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Uterine Ligament Leiomyoma

MedGen UID:
1792390
•Concept ID:
C5555949
•
Neoplastic Process

Definition

A leiomyoma that arises from the broad or other uterine ligaments. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVUterine Ligament Leiomyoma

Professional guidelines

PubMed

Criteria for risk stratification of vulvar and vaginal smooth muscle tumors: a follow-up study with application to leiomyoma variants, smooth muscle tumors of uncertain malignant potential, and leiomyosarcomas.
Swanson AA, Howitt BE, Schoolmeester JK
Hum Pathol 2020 Sep;103:83-94. Epub 2020 Jul 17 doi: 10.1016/j.humpath.2020.06.008. PMID: 32687944
Intravenous leiomyomatosis of the uterus: a clinicopathologic study of 18 cases, with emphasis on early diagnosis and appropriate treatment strategies.
Du J, Zhao X, Guo D, Li H, Sun B
Hum Pathol 2011 Sep;42(9):1240-6. Epub 2011 Jul 20 doi: 10.1016/j.humpath.2010.10.015. PMID: 21777942
Childbirth and myoma treatment by uterine artery occlusion: do they share a common biology?
Burbank F
J Am Assoc Gynecol Laparosc 2004 May;11(2):138-52. doi: 10.1016/s1074-3804(05)60189-2. PMID: 15200765

Recent clinical studies

Etiology

Preliminary study on ultrasound-guided high-intensity focused ultrasound ablation for treatment of broad ligament uterine fibroids.
Wang Y, Xu Y, Wong F, Wang Y, Cheng Y, Yang L
Int J Hyperthermia 2021 Sep;38(2):18-23. doi: 10.1080/02656736.2021.1921287. PMID: 34420440
Uterine angiomyolipoma: a clinical analysis of 8 cases and literature review.
Wang J, Yang Q, Zhang N, Wang D
Arch Gynecol Obstet 2021 Jul;304(1):171-177. Epub 2021 Feb 10 doi: 10.1007/s00404-021-05992-1. PMID: 33569612
Transvaginal Ultrasound and Doppler Features of Intraligamental Myomas.
Ambrosio M, Raimondo D, Savelli L, Salucci P, Arena A, Borghese G, Mattioli G, Giaquinto I, Scifo MC, Meriggiola MC, Casadio P, Seracchioli R
J Ultrasound Med 2020 Jul;39(7):1253-1259. Epub 2020 Jan 16 doi: 10.1002/jum.15213. PMID: 31944342
Postoperative pain control with ropivacaine following laparoscopic myomectomy: A randomized double-blind, pilot study.
Kwack JY, Ahn KH, Kwon YS
J Obstet Gynaecol Res 2019 Apr;45(4):871-876. Epub 2019 Jan 8 doi: 10.1111/jog.13910. PMID: 30623534
Laparoscopic hysterectomy: is dissecting the ureter necessary?
Lee CL, Soong YK
Int Surg 1995 Apr-Jun;80(2):167-9. PMID: 8530236

Diagnosis

Round ligament fibroid presenting as a huge pedunculated vulvar tumour.
Ishak MH, Jeffrey MJ, Ramli R, Abd Kadir NJ
BMJ Case Rep 2024 Dec 11;17(12) doi: 10.1136/bcr-2024-263125. PMID: 39663129
Leiomyoma of the round ligament in a postmenopausal woman: A rare case report.
Bhatti D, Mandrelle K, Chander A
Int J Gynaecol Obstet 2022 Mar;156(3):585-586. Epub 2021 Oct 15 doi: 10.1002/ijgo.13949. PMID: 34559887
Lesions of the Broad Ligament: A Review.
Heller DS
J Minim Invasive Gynecol 2015 Nov-Dec;22(7):1163-8. Epub 2015 Jul 2 doi: 10.1016/j.jmig.2015.06.019. PMID: 26140828
Round ligament fibroid.
Grossman SL, Cheung VYT
J Obstet Gynaecol Can 2007 Feb;29(2):109. doi: 10.1016/S1701-2163(16)32385-4. PMID: 17396368
Giant broad ligament leiomyoma.
Gowri V, Sudheendra R, Oumachigui A, Sankaran V
Int J Gynaecol Obstet 1992 Mar;37(3):207-10. doi: 10.1016/0020-7292(92)90383-t. PMID: 1351009

Therapy

Postoperative pain control with ropivacaine following laparoscopic myomectomy: A randomized double-blind, pilot study.
Kwack JY, Ahn KH, Kwon YS
J Obstet Gynaecol Res 2019 Apr;45(4):871-876. Epub 2019 Jan 8 doi: 10.1111/jog.13910. PMID: 30623534
Vaginal route: a gynaecological route for much more than hysterectomy.
Sheth SS, Paghdiwalla KP, Hajari AR
Best Pract Res Clin Obstet Gynaecol 2011 Apr;25(2):115-32. Epub 2011 Feb 23 doi: 10.1016/j.bpobgyn.2010.12.005. PMID: 21349773
Ovarian artery clamp: initial experience with a new clamp to reduce bleeding at open myomectomy.
Magos A, Al-Shabibi N, Korkontzelos I, Gkioulekas N, Tsibanakos I, Gkoutzioulis A, Moustafa M
J Obstet Gynaecol 2011;31(1):73-6. doi: 10.3109/01443615.2010.529964. PMID: 21280999
Laparoscopic hysterectomy: is dissecting the ureter necessary?
Lee CL, Soong YK
Int Surg 1995 Apr-Jun;80(2):167-9. PMID: 8530236
Broad ligament abscess after operative hysteroscopy.
Rullo S, Boni T
Clin Exp Obstet Gynecol 1995;22(3):240-2. PMID: 7554264

Prognosis

Round ligament fibroid presenting as a huge pedunculated vulvar tumour.
Ishak MH, Jeffrey MJ, Ramli R, Abd Kadir NJ
BMJ Case Rep 2024 Dec 11;17(12) doi: 10.1136/bcr-2024-263125. PMID: 39663129
Uterine angiomyolipoma: a clinical analysis of 8 cases and literature review.
Wang J, Yang Q, Zhang N, Wang D
Arch Gynecol Obstet 2021 Jul;304(1):171-177. Epub 2021 Feb 10 doi: 10.1007/s00404-021-05992-1. PMID: 33569612
Huge broad ligament leiomyoma with cystic degeneration: A diagnostic and surgical challenge.
Jha S, Singh A, Singh S, Murmu S
J Obstet Gynaecol Res 2020 May;46(5):791-794. Epub 2020 Feb 10 doi: 10.1111/jog.14213. PMID: 32043297
Smooth Muscle Tumors of the Visceral Adnexal and Uterine Ligaments and Adnexal Connective Tissue: A Clinicopathologic Study of 67 Cases.
Patel V, Xing D, Feely M, Schoolmeester JK
Int J Gynecol Pathol 2020 Jan;39(1):55-67. doi: 10.1097/PGP.0000000000000578. PMID: 30702465
Laparoscopic hysterectomy: is dissecting the ureter necessary?
Lee CL, Soong YK
Int Surg 1995 Apr-Jun;80(2):167-9. PMID: 8530236

Clinical prediction guides

Uterine angiomyolipoma: a clinical analysis of 8 cases and literature review.
Wang J, Yang Q, Zhang N, Wang D
Arch Gynecol Obstet 2021 Jul;304(1):171-177. Epub 2021 Feb 10 doi: 10.1007/s00404-021-05992-1. PMID: 33569612
Smooth Muscle Tumors of the Visceral Adnexal and Uterine Ligaments and Adnexal Connective Tissue: A Clinicopathologic Study of 67 Cases.
Patel V, Xing D, Feely M, Schoolmeester JK
Int J Gynecol Pathol 2020 Jan;39(1):55-67. doi: 10.1097/PGP.0000000000000578. PMID: 30702465
Postoperative pain control with ropivacaine following laparoscopic myomectomy: A randomized double-blind, pilot study.
Kwack JY, Ahn KH, Kwon YS
J Obstet Gynaecol Res 2019 Apr;45(4):871-876. Epub 2019 Jan 8 doi: 10.1111/jog.13910. PMID: 30623534
Uterine adenomyoma: a clinicopathologic review of 26 cases and a review of the literature.
Tahlan A, Nanda A, Mohan H
Int J Gynecol Pathol 2006 Oct;25(4):361-5. doi: 10.1097/01.pgp.0000209570.08716.b3. PMID: 16990713
The clear cell variant of epithelioid intravenous leiomyomatosis of the uterus: report of a case.
Han HS, Park IA, Kim SH, Lee HP
Pathol Int 1998 Nov;48(11):892-6. doi: 10.1111/j.1440-1827.1998.tb03857.x. PMID: 9832059

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