[ Léiomyome vaginal : à propos d'un cas ]
Volume 10, Issue 2, February 2015, Pages 506–508
Jihad Drissi1, Abdelghani Zazi2, Jaouad Kouach3, Driss Rahali Moussaoui4, and Mohammed Dehayni5
1 Service de Gynécologie-Obstétrique, Hôpital militaire d'Instruction Mohammed V, Rabat, Morocco
2 Gynécologie - Obstétrique, Hôpital Militaire Instructif Mohamed V, Rabat, Morocco
3 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
4 Department of Gynecology-Obstetric, Military Training Hospital Med V, Rabat, Morocco
5 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: French
Copyright © 2015 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Introduction: If the uterine leiomyoma is a common and well known disease entity, ectopic location, is rare. The treatment is surgical enucleation and the diagnosis is histological. The objective of this work is to describe a rare location of myoma.
Observation: We report the case of a patient of 50 years postmenopausal, who consulted for a vaginal nodule. MRI has to say vaginal tumor origin. The patient therefore underwent surgical resection of a nodule 1cm white and firm. Histological study has allowed us to retain the vaginal leiomyoma diagnosis.
Discussion and conclusion: The leiomyoma is a benign mesenchymal tumor whose extra-uterine seat is rare. In her vaginal location, it is usually asymptomatic, discovered incidentally during a clinical examination. Vaginal myoma is usually a nodule on average 3cm, firm and painless, affecting middle-aged women. Radiological explorations show the origin of the vaginal origin of the lesion. Surgical resection is required because of sarcomatous degeneration have been described. The diagnosis is based on histological examination of the tumor.
Author Keywords: leiomyoma, vagina, extra-uterine, surgical resection, histological examination.
Volume 10, Issue 2, February 2015, Pages 506–508
Jihad Drissi1, Abdelghani Zazi2, Jaouad Kouach3, Driss Rahali Moussaoui4, and Mohammed Dehayni5
1 Service de Gynécologie-Obstétrique, Hôpital militaire d'Instruction Mohammed V, Rabat, Morocco
2 Gynécologie - Obstétrique, Hôpital Militaire Instructif Mohamed V, Rabat, Morocco
3 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
4 Department of Gynecology-Obstetric, Military Training Hospital Med V, Rabat, Morocco
5 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: French
Copyright © 2015 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Introduction: If the uterine leiomyoma is a common and well known disease entity, ectopic location, is rare. The treatment is surgical enucleation and the diagnosis is histological. The objective of this work is to describe a rare location of myoma.
Observation: We report the case of a patient of 50 years postmenopausal, who consulted for a vaginal nodule. MRI has to say vaginal tumor origin. The patient therefore underwent surgical resection of a nodule 1cm white and firm. Histological study has allowed us to retain the vaginal leiomyoma diagnosis.
Discussion and conclusion: The leiomyoma is a benign mesenchymal tumor whose extra-uterine seat is rare. In her vaginal location, it is usually asymptomatic, discovered incidentally during a clinical examination. Vaginal myoma is usually a nodule on average 3cm, firm and painless, affecting middle-aged women. Radiological explorations show the origin of the vaginal origin of the lesion. Surgical resection is required because of sarcomatous degeneration have been described. The diagnosis is based on histological examination of the tumor.
Author Keywords: leiomyoma, vagina, extra-uterine, surgical resection, histological examination.
Abstract: (french)
Introduction : Si le léiomyome utérin est une entité pathologique fréquente et bien connue, une localisation extra-utérine, notamment vaginale, est rarement évoquée devant la découverte d'un nodule de la paroi vaginale. Le traitement est chirurgical par énucléation et le diagnostic est histologique retenu en post-opératoire. L'objectif de ce travail est de décrire une localisation rare de myome.
Observation : Nous rapportons le cas d'une patiente de 50 ans, ménopausée, adressée par son généraliste pour découverte fortuite d'un nodule vaginal. L'IRM a permis d'affirmer l'origine vaginale de la tumeur. La patiente a donc bénéficié d'une exérèse chirurgicale d'un nodule de 1cm blanchâtre et ferme. L'étude histologique a donc permis de retenir le diagnostic léiomyome vaginal.
Discussion et conclusion : Le léiomyome est une tumeur bénigne mésenchymateuse dont le siège extra-utérin est rare. Dans sa localisation vaginale, elle est habituellement asymptômatique, de découverte fortuite lors d'un examen clinique. Le myome vaginal se présente sous forme d'un nodule, en moyenne de 3cm, ferme et indolore, chez les femmes d'âge moyen. L'imagerie permet d'affirmer l'origine vaginale de la lésion. L'exérèse chirurgicale est de mise car des dégénérescences sarcomateuses ont été décrites. Le diagnostic repose sur l'étude histologique de la tumeur.
Author Keywords: léiomyome, vagin, extra-utérin, exérèse chirurgical, examen histologique.
How to Cite this Article
Jihad Drissi, Abdelghani Zazi, Jaouad Kouach, Driss Rahali Moussaoui, and Mohammed Dehayni, “Vaginal leiomyoma: report of a case,” International Journal of Innovation and Applied Studies, vol. 10, no. 2, pp. 506–508, February 2015.
