DOI: 10.12890/2023_003722
Surprising erythrocytosis resolution after myomectomy: myomatous erythrocytosis syndrome
Authors
adriano.salaroli@bordet.be
Keywords
Erythrocytosis, polyglobulia, leiomyoma, myomatous erythrocytosis syndrome, MESAbstract
Myomatous erythrocytosis syndrome (MES) is a rare gynaecological condition associated with the presence of a uterine fibroid and isolated polycythaemia. The main characteristic of MES is that haemoglobin returns to a normal level after removal of the myoma. MES is poorly known and still not fully understood. This case report describes the history of a patient with MES with surprising erythrocytosis resolution after myomectomy.
References
- Tefferi A, Barbui T. Polycythemia vera and essential thrombocythemia: 2021 update on diagnosis, risk-stratification and management. Am J Hematol 2020;95:1599–1613.
- Thomsen AP, Marson FGW. Polycythemia with fibroids. Lancet 1953;2:759–760.
- Fleming AR, Markley JC. Polycythemia associated with uterine myomas. Am J Obstet Gynecol 1957;74:677–679.
- Hertko EJ. Polycythemia (erythrocytosis) associated with uterine fibroids: a case report with erythropoietic activity demonstrated in the tumor. Ann Intern Med 1968;68:1169.
- Yoshida M, Koshiyama M, Fujii H, Konishi M. Erythrocytosis and a fibroid. Lancet 1999;354:216.
- Pollio F, Stabibano S, Mansueto G, De Rosa G, Persico F, De Falco M, et al. Erythropoietin and erythropoietin receptor system in a large uterine myoma of a patient with myomatous erythrocytosis syndrome: possible relationship with the pathogenesis of unusual tumor size. Hum Pathol 2005;36:120–127.
- Horwitz A, McKelway WP. Polycythemia associated with uterine myomas. J Am Med Assoc 1955;158:1360.
- Mui J, Yang MMH, Cohen T, McDonald DI, Hunt H. More than a myoma: a review of myomatous erythrocytosis syndrome. J Obstet Gynaecol Can 2020;42:198–203.e3.