Table 1.
Patient characteristics diagnosed with ESLs.
| DPL | PM | IAEL | BML | IVL | EAEL | |
|---|---|---|---|---|---|---|
| Characteristics | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) |
| Age (years) (median, range) | 42 (18–78) | 41.5 (21–63) | 46 (26–77) | 47 (25–77) | ||
| Parity | 62 cases | 22 cases | 84 cases | 45 cases | 47 cases | 92 cases |
| Nulliparous | 30 (48.4) | 3 (13.6) | 33 (39.4) | 9 (20.0) | 11 (23.4) | 20 (21.7) |
| Multiparous | 32 (51.6) | 19 (86.4) | 51 (60.6) | 36 (80.0) | 36 (76.6) | 72 (78.3) |
| Symptom (predominant) | 86 cases | 26 cases | 112 cases | 138 cases | 87 cases | 225 cases |
| Dysmenorrhea | 0 (–) | 2 (7.7) | 2 (1.8) | 0 (–) | 0 (–) | 0 (–) |
| Abdominal/pelvic pain | 55 (63.9) | 18 (69.2) | 73 (66.4) | 22 (15.9) | 23 (26.4) | 45 (20.0) |
| Compression of adjacent organs | 5 (5.8) | 3 (11.5) | 8 (7.3) | 6 (4.4) | 5 (5.7) | 11 (4.9) |
| Asthenia | 0 (–) | 1 (3.9) | 1 (0.9) | 4 (2.9) | 1 (1.2) | 5 (2.2) |
| Dyspnea | 1 (1.2) | 0 (–) | 1 (0.9) | 41 (29.7) | 26 (29.9) | 67 (29.8) |
| Thrombosis-related | 0 (–) | 0 (–) | 0 (–) | 4 (2.9) | 13 (14.9) | 17 (7.6) |
| Bone-related | 1 (1.2) | 0 (–) | 1 (0.9) | 7 (5.1) | 0 (–) | 7 (3.1) |
| No symptoms | 24 (27.9) | 2 (7.7) | 26 (21.8) | 54 (39.1) | 19 (21.9) | 73 (32.4) |
| Sign (predominant) | 71 cases | 29 cases | 100 cases | 111 cases | 71 cases | 182 cases |
| Pelvic mass | 27 (38.0) | 13 (44.8) | 40 (40.0) | 19 (17.1) | 13 (18.3) | 32 (17.6) |
| Vaginal bleeding | 7 (9.9) | 6 (20.7) | 13 (13.0) | 12 (10.8) | 10 (14.1) | 22 (12.1) |
| Abdominal distension | 20 (28.2) | 3 (10.4) | 23 (23.0) | 8 (7.2) | 8 (11.3) | 16 (8.8) |
| No signs | 17 (23.9) | 7 (24.1) | 24 (24.0) | 72 (64.9) | 40 (56.3) | 112 (61.5) |
| Surgical time intervala (months) (median, range) | 48 (0–252) | 120 (12–240) | 96 (0–372) | 48 (0–684) | ||
| Previous surgery b | 93 cases | 30 cases | 123 cases | 155 cases | 94 cases | 249 cases |
| None | 25 (26.9) | 7 (23.3) | 32 (26.0) | 15 (9.7) | 37 (39.4) | 52 (20.9) |
| Myomectomy | 31 (33.3) | 5 (16.7) | 36 (29.3) | 43 (27.8) | 14 (14.9) | 57 (22.9) |
| Hysterectomy | 28 (30.1) | 8 (26.7) | 36 (29.3) | 82 (52.9) | 32 (34.0) | 114 (45.8) |
| SH | 1 (1.1) | 1 (3.3) | 2 (1.6) | 9 (5.8) | 2 (2.1) | 11 (4.4) |
| Cesarean section | 4 (4.3) | 4 (13.3) | 8 (6.5) | 5 (3.2) | 5 (5.3) | 10 (4.0) |
| Non-gynaecological surgery | 4 (4.3) | 5 (16.7) | 9 (7.3) | 1 (0.6) | 4 (4.3) | 5 (2.0) |
| Morcellation | 17 cases | 4 cases | 21 cases | 34 cases | 13 cases | 47 cases |
| Yes | 12 (70.6) | 4 (100.0) | 16 (76.2) | 0 (–) | 1 (7.7) | 1 (2.1) |
| No or in a bag | 5 (29.4) | 0 (–) | 5 (23.8) | 34 (100.0) | 12 (92.3) | 46 (97.9) |
Only cases with available data are reported.
DPL: disseminated peritoneal leiomyomatosis; PM: parasitic myoma; IAEL: intra-abdominal extrauterine leiomyomas (DPL + PM);BML: benign metastatic leiomyoma; IVL: intravascular leiomyoma; EAEL: extra-abdominal extrauterine leiomyomas (BML + IVL); SH: supracervical hysterectomy.
a
Months between the first and second surgery (treatment of ESLs).
b
Previous surgery before diagnosis of ESLs.