelvic leiomyomatosis with intracaval and intracardiac extension: a case report and review of the literature / Gynecol Oncol 89:175~180
Solomon LA / 2005 / Clinical update of smooth muscle tumors of the uterus / J Minim Invasive Gynecol 12:401~408
Clement PB / 1988 / Intravenous leiomyomatosis of the uterus. A clinicopathological analysis of 16 cases with unusual histologic features / Am J Surg Pathol 12:932~945
Vaquero ME / 2009 / Uterine smoothmuscle tumors with unusual growth patterns / J Minim Invasive Gynecol 16:263~268
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