When the uterine mass is not a leiomyoma.

Adult Female Humans Hysterectomy Leiomyoma / diagnostic imaging Leiomyosarcoma / diagnostic imaging Smooth Muscle Tumor Uterine Neoplasms / diagnostic imaging
cancer - see oncology gynecological cancer

Journal

BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291

Informations de publication

Date de publication:
17 Aug 2021
Historique:
entrez: 18 8 2021
pubmed: 19 8 2021
medline: 20 8 2021
Statut: epublish

Résumé

A 37-year-old nulliparous woman with abnormal uterine bleeding and a uterine mass suggestive of a leiomyoma not responding to medical therapy was submitted to two hysteroscopies with histological analysis. The first one showed a 'leiomyoma' and the second a 'uterine smooth muscle tumour of uncertain malignant potential/epithelioid leiomyosarcoma, with positivity for hormonal receptors'. The patient was submitted to a total hysterectomy with bilateral salpingo-oophorectomy, and the microscopic examination of the tumour revealed a 'uterine tumour resembling ovarian sex-cord tumours'. According to the literature, most cases are diagnosed in postmenopausal women and have a favourable prognosis. These rare tumours have uncertain malignant potential and have no established treatment protocol, but it appears that a fertility-sparing approach is possible once they are well diagnosed.

Identifiants

DOI: 10.1136/bcr-2021-243845 PMID: 34404659 PMC: PMC8372803
pubmed: 34404659
pii: 14/8/e243845
doi: 10.1136/bcr-2021-243845
pmc: PMC8372803
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Sofia Pereira (S)

Gynaecology, Centro Hospitalar Leiria EPE, Pousos, Portugal sofiafarinhapereira@gmail.com.
ORCID: 0000-0003-1693-7212

Rita Sousa (R)

Gynaecology, Francisco Gentil Portuguese Institute for Oncology of Coimbra, Coimbra, Coimbra, Portugal.

Liliana Constantino (L)

ARS Centro, UCSP Anadia I, Anadia, Beira Litoral, Portugal.
Clínica Universitária de Medicina Geral e Familiar, Universidade de Coimbra Faculdade de Medicina, Coimbra, Beira Litoral, Portugal.

Carlos Abrantes (C)

Pathology Department, Coimbra University Hospital Centre, Coimbra, Portugal.
Pathology Department, Instituto Portugues de Oncologia de Coimbra Francisco Gentil EPE, Coimbra, Coimbra, Portugal.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › When the uterine mass is not a leiomyoma.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › When the uterine mass is not a leiomyoma.
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie urogénitale › Procédures de chirurgie gynécologique › Hystérectomie › When the uterine mass is not a leiomyoma.
questionsmedicales.fr › Tumeurs › Tumeurs par type histologique › Tumeurs du tissu conjonctif et des tissus mous › Tumeurs du tissu musculaire › Léiomyome › When the uterine mass is not a leiomyoma.
questionsmedicales.fr › Tumeurs › Tumeurs par type histologique › Tumeurs du tissu conjonctif et des tissus mous › Sarcomes › Léiomyosarcome › When the uterine mass is not a leiomyoma.
questionsmedicales.fr › Tumeurs › Tumeurs par type histologique › Tumeurs du tissu conjonctif et des tissus mous › Tumeurs du tissu musculaire › Tumeur du muscle lisse › When the uterine mass is not a leiomyoma.
questionsmedicales.fr › Maladies urogénitales › Tumeurs de l'appareil urogénital › Tumeurs de l'appareil génital féminin › Tumeurs de l'utérus › When the uterine mass is not a leiomyoma.