1.Cotyledonoid Dissecting Leiomyoma of the Uterus: A Case Report and Review of the Literature.
Mi Jin KIM ; Yoon Ki PARK ; Jae Ho CHO
Journal of Korean Medical Science 2002;17(6):840-844
"Cotyledonoid dissecting leiomyoma" or "Sternberg tumor" is a very rare variant of smooth muscle tumors with a distinctive gross appearance. We describe a similar lesion, probably the sixth reported case, comparing its clinicopathological features with those of previous cases. A 26-yr-old nulliparous woman underwent laparotomy for a large pelvic mass replacing the postero-lateral aspect of the uterus with extension into the left pelvic cavity in the form of numerous exophytic congested small nodules. The tumor was removed by resection without hysterectomy after frozen section examination. Histologically, there were variable sized micronodules of benign smooth muscle fascicles, which were separated by fibrous connective tissue with a marked hydropic change and rich vascularity. Immunohistochemical and ultrastructural studies were helpful for confirmation of the smooth muscle nature, but not useful for the definitive diagnosis. Due to bizarre, sarcoma-like gross appearances, this type of lesion should be subjected to frozen section examination in order to avoid overtreatment and preserve the fertility in young women.
Adult
;
Female
;
Humans
;
Immunohistochemistry
;
Laparotomy
;
Leiomyoma/*diagnosis/*pathology
;
Microscopy, Electron
;
Uterine Diseases/*diagnosis/*pathology
;
Uterine Neoplasms/*diagnosis/*pathology
;
Uterus/pathology/ultrastructure
3.A calcified tumour in the pelvis.
Sheng Hsiang LIN ; Hsiao Li LO
Annals of the Academy of Medicine, Singapore 2011;40(12):546-547
4.Pathologic diagnosis and prognosis of uterine leiomyosarcoma.
Chinese Journal of Pathology 2006;35(12):711-713
Female
;
Humans
;
Leiomyosarcoma
;
diagnosis
;
Mitotic Index
;
Prognosis
;
Uterine Neoplasms
;
diagnosis
;
Uterus
;
pathology
6.Primary squamous cell carcinoma of the fallopian tube.
Xiuli WANG ; Yi XU ; Cong WANG ; Zhihong ZHANG ; Tonghui JI ; Huihua DAI
Chinese Medical Journal 2014;127(8):1598-1598
7.Application of immunohistochemistry in differential diagnosis of endometrial carcinoma.
Chinese Journal of Pathology 2012;41(11):784-788
Adenocarcinoma, Clear Cell
;
diagnosis
;
metabolism
;
pathology
;
Adenocarcinoma, Mucinous
;
diagnosis
;
metabolism
;
pathology
;
Biomarkers, Tumor
;
metabolism
;
Carcinoma, Endometrioid
;
diagnosis
;
metabolism
;
pathology
;
Cystadenocarcinoma, Serous
;
diagnosis
;
metabolism
;
pathology
;
Diagnosis, Differential
;
Endometrial Neoplasms
;
diagnosis
;
metabolism
;
pathology
;
Female
;
Humans
;
Immunohistochemistry
;
Uterine Cervical Neoplasms
;
diagnosis
;
metabolism
;
pathology
8.Pure Basaloid Squamous Cell Carcinoma of the Uterine Cervix: A Case Report.
Yong Soon KWON ; Yong Man KIM ; Ga Won CHOI ; Young Tak KIM ; Joo Hyun NAM
Journal of Korean Medical Science 2009;24(3):542-545
Basaloid squamous cell carcinoma of the uterine cervix is an extremely rare malignancy of the female genital tract with a poorer clinical outcome than squamous cell carcinoma of the uterine cervix. We report a case of pure basaloid squamous cell carcinoma of the uterine cervix. A 70-yr-old woman with vaginal bleeding was referred to our institute. A basaloid squamous cell carcinoma of the uterine cervix, of International Federation of Gynecology and Obstetrics (FIGO) stage Ib1, was diagnosed by a loop electrosurgical excision procedure cone biopsy. A radical hysterectomy was performed, along with bilateral salpingo-oophorectomy, pelvic lymph node dissection, and para-aortic lymph node sampling. Pathologic findings were consistent with a basaloid squamous cell carcinoma confined to the cervix without an extracervical tumor. No further treatment was administered and there was no clinical evidence of recurrence during the 12 months of follow-up. Follow-up for the patient is ongoing. Although basaloid squamous cell carcinoma of the uterine cervix is thought to behave aggressively, accumulation of data on these rare tumors is necessary to determine whether their behavior differs significantly from that of conventional cervical squamous cell carcinoma of similar clinical stage. These data would be useful for defining the best diagnosis and treatment for these rare tumors.
Aged
;
Carcinoma, Squamous Cell/*diagnosis/pathology/surgery
;
Colonoscopy
;
Female
;
Humans
;
Hysterectomy
;
Magnetic Resonance Angiography
;
Uterine Cervical Neoplasms/*diagnosis/pathology/surgery
9.Benign Pulmonary Metastasizing Leiomyomatosis: Case Report and a Review of the Literature.
Young Il KWON ; Tae Hyung KIM ; Jang Won SOHN ; Ho Joo YOON ; Dong Ho SHIN ; Sung Soo PARK
The Korean Journal of Internal Medicine 2006;21(3):173-177
The authors report here on a case of a nearly asymptomatic 51-year-old Korean woman who was found to have diffuse, multiple nodules of the lungs on a routine chest radiograph. She had undergone hysterectomy 16 years previously for uterine myoma. An open lung biopsy revealed tumor that was composed of interlacing bundles of spindle cells with cigar shaped nucleus and eosinophilic myofibrils in the cytoplasm; consistent with multiple leiomyomas. The stains for SMA, desmin, MSA and Ki-67 were positive and the stain for c-kit was negative. The other stains for estrogen and progesterone receptor were positive. During the open lung biopsy procedure, all the nodules were excised. We report here on an interesting case of benign metastasizing leiomyoma (BML) in 51-year-old patient. To the best of our knowledge, this case showed the longest period of clinical progression in Korea. This is also one of a few cases in which curative excision was successfully performed.
Uterine Neoplasms/*pathology/surgery
;
Ovariectomy
;
Middle Aged
;
Lung Neoplasms/diagnosis/*secondary
;
Leiomyomatosis/*pathology/surgery
;
Hysterectomy
;
Humans
;
Female
;
Disease Progression
10.Difficulties in pathologic diagnosis of soft tissue tumors.
Chinese Journal of Pathology 2011;40(6):416-419
Adolescent
;
Adult
;
Breast Neoplasms
;
pathology
;
Carcinoma
;
pathology
;
Diagnosis, Differential
;
Endothelium, Vascular
;
pathology
;
Fasciitis
;
pathology
;
Female
;
Hemangiosarcoma
;
pathology
;
Histiocytoma, Malignant Fibrous
;
pathology
;
Humans
;
Hyperplasia
;
pathology
;
Leiomyoma
;
pathology
;
Leiomyosarcoma
;
pathology
;
Middle Aged
;
Soft Tissue Neoplasms
;
pathology
;
Uterine Neoplasms
;
pathology
;
Vascular Diseases
;
pathology