Cotyledonoid dissecting leiomyoma of the uterus with intravascular growth in postmenopausal woman: a case presentation
| Autor: | Lema Tavlı, Kazım Gezginç, Refika Selimoğlu, Fatma Yazıcı |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Ovariectomy Uterus Cotyledonoid Dissecting Leiomyoma Hysterectomy Magnetic resonance angiography Surgical oncology Abdomen medicine Neoplasm Humans medicine.diagnostic_test Leiomyoma business.industry Pelvic pain Hematology General Medicine Middle Aged medicine.disease Surgery Menopause Postmenopause medicine.anatomical_structure Oncology Uterine Neoplasms Pelvic tumor Female Gynecological Examination medicine.symptom business Magnetic Resonance Angiography |
| Zdroj: | International journal of clinical oncology. 16(6) |
| ISSN: | 1437-7772 |
| Popis: | Cotyledonoid dissecting leiomyoma (“Sternberg tumor”) is an unusual type of a benign uterine smooth-muscle tumor with a distinctive gross appearance. A 57-year-old woman (gravida 7, para 6), in menopause for 3 years, presented with a 3–4-year history of increased pelvic pain. The transvaginal ultrasound scan showed a 2.5 cm sized heterogenic mass in the uterus cavity and 4 × 5 cm sized irregular contoured mass in the right lateral aspect of the uterus. Total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed with removal of the pelvic tumor extension. Definite pathologic examination result was cotyledonoid dissecting leiomyoma of the uterus with intravascular growth. The patient is receiving follow-up care every 6 months, and she has no evidence of disease after 22 months of follow-up. The worrying appearance of the gross specimen is often mistaken for malignant or non-uterine lesions that may result in overtreatment. It is important to be aware of this entity to prevent overly aggressive treatment for this benign smooth-muscle neoplasm. |
| Databáze: | OpenAIRE |
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