Volume : VI, Issue : IV, April - 2016

Leiomyomatosis peritonealis disseminata mimics as a metastatic carcinoma:A diagnostic dilemma in pregnancy

Dr. Vina Kumari, Dr. J. Sreedevi, Dr. Manas Kabiraj, Dr. Radhika Narayan, Dr. Minakshi Mishra, Dr. R. Mohanty, Dr. Farah

Abstract :

<p> Leiomyomatosis peritonealis disseminata (LPD) is a rare benign disease presenting as multiple peritoneal nodules of smooth muscle cells, mimicking peritoneal carcinomatosis. LPD is most often found in reproductive and pre/post–menaupausal age group. Herein, we report a case of LPD coexisting with endomyometriosis in pregnant woman and review the pathogenesis of this lesion. A 34–year old woman, G4P1L1A2, 19 weeks pregnancy with complex uterine & adnexal mass and was advised for termination of pregnancy. However she wished to continue the pregnancy and underwent LSCS at 36 weeks. Histopathological examination (HPE) revealed of LPD. IHC showed positivity for SMA and Desmin, along with CD10 which highlighted the smooth muscle and endometrial stromal cells, consistent with LPD with endomyometriosis. A confirmatory HPE report can help recognize this uncommon pathological entity and vastly improve patient care in such cases.</p>

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Vina Kumari, Dr.J.Sreedevi, Dr. Manas Kabiraj, Dr.Radhika Narayan, Dr.Minakshi Mishra, Dr.R.Mohanty, Dr.FarahLeiomyomatosis peritonealis disseminata mimics as a metastatic carcinoma:A diagnostic dilemma in pregnancy Indian Journal of Applied Research, Vol.6, Issue : 4 April 2016

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