Journal List > Korean J Obstet Gynecol > v.54(11) > 1088370

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Kim, Ryu, Kim, Kim, and Bae: Parasitic myoma in mesentery mimicking gastrointestinal stromal tumor: A case of laparoscopic myomectomy with single port approach
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2011; 54(11): 731-735.

Published online: 23 November 2011

DOI: https://doi.org/10.5468/KJOG.2011.54.11.731

Parasitic myoma in mesentery mimicking gastrointestinal stromal tumor: A case of laparoscopic myomectomy with single port approach

Hyo Jeong Kim, MD, Ju Hyun Ryu, MD, Tae-Joong Kim, MD, Byoung-Gie Kim, MD, PhD, Duk-Soo Bae, MD, PhD

Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Corresponding author: Duk-Soo Bae, MD, PhD. Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul 135-710, Korea. Tel: +82-2-3410-3511, Fax: +82-2-3410-0630, ds123.bae@samsung.com

Received 31 May 2011       Accepted 1 August 2011

Copyright © 2011. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Gastrointestinal stromal tumor (GIST) is the most common non-epithelial tumor in the gastrointestinal tract, and express a highly specific marker called c-kit (CD117). The majorinty of GISTs arise in the stomach (60%) and small bowel (30%), and remaining 10% in the other gastrointestinal tract. It also occurs, rarely, in non-gastrointestinal tract. We experienced a 42-year-old woman who was transferred to our hospital with the impression of GIST by positron emission tomography-computed tomography, and after the single port approach laparoscopy, finally diagnosed as parasitic myoma. Hysterectomy and complete resection of 14cm sized mesenteric mass was done via single port laparoscopy. After the immunohistochemistry test, the final pathologic diagnosis was confirmed the diagnosis of myoma. We report here the case of parasitic myoma mimicking GIST with brief review of articles.

Keywords: Parasitic myoma, Gastrointestinal stromal tumors, Single-port approach

Figures and Tables

Fig. 1
Irregular shaped mass (white arrow) with central necrosis and high fludeoxyglucose uptake in the periphery is found in the right pelvic cavity and the size of tumor was about 12 cm in longest diameter in preoperative positron emission tomography-computed tomography scan.
kjog-54-731-g001
Fig. 2
Under laparoscopic evaluation, the mass is located under the mesentery of the colon and small intestines with adhesion.
kjog-54-731-g002
Fig. 3
The tumor is formed by interlacing bundles of smooth muscle cells with multifocal hyaline degeneration. There is no pleomorphism, atypia or excessive mitotic figures (H&E, ×100).
kjog-54-731-g003

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