A rare complication of myoma, is the
dissemination of this problem in to the peritoneal space; the medical name
is Leiomyomatosis Peritonealis Disseminate,
which there is a few cases currently so the diagnosis and the treatment are
difficult and it is believed that one of the potential risk factors is the
realization of a procedure called laparoscopy.
The case presented by the author is about one
patient 34 years old, which underwent surgery to withdraw fibroids 6 years ago.
Three years later, she was againg subjected to a surgery because de doctors
found more fibroids in the uterus, which resulted in a bad tumor. A year after,
doctors took a few blood test and found a suspicious mass, which was teated
with expectant management. A year later, the doctors took an other studies
which everyone seemed normal, but as the patient had symptons, the dotors
decided to make an other surgery, which found extencion or the tumor to other
parts of the body, so the surgeon tered to remove everything they could.
Eventually the patiend could go home with their biannual checks.
At the end the author goves a brief history
about this disease, its possible causes, the hormoes involved, which is the
most affected area and then explains that the theory of Larraih said that the
womens who underwent a hysterectomy agaings fibroids, it may possible to also
have a malignan tumor.
By foregoing, the FDA indicated that should
decrese the use of laparosopy with Morcellation to reduce the risk of malignant
tumor. But if it were to present this disease, now it can be treated with
medication or if it is necessary, with surgery.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4301522/
Very interesting information.
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