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Leiomyoma of the Round Ligament Presenting as a Large Inguinal Mass

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Title: Leiomyoma of the Round Ligament Presenting as a Large Inguinal Mass
Authors: Matsuo, Shigetoshi / Soejima, Hidenobu / Miyazaki, Junichi / Kanemaysu, Takashi
Issue Date: 25-Oct-1994
Citation: Acta medica Nagasakiensia. 1994, 39(1-3), p.50-53
Abstract: A 42-year-old woman was admitted to Kochi Prefectural Seinan Hospital complaining gradual enlargement of painless mass in the left lower quadrant. Physical examination revealed a 15×13 cm, immobile, elastic firm mass protruding from the abdominal wall in the left inguinal region. No bowel or urinary symptoms were present. Gynecological examination was negative. Tumor markers for ovarian carcinomas such as carcinoembryonic antigen, cancer antigen (CA) 125, CA 130 and CA72-4 were within normal limits. Ultrasonography revealed a well-defined tumor consisted of cystic and solid components in the inguinal canal. A plain CT scan demonstrated a large, wellcircumscribed, heterogeneous mass present in the pelvic cavity and inguinal canal consecutively. Barium enema and DIP were normal. Preoperative diagnosis was a soft tissue tumor with cystic degeneration of unknown origin, situated in the intra-and extra-pelvic cavity. Operative finding revealed a large tumor arising from the left intra-abdominal round ligament and grown into the inguinal canal through the internal inguinal ring. The tumor was macroscopically benign neoplasm and easily removed from the round ligament. Resected tumor with various-sized spongy lesions, measured 12×14×5 cm and weighed 665g, was histologically diagnosed as typical leiomyoma with myxoid degeneration.
Keywords: Leiomyoma / Tumoor f the round ligament
URI: http://hdl.handle.net/10069/15972
ISSN: 00016055
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 39, No. 1-3

Citable URI : http://hdl.handle.net/10069/15972

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