Diverse Presentations of Extrauterine Leiomyomas in the Female Urogenital Tract: A Retrospective Series of 51 Cases.

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY

Journal of Mid-life Health Pub Date : 2025-04-01 Epub Date: 2025-06-23 DOI:10.4103/jmh.jmh_7_25

Tanvi Jha, Arvind Ahuja, Anuj Chachra, Purnima Paliwal, Kamna Dutta

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引用次数: 0

Abstract

Background: Extrauterine leiomyomas (EULs) are rare benign smooth muscle tumors that arise outside the uterus, often leading to diagnostic challenges.

Objective: To evaluate the clinical and pathological characteristics of EULs and their management in a tertiary care setting.

Methods: This retrospective study reviewed 51 cases of EULs over a 5.5-year period. Data on demographics, clinical presentation, tumor location, histology, and treatment were analyzed.

Results: The mean patient age was 41.6 years, with 41.2% aged 40-50 and 15.7% post-menopausal. Abnormal uterine bleeding (AUB) was the most common symptom (66.7%). Tumors were most frequently located in the cervix (72.5%), followed by the broad ligament (11.8%) and ovaries (7.8%). Histologically, EULs resembled uterine leiomyomas, showing spindle-shaped cells and low mitotic activity. Surgical excision was the primary treatment.

Conclusion: EULs, though uncommon, should be considered in differential diagnoses of pelvic masses. Accurate histopathological evaluation is essential to avoid misdiagnosis and unnecessary intervention. This study enhances current understanding of EUL presentation and management.

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女性泌尿生殖道子宫外平滑肌瘤的不同表现：回顾性分析51例。

背景：子宫外平滑肌瘤（eeuls）是一种罕见的良性子宫外平滑肌肿瘤，通常导致诊断困难。目的：探讨eula的临床和病理特点及其在三级医疗机构的处理。方法：本研究回顾了5.5年期间的51例eula病例。分析了人口统计学、临床表现、肿瘤位置、组织学和治疗方面的数据。结果：患者平均年龄为41.6岁，40-50岁占41.2%，绝经后占15.7%。子宫异常出血（AUB）是最常见的症状（66.7%）。肿瘤最常位于宫颈（72.5%），其次是阔韧带（11.8%）和卵巢（7.8%）。组织学上，eular与子宫平滑肌瘤相似，呈梭形细胞，有丝分裂活性低。手术切除是主要治疗方法。结论：eula虽不常见，但在盆腔肿块的鉴别诊断中应予以考虑。准确的组织病理学评估对于避免误诊和不必要的干预至关重要。本研究增进了目前对EUL表达和管理的理解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Mid-life Health Social Sciences-Health (social science)

CiteScore

1.70

自引率

9.10%

发文量

审稿时长

43 weeks

期刊介绍： Journal of mid-life health is the official journal of the Indian Menopause society published Quarterly in January, April, July and October. It is peer reviewed, scientific journal of mid-life health and its problems. It includes all aspects of mid-life health, preventive as well as curative. The journal publishes on subjects such as gynecology, neurology, geriatrics, psychiatry, endocrinology, urology, andrology, psychology, healthy ageing, cardiovascular health, bone health, quality of life etc. as relevant of men and women in their midlife. The Journal provides a visible platform to the researchers as well as clinicians to publish their experiences in this area thereby helping in the promotion of mid-life health leading to healthy ageing, growing need due to increasing life expectancy. The Editorial team has maintained high standards and published original research papers, case reports and review articles from the best of the best contributors both national & international, consistently so that now, it has become a great tool in the hands of menopause practitioners.