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Acta Obstetrica Y Ginecologica... 1968
Topics: Abortion, Threatened; Female; Humans; Myoma; Pregnancy; Pregnancy Complications; Puerperal Disorders; Uterine Neoplasms
PubMed: 5710498
DOI: No ID Found -
La Presse Medicale Jun 1960
Topics: Humans; Myoma; Neoplasms; Pylorus; Radiography
PubMed: 13848649
DOI: No ID Found -
Journal of Cutaneous Pathology Oct 2002Myopericytoma is a benign tumor composed of cells that show apparent differentiation towards putative perivascular myoid cells called myopericytes. It arises most...
BACKGROUND
Myopericytoma is a benign tumor composed of cells that show apparent differentiation towards putative perivascular myoid cells called myopericytes. It arises most commonly in the dermis or subcutaneous tissue of the extremities in adults.
METHODS
We describe a myopericytoma that was unusual in its intravascular location.
RESULTS
A 54-year-old man presented with a 10-year history of a painful slowly growing 1.5-cm nodule in the subcutaneous tissue of the thigh. Histologic examination of the excised lesion showed that is was entirely contained within the lumen of a vein. It was composed of a proliferation of myoid-appearing spindle cells, which were arranged in a striking concentric pattern around numerous blood vessels, in a manner that accentuated the vessel walls. This pattern is characteristic of myopericytoma. In some areas, fascicles of spindle cells, embedded in a myxoid stroma, bulged into the lumina of lesional vessels, reminiscent of myofibroma/myofibromatosis. Lesional spindle cells were diffusely positive for smooth muscle actin, focally positive for CD34 and were negative for desmin, cytokeratin, S100 protein, HMB-45 and CD31.
CONCLUSION
This case illustrates that myopericytoma can be entirely intravascular in its location.
Topics: Biomarkers, Tumor; Humans; Immunoenzyme Techniques; Male; Middle Aged; Myoma; Neoplasm Proteins; Neoplasms, Vascular Tissue; Pericytes; Soft Tissue Neoplasms; Subcutaneous Tissue
PubMed: 12358814
DOI: 10.1034/j.1600-0560.2002.290908.x -
Asian Cardiovascular & Thoracic Annals Oct 2015
Topics: Embolectomy; Female; Humans; Hysterectomy; Middle Aged; Myoma; Perfusion Imaging; Pulmonary Embolism; Thrombectomy; Tomography, X-Ray Computed; Tumor Burden; Uterine Neoplasms; Vena Cava Filters
PubMed: 24719165
DOI: 10.1177/0218492314532109 -
Polski Przeglad Chirurgiczny Apr 1978
Topics: Adult; Duodenal Neoplasms; Female; Humans; Methods; Myoma
PubMed: 673961
DOI: No ID Found -
Journal of Minimally Invasive Gynecology 2009
Topics: Adult; Diagnosis, Differential; Female; Humans; Hysteroscopy; Myoma; Uterine Cervical Neoplasms; Uterine Prolapse
PubMed: 19423057
DOI: 10.1016/j.jmig.2008.09.616 -
The Journal of Sexual Medicine Apr 2009This is a report about the effects of myoma uteri and myomectomy on sexual function in women.
INTRODUCTION
This is a report about the effects of myoma uteri and myomectomy on sexual function in women.
AIM
The aim of this article was to determine the effects of myoma uteri and myomectomy on sexual function in women.
METHOD
The study was designed as a controlled clinical study in an academic clinical research center. The study patients consisted of 80 women with myoma uteri and 75 control women. Baseline characteristics and properties of the myomas were recorded. A validated questionnaire was used to determine pre- and postoperative sexual function in the patients.
MAIN OUTCOME MEASURE
Female sexual function index (FSFI) scores of the women were recorded before and after surgery.
RESULTS
Women with myoma uteri had lower FSFI pain and satisfaction scores than women without it, even after correction for possible confounders. Fundal and posterior myomas were associated with pain, whereas only posterior myomas were related to the overall FSFI scores. However, although there was no relation between the volume of the myomas and the FSFI scores, women with a uterine volume over 200 cm(3) had significantly lower mean FSFI satisfaction, pain, and total scores. The mean FSFI pain and total scores of the patients improved significantly after undergoing a myomectomy.
CONCLUSIONS
The findings of this study suggest that a potential impairment of sexual function exists in women with myomas. This is mainly because of pain during sexual intercourse, although it does not seem to have an effect on either the arousal or orgasmic phases. Furthermore, the performance of a myomectomy may alleviate pain during intercourse, and thereby improve sexual function in the patients.
Topics: Adult; Body Mass Index; Dyspareunia; Female; Gynecologic Surgical Procedures; Humans; Myoma; Pain Measurement; Personal Satisfaction; Sexual Behavior; Surveys and Questionnaires; Uterine Neoplasms
PubMed: 19040618
DOI: 10.1111/j.1743-6109.2008.01086.x -
BioMed Research International 2018Myomectomy aims to preserve fertility, treat abnormal uterine bleeding, and alleviate pain. It should cause minimal damage to the endometrium, while being tolerable and... (Review)
Review
Myomectomy aims to preserve fertility, treat abnormal uterine bleeding, and alleviate pain. It should cause minimal damage to the endometrium, while being tolerable and durable, and reduce the incidence of myoma recurrence and complications including bleeding, hematoma, adhesions, and gravid uterus perforation. Training and experience are crucial to reduce complications. The surgical strategy depends on imaging information on the myomas. The position of the optical and secondary ports will determine the degree of ergonomic surgery performance, time and difficulty of myoma enucleation, and the suturing quality. Appropriate hysterotomy length relative to myoma size can decrease bleeding, coagulation, and suturing times. Bipolar coagulation of large vessels, while avoiding carbonization and myometrium gaps after suturing, may decrease the risk of myometrial hematoma. Quality surgery and the use of antiadhesive barriers may reduce the risk of postoperative adhesions. Slow rotation of the beveled morcellator and good control of the bag could reduce de novo myoma and endometriosis. Low intra-abdominal CO pressure may reduce the risk of benign and malignant cell dissemination. The benefits a patient gains from laparoscopic myomectomy are greater than the complication risks of laparoscopic morcellation. Recent publications on laparoscopic myomectomies demonstrate reduced hospitalization stays, postoperative pain, blood loss, and recovery compared to open surgery.
Topics: Humans; Laparoscopy; Length of Stay; Myoma; Postoperative Complications; Risk; Uterine Myomectomy
PubMed: 29693017
DOI: 10.1155/2018/8250952 -
Pathologica Dec 2005We describe a rare case of myopericytoma-type perivascular myoma (MTPM) which arose in acral location and the literature on this field is briefly reviewed. The patient,... (Review)
Review
We describe a rare case of myopericytoma-type perivascular myoma (MTPM) which arose in acral location and the literature on this field is briefly reviewed. The patient, a 68-year-old man, presented with an enlarging painful nodule, 1.4 cm across, located in the subcutaneous tissue of the right foot. The patient is alive and well 17 months after surgical excision of the nodule. Microscopically, the lesion was well-circumscribed and characterized by a biphasic pattern with a concentric perivascular spindle and ovoid cell proliferation and an extensive hemangiopericytomatous growth component. Immunohistochemically, the neoplastic cells were positive for vimentin, smooth muscle actin, desmin and calponin, negative for S-100 protein, CD34, CD31 and cytokeratins (AE1/AE3, Cam 5.2). Electron microscopy showed electrondense cell bodies suggestive for myopericytic differentiation. The clinico-pathological features of the present case are similar to those previously reported in the literature and we also discuss herein the main histological criteria for the differential diagnosis with other spindle cell and vascular lesions of soft tissues.
Topics: Aged; Foot Diseases; Humans; Male; Myoma; Soft Tissue Neoplasms
PubMed: 16619980
DOI: No ID Found -
BioMed Research International 2017Among uterine structural abnormalities, myomas and adenomyosis represent two distinct, though frequently coexistent entities, with a remarkable prevalence in women of... (Review)
Review
Among uterine structural abnormalities, myomas and adenomyosis represent two distinct, though frequently coexistent entities, with a remarkable prevalence in women of reproductive age. Various mechanisms have been proposed to explain the impact of each of them on reproductive outcome. In respect to myomas, current evidence implies that submucosal ones have an adverse effect on conception and early pregnancy. A similar effect yet is not quite clear and has been suggested for intramural myomas. Still, it seems reasonable that intramural myomas greater than 4 cm in diameter may negatively impair reproductive outcome. On the contrary, subserosal myomas do not seem to have a significant impact, if any, on reproduction. The presence of submucosal and/or large intramural myomas has also been linked to adverse pregnancy outcomes. In particular increased risk for miscarriage, fetal malpresentation, placenta previa, preterm birth, placenta abruption, postpartum hemorrhage, and cesarean section has been reported. With regard to adenomyosis, besides the tentative coexistence of adenomyosis and infertility, to date a causal relationship among these conditions has not been fully confirmed. Preterm birth and preterm premature rupture of membranes, uterine rupture, postpartum hemorrhage due to uterine atony, and ectopic pregnancy have all been reported in association with adenomyosis. Further research on the impact of adenomyosis on reproductive outcome is welcome.
Topics: Adenomyosis; Female; Humans; Infertility; Myoma; Pregnancy; Pregnancy Outcome; Reproduction
PubMed: 29234680
DOI: 10.1155/2017/5926470