Mioma parauretral en mujer posmenopausica con miomatosis uterina: reporte de caso

[Paraurethral leiomyoma in a post-menopausal woman with uterine myomatosis: a case report]
DOI: 10.37980/im.journal.revcog.20211799
Publicado
2021-10-15

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Autores/as

  • Hadwin Aguilar Valeriano Departamento de Ginecología y Obstetricia, Servicio de Uroginecología Hospital Escuela Universitario
  • Kerima Meza Torres Departamento de Ginecología y Obstetricia, Universidad Nacional Autónoma de Honduras

Palabras clave:

leiomioma paraureteral, masa uretral, tumor benigno de la vagina

Keywords:

paraurethral leiomyoma, urethral mass, benign vaginal tumor

Resumen

Los miomas parauretrales representan un tipo de tumor del tracto genitourinario infrecuente en mujeres. Muy pocos casos han sido reportados en la literatura hasta el momento, sin encontrar publicaciones al respecto en nuestro país.

En esta ocasión se reporta un caso de una mujer femenina de 56 años que se presenta con historia de una tumoración a nivel parauretral. Confirmando el diagnostico a traves de estudio histopatológico, con tratamiento quirúrgico y mejoría total del cuadro clínico.


Abstract

Paraurethral leiomyomas represent a rare type of tumor of the genitourinary woman tract. Very few cases have been reported in the literature so far, without finding publications on the matter in our country.

On this occasion, we report a case of a 56-year-old female who presents a history of a protruding mass at the urethral opening. Confirming the diagnosis through histopathological study, with surgical treatment and total improvement of the clinical picture.

Citas

Migliari R, Buffardi A, Mosso L. Female paraurethral leiomyoma: treatment and long-term follow-up. Int Urogynecol J. 2015 Dec;26(12):1821-5. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26224380/. Citado:

Hubert, K. C., Remer, E. M., Rackley, R. R., & Goldman, H. B. (2009). Clinical and magnetic resonance imaging characteristics of vaginal and paraurethral leiomyomas: can they be diagnosed before surgery? BJU Int. 2010;105(12), 1686-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/19889060/.

Braga, et al., What is this vaginal bulge? An atypical case of vaginal paraurethral leiomyoma. A case report and literature systematic review, J Gynecol Obstet Hum Reprod (2021);50 (6):101822. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32492525/

Shim S, Borg CS, Majeed HG, Humaidan P. Paraurethral leiomyoma in a postmenopausal woman: first European case. Case Rep Obstet Gynecol. 2015;2015:542963. Disponible en: https://www.hindawi.com/journals/criog/2015/542963/

Murat Alan MD, Mehmet Gökçü MD, Saime Ünlüoğlu MD, Muzaffer Sancı MD. Urethral Leiomyoma: A Case Report. Bulletin of Urooncology. 2018;17:153-5. Disponible en : http://cms.galenos.com.tr/Uploads/Article_20809/UOB-17-153-En.pdf

Blaivas JG, Flisser AJ, Bleustein CB, Panagopoulos G. Periurethral masses: etiology and diagnosis in a large series of women. Obstet Gynecol. 2004 May;103(5 Pt 1):842-7. Disponible: https://pubmed.ncbi.nlm.nih.gov/15121554/

Harada K, Ishikawa Y, Fujiwara H, Ishihara G. Female paraurethral leiomyoma successfully excised through a vaginal approach: A case report. J Obstet Gynaecol Res. 2018 Jun;44(6):1174-1176. Disponible: https://pubmed.ncbi.nlm.nih.gov/29607582/

Varma, R, Mehra S, Garga UC, Jaim N, Bhardwaj K. Imaging Diagnosis of Urethral Leiomyoma, usual Tumour at an Unusual Location. J CLIN AND DIAGN RES, 2014;8 (11):RD04-6. Disponible en : https://pubmed.ncbi.nlm.nih.gov/25584287/

Rezai S, Bue SL, Bahl N, Chadee A, Gottimukkala S et.al A True Paraurethral Leiomyoma, A Case Report and Review of Literature. Obstet Gynecol Int J.2017; 6(5):62-5. Disponible en: https://medcraveonline.com/OGIJ/a-true-paraurethral-leiomyoma-a-case-report-and-review-of-literature.html

Hwang, J. H., Lee, J. K., Oh, M. J., Lee, N. W., Hur, J. Y., & Lee, KW. A Leiomyoma Presenting as an Exophytic Periurethral Mass: A Case Report and Review of the Literature. J of Minimally Invasive Gynecology.2009;16(4), 507–509. Disponible en: https://pubmed.ncbi.nlm.nih.gov/19573833/