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Small Bowel Leiomyoma Mimics Neuroendocrine Tumor on 68Ga-DOTATATE PET/CT.
Clin Nucl Med
January 2025
Department of Nuclear Medicine, Royal Free London NHS Foundation Trust, London, United Kingdom.
A 57-year-old man with a 3-month history of lower abdominal pain and rectal bleeding with black stools underwent urgent abdominal CT, which revealed an ovoid hyperdense lesion in the ileum in the right iliac fossa. The prime differential was a midgut neuroendocrine tumor. Thus, the patient was referred for a 68Ga-DOTATATE PET/CT scan, which demonstrated intense activity in this lesion with no evidence of somatostatin receptor expression elsewhere.
View Article and Find Full Text PDFAn Unusual Diagnosis of Rectosigmoid Leiomyoma in an Adult: A Rare Case Report.
Clin Med Insights Case Rep
December 2024
Department of Gastroenterology, Faculty of Medicine, University of Balamand, Beirut, Lebanon.
Leiomyomas are uncommon tumors of the gastrointestinal system, representing around 0.03% to 0.05% of all rectal tumors.
View Article and Find Full Text PDFEfficacy and safety of different doses of mifepristone in the treatment of uterine fibroids: A meta-analysis.
Eur J Obstet Gynecol Reprod Biol
December 2024
Department of Gynecology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, PR China. Electronic address:
Article Synopsis
- The study aimed to assess the safety and effectiveness of various doses of mifepristone (2.5 mg to 50 mg) in treating uterine fibroids through a systematic review of randomized controlled trials (RCTs).
- A meta-analysis of 18 studies involving 2,066 patients indicated that mifepristone significantly reduced uterine and fibroid volumes and improved symptoms like pelvic pain and urinary issues compared to a control group.
- While mifepristone showed benefits, it also caused some side effects such as increased endometrial thickness and hot flashes, with the 5 mg/day dose for three months being identified as the potentially best regimen for treatment.
An Incidental Discovery of Rectal Leiomyoma in an Asymptomatic Patient: A Case Report.
Cureus
September 2024
Gastroenterology and Hepatology, Saint Michael's Medical Center, Newark, USA.
Leiomyomas are benign smooth muscle tumors predominantly found in the uterine wall, with rare occurrences in the gastrointestinal tract. Here, we report a rare case of a leiomyoma that was incidentally found in the rectum of an asymptomatic male who underwent a routine screening colonoscopy. Histopathological examination confirmed the diagnosis of leiomyoma.
View Article and Find Full Text PDFAn Uncommon Occurrence of Rectal Leiomyoma: A Case Report and Literature Review.
Cureus
September 2024
Internal Medicine, Morristown Medical Center, Morristown, USA.
Gastrointestinal (GI) leiomyomas, particularly those located in the rectum, are extremely rare, accounting for approximately 0.1% of rectal tumors. We report the case of a middle-aged female who presented with chronic diarrhea of unknown origin.
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