Servet TATLI, Stuart G. SİLVERMAN, Murat ACAR

Leiomyomatosis peritonealis disseminata: mrı fea- tures before and after treatment with gnrh agonist

Leyomyomatozis peritonealis disseminata (LPD) yaygın subperitoneal benign natürlü nodüler lezyonlar ile karakterize nadir bir hastalıktır. Hastalık, genellikle sezeryan sırasında incidental olarak saptandığı için literatürde MR görüntüleme bulgularını anlatan çok az sayıda makale bulunmaktadır. Bu makalede semptomatik bir LPD olgusunun GnRH tedavi öncesi ve sonrası MR bulguları sunulmuştur.

Yaygın leyomatozis peritonalis: gnrh analoğu ile tedavi öncesi ve sonrası mrı bulguları

Leiomyomatosis peritonealis disseminata (LPD) is a rare disorder characterized by multiple subperitoneal benign smooth muscle nodules. It is usually incidentally discovered during cesarean section or laparoscopy. In this paper, we present pre-and-post GnRH treatment MRI findings of a symptomatic patient with LPD.

PDF

___

1. Sharma P, Chaturvedi KU, Gupta R, Nigam S. Leiomyomatosis peritonealis disseminata with malig- nant change in a post-menopausal woman. Gynecol Oncol 2004;95: 742-5.
2. Halama N, Grauling-Halama SA, Daboul I. Familial cluster- ing of Leiomyomatosis peritonealis disseminata: an un- known genetic syndrome? BMC Gastroenterol 2005;33: 1-5.
3. Nappi C, Di Spiezio Sardo A, Mandato VD, et al. Leiomyomatosis peritonealis disseminata in association with Currarino syndrome? BMC Cancer 2006; 6:127.
4. Ruscalleda N, Eixarch E, Pages M, et al. Leiomyomatosis peritonealis disseminata. Eur Radiol 2006;16: 2879-882.
5.Fulcher AS, Szucs RA. Leiomyomatosis peritonealis dis- seminata complicated by sarcomatous transformation and ovarian torsion: presentation of two cases and review of the literature. Abdom Imaging 1998;23: 640-4.
6.Bekkers RL, Willemsen WN, Schijf CP, Massuger LF, Bulten J, Merkus JM. Leiomyomatosis peritonealis disseminata: does malignant transformation occur? A literature review. Gynecol Oncol 1999;75: 158-63.
7. Papadatos D, Taourel P, Bret PM. CT of leiomyomatosis peritonealis disseminata mimicking peritoneal carcino- matosis. AJR Am J Roentgenol 1996;167: 475-6.
8.Kokcu A, Alvur Y, Baris YS, Kuskonmaz I. Leiomyomatosis peritonealis disseminata. Acta Obstet Gynecol Scand 1994;73: 81-3.
9.Ueda H, Togashi K, Konishi I, et al. Unusual appearances of uterine leiomyomas: MR imaging findings and their his- topathologic backgrounds. Radiographics 19: 1999;131-45.