Cotyledonoid Dissecting Leiomyoma: A Rare Variant of Leiomyoma of the Uterus.
cdl
cotyledonoid dissecting leiomyoma
fibroid uterus
leiomyoma
leiomyoma variant
sternberg tumor
uterine fibroid
uterus
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
accepted:
16
10
2022
entrez:
21
11
2022
pubmed:
22
11
2022
medline:
22
11
2022
Statut:
epublish
Résumé
Cotyledonoid dissecting leiomyoma is a rare variant of leiomyoma and has only been reported a few times in the literature. As a result of its alarming gross and radiologic appearance, it must be differentiated from other malignant smooth muscle tumors. We report a case of cotyledonoid dissecting leiomyoma in an African American premenopausal woman with a medical history of anemia, abnormal uterine bleeding, and a cervical mass. A total hysterectomy was performed on the patient. On pathological examination, the gross and microscopic appearance of the tumor was consistent with that described in previous reports of cotyledonoid dissecting leiomyoma. However, our case showed focal areas of increased mitotic activity with 5 mitoses per high power field but no tumor cell necrosis or cellular atypia. This tumor does not have malignant potential, but clinicians and pathologists must be aware of its existence to avoid overtreating patients.
Identifiants
pubmed: 36407217
doi: 10.7759/cureus.30352
pmc: PMC9665912
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e30352Informations de copyright
Copyright © 2022, Fernandez et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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