Abstract:

Cellular uterine leiomyoma is relatively rare in clinical practice and often resembles the clinical presentation of common uterine fibroids, leading to frequent preoperative misdiagnosis. This report presents a case of a patient with cellular uterine leiomyoma treated at Maternal and Child Health Hospital of Hubei Province, who underwent a single-port gasless myomectomy. In June 2022, the patient was readmitted due to a recurrence of the leiomyoma two years post-surgery and underwent a laparoscopic total hysterectomy and bilateral salpingectomy. During surgery, tumors were found in the pelvic peritoneum, omentum, mesocolon and abdominal wall. Pathological and immunohistochemical examinations indicated that all the tumors were cellular uterine leiomyomas. Preoperative diagnosis requires comprehensive consideration of blood flow signals, and imaging results to improve diagnostic accuracy. During surgery, strict adherence to the principle of tumor-free techniques and close postoperative follow-up are essential to reduce the risk of recurrence and iatrogenic dissemination.

Key words: Leiomyoma, Leiomyomatosis, Laparoscopes, Diagnosis, Recurrence