Parasitic myomas and adenomyomas after myomectomy

Buyanova S.N., Logutova L.S., Shchukinа N.A., Voloshchuk I.N., Babunashvili E.L., Barto R.A., Yudinа N.V., Gukasyan S.A.

Moscow Regional Research Institute of Obstetrics and Gynecology, Moscow, Russia
Background. Recently, the vast majority of patients with uterine myoma seek to preserve the organ, regardless of age. Since the introduction of laparoscopic morcellation, there have been reports on the occurrence of parasitic smooth muscle tumors frequently of uncertain malignant potential. They are two types: iatrogenic parasitic myoma and iatrogenic adenomyoma that is more common.
Case report. The paper describes a clinical case of parasitic myomas and adenomyomas 8 years after laparoscopic myomectomy and morcellation for cell leiomyoma of large sizes, which were performed in 2011. Two years after surgery, a spontaneous pregnancy occurred, which ended successfully with abdominal delivery of a full-term baby in 2014. Pelvic organ ultrasound in 2019 revealed multiple uterine myoma and myomatous nodules of atypical location. Physicians performed laparotomy and removed multiple myomatous nodules in the uterus and large parasitic myomas and adenomyomas of the peritoneum and pelvic organs.
Conclusion. This case demonstrates the typical growth pattern of parasitic myoma several years after morcellation with its characteristic histological features and typical clinical manifestations.


iatrogenic myoma
parasitic myoma


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Received 29.04.2020

Accepted 07.05.2020

About the Authors

Svetlana N. Buyanova, MD, professor, head of the gynecological department of the Moscow Regional Research Institute of Obstetrics and Gynecology, Russia, Moscow.
Tel.: +7(495)625-71-64. E-mail: ORCID: 0000-0002-1358-6640. 101000, Russia, Moscow, Pokrovka str., 22A.
Lidia S. Logutova, MD, professor, deputy chairman of the dissertation council, leading researcher of the Department for Coordination of Research and Publishing Activities of the Moscow Regional Research Institute of Obstetrics and Gynecology, Russia, Moscow.
E-mail: ORCID: 0000-0001-8806-3273. 101000, Russia, Moscow, Pokrovka str., 22A.
Natalya A. Schukina, MD, professor, chief researcher of the gynecological department of the Moscow Regional Research Institute of Obstetrics and Gynecology, Russia, Moscow. Tel.: +7(903)594-19-28. E-mail: ORCID: 0000-0003-2274-4070. 101000, Russia, Moscow, Pokrovka str., 22A.
Irina N. Voloshchuk, MD, professor, senior researcher, Moscow Regional Research Institute of Obstetrics and Gynecology, Russia, Moscow.
Tel.: +7(903)561-01-07. E-mail: ORCID: 0000-0002-7059-5105. 101000, Russia, Moscow, Pokrovka str., 22A.
Evgenia L. Babunashvili, candidate of medical sciences, senior researcher of the gynecological department of the Moscow Regional Research Institute of Obstetrics and Gynecology, Russia, Moscow. Tel.: +7(915)239-46-34. E-mail: ORCID: 0000-0002-3580-7221. 101000, Russia, Moscow, Pokrovka str., 22A.
Ruslan A. Barto, Ph.D., junior researcher, Moscow Regional Research Institute of Obstetrics and Gynecology, Russia, Moscow.
Tel.: +7(916)176-50-51. E-mail: ORCID: 0000-0002-9859-0867. 101000, Russia, Moscow, Pokrovka str., 22A.
Natalya V. Yudina, candidate of medical sciences, researcher of the gynecological department of the Moscow Regional Research Institute
of Obstetrics and Gynecology, Russia, Moscow. Tel.: +7(916)315-52-77. E-mail: ORCID: 0000-0002-7305-6959.
101000, Russia, Moscow, Pokrovka str., 22A.
Svetlana A. Gukasyan, candidate of medical sciences, researcher, Gynecological Department, Moscow Regional Research Institute of Obstetrics and Gynecology,
Russia, Moscow. Tel.: +7(985)567-99-33. E-mail: ORCID: 0000-0002-4352-7676. 101000, Russia, Moscow, Pokrovka str., 22A.

For citation: Buyanova S.N., Logutova L.S., Shchukina N.A. Voloshchuk I.N., Babunashvili E.L., Barto R.A., Yudina N.V., Gukasyan S.A. Parasitic myomas and adenomyomas after myomectomy.Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 9: 241-247 (in Russian).

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