Abstract
Leiomyomatosis peritonealis disseminata (LPD) is a rare disorder characterized by the development of numerous leiomyomata throughout the peritoneal cavity. We present a case of a 29-year-old woman who had LPD with acute ascites induced by a GnRH agonist (Supremon; buserelin acetate nasal solution 400 μg/per day). We found abdominal wall leiomyomata under the left rectus muscle. Because the disorder tended to recur with acute ascites in this patient, castration was performed to eliminate the hormonal stimulation of tumor growth. We suggest postponing hormone replacement therapy post-operatively for 6 months, and we recommend close follow-up to prevent tumor recurrence and hypoestrogenism.
Original language | English |
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Pages (from-to) | 352-357 |
Number of pages | 6 |
Journal | Chang Gung Medical Journal |
Volume | 19 |
Issue number | 4 |
State | Published - 1996 |
Externally published | Yes |
Keywords
- GnRH agonist
- abdominal wall leiomyomata
- acute ascites
- leiomyomatosis peritonealis disseminata