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

Kim, Hyo Jeong; Ryu, Ju Hyun; Kim, Tae Joong; Kim, Byoung Gie; Bae, Duk Soo

doi:2011.54.11.731

Case Report

Korean Journal of Obstetrics & Gynecology 2011;54(11):731-735.
DOI: https://doi.org/10.5468/KJOG.2011.54.11.731 Published online November 1, 2011.

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

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

Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ds123.bae@samsung.com

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.

Key Words: Parasitic myoma, Gastrointestinal stromal tumors, Single-port approach