Información del artículo
Resumen
Presentamos un caso clínico de leiomiomatosis intravenosa en una mujer de 38 años a la que se intervino con histerectomía simple por útero miomatoso gigante. Al año y medio de la intervención presenta recurrencia pelviana,a pesar de tratamiento con triptorelina durante 6 meses. La tumoración retroperitoneal requirió nueva intervención,que consistió en biopsia más doble anexectomía por laparoscopia. Al cabo de un año,la paciente presenta una nueva recurrencia. En este artículo mostramos la iconografía de este caso raro y,al revisar la bibliografía,discutimos la conducta que se debe seguir en estos casos.
Summary
We present the clinical case of intravenous leiomyomatosis in a 38-year-old woman, who had previously had a total hysterectomy for a giant myoma in the uterus. One and a half years later she presented with a pelvic recurrence, despite 6 months triptoreline treatment. The retroperitoneal tumour required surgery, biopsies and bilateral adnexectomy by laparoscopy were carried out. One year later she presented with another recurrence.
We show the iconography of this rare case, review the literature, and discuss the management of these cases.
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