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Clinical and Experimental Obstetrics & Gynecology  2008, Vol. 35 Issue (3): 227-230    DOI:
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A case with diffuse uterine leiomyomatosis and review of the literature
A. Coskun1, *(), O. Ozdemir1, M. A. Vardar2, G. Kiran1, D. Arikan1, C. Ersoz3
1Department of Obstetrics and Gynecology Kahramanmaras Sutcu Imam University Medical Faculty
2Department of Obstetrics and Gynecology, Cukurova University Medical Faculty, Kahramanmaras
3Department of Pathology, Cukurova University Medical Faculty, Kahramanmaras (Turkey)
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Abstract  
Leiomyomas and diffuse uterine leiomyomatosis are smooth muscle tumors of the uterus. Diffuse uterine leiomyomatosis is a benign and extremely rare condition in which the uterus is symmetrically enlarged as a result of the almost complete replacement of the myometrium by innumerable poorly defined, confluent nodules. The etiology of these neoplasms is not completely understood. Initial symptoms of the diffuse uterine leiomyomatosis usually are abdominal pain and abnormal uterine bleeding. Similar to uterine leiomyomas, patients with leiomyomatosis present with menorrhagia, dysmenorrhea, abdominal pain, infertility, and pelvic pressure. Hormonal treatment usually fails to control the symptoms, anemia, or tumor growth after treatment is stopped. As a result, despite patients being in the third or fourth decades of life, hysterectomy has been the only permanent treatment option offered to patients for treatment of the symptoms related to uterine fibroids in diffuse leiomyomatosis. A case of a patient with a huge uterine mass (2,650 g in weight) who underwent hysterectomy due to diffuse uterine leiomyomatosis is presented together with a review of the literature.
Key words:  Diffuse uterine leiomyomatosus      Leiomyoma      Management     
Published:  10 September 2008     
*Corresponding Author(s):  A. COSKUN     E-mail:  acoskun@ksu.edu.tr

Cite this article: 

A. Coskun, O. Ozdemir, M. A. Vardar, G. Kiran, D. Arikan, C. Ersoz. A case with diffuse uterine leiomyomatosis and review of the literature. Clinical and Experimental Obstetrics & Gynecology, 2008, 35(3): 227-230.

URL: 

https://ceog.imrpress.com/EN/     OR     https://ceog.imrpress.com/EN/Y2008/V35/I3/227

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