2.Epithelioid trophoblastic tumor of the uterus: a report of.
Qi LIU ; Qun-Li SHI ; Jian-Min ZHANG ; Yan LI ; Yi-Ming DU ; Shi-Ming SHEN ; Heng-Hui MA ; Kui MENG
Chinese Medical Journal 2007;120(8):729-730
Adult
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Epithelioid Cells
;
pathology
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Fatal Outcome
;
Female
;
Humans
;
Hysterectomy
;
Middle Aged
;
Trophoblastic Neoplasms
;
pathology
;
surgery
;
Uterine Neoplasms
;
pathology
;
surgery
3.Nerve plane-sparing radical hysterectomy: a simplified technique of nerve-sparing radical hysterectomy for invasive cervical cancer.
Bin LI ; Wei LI ; Yang-Chun SUN ; Rong ZHANG ; Gong-Yi ZHANG ; Gao-Zhi YU ; Ling-Ying WU
Chinese Medical Journal 2011;124(12):1807-1812
BACKGROUNDIn order to simplify the complicated procedure of nerve-sparing radical hysterectomy, a novel technique characterized by integral preservation of the autonomic nerve plane has been employed for invasive cervical cancer. The objective of this study was to introduce the nerve plane-sparing radical hysterectomy technique and compare its efficacy and safety with that of nerve-sparing radical hysterectomy.
METHODSFrom September 2006 to August 2010, 73 consecutive patients with International Federation of Gynecology and Obstetrics stage IB to IIA cervical cancer underwent radical hysterectomy with two different nerve-sparing approaches. Nerve-sparing radical hysterectomy was performed for the first 16 patients (nerve-sparing radical hysterectomy group). The detailed autonomic nerve structures were identified and separated by meticulous dissection during this procedure. After January 2008, the nerve plane-sparing radical hysterectomy procedure was developed and performed for the next 57 patients (nerve plane-sparing radical hysterectomy group). During this modified procedure, the nerve plane (meso-ureter and its extension) containing most of the autonomic nerve structures was integrally preserved. The patients' clinicopathologic characteristics, surgical parameters, and outcomes of postoperative bladder function were compared between the two groups.
RESULTSThere were no significant differences between the nerve plane-sparing radical hysterectomy and nerve-sparing radical hysterectomy groups regarding age, International Federation of Gynecology and Obstetrics stage, pathological type, preoperative treatment, or need for intraoperative blood transfusion. The nerve plane-sparing radical hysterectomy group had a higher body mass index than that of the nerve-sparing radical hysterectomy group (P = 0.028). The mean surgical duration in the nerve plane-sparing radical hysterectomy and nerve-sparing radical hysterectomy groups were (262 ± 46) minutes and (341 ± 36) minutes (P < 0.01). On the 8th postoperative day, 41 (71.9%) patients in the nerve plane-sparing radical hysterectomy group and nine (56.3%) patients in the nerve-sparing radical hysterectomy group had a postvoid residual urine volume of < 100 ml (P = 0.233). The median duration of catheterization was eight days (range 8 - 23 days) for the nerve plane-sparing radical hysterectomy group and eight days (range 8 - 22 days) for the nerve-sparing radical hysterectomy group (P = 0.509). Neither surgery-related injury nor pathologically positive margins were reported in either group.
CONCLUSIONNerve plane-sparing radical hysterectomy is a reproducible and simplified modification of nerve-sparing radical hysterectomy, and may be preferable to nerve-sparing radical hysterectomy for treatment of early-stage invasive cervical cancer.
Adult ; Aged ; Autonomic Pathways ; surgery ; Female ; Humans ; Hysterectomy ; methods ; Middle Aged ; Uterine Cervical Neoplasms ; pathology ; surgery
4.Intravenous leiomyomatosis of uterus growing into vena cava and right atrium: report of a case.
Jian-ming WENG ; Wen-qiao WU ; Ming-zhi CAI
Chinese Journal of Pathology 2009;38(2):133-133
Actins
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metabolism
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Female
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Heart Atria
;
pathology
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Heart Neoplasms
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secondary
;
surgery
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Humans
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Iliac Vein
;
pathology
;
surgery
;
Leiomyomatosis
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metabolism
;
pathology
;
surgery
;
Middle Aged
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Uterine Neoplasms
;
metabolism
;
pathology
;
surgery
;
Vascular Neoplasms
;
metabolism
;
pathology
;
surgery
;
Veins
;
pathology
;
surgery
;
Vena Cava, Inferior
;
pathology
5.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
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Ovariectomy
;
Middle Aged
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Lung Neoplasms/diagnosis/*secondary
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Leiomyomatosis/*pathology/surgery
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Hysterectomy
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Humans
;
Female
;
Disease Progression
6.Cotyledonoid hydropic intravenous leiomyomatosis of uterus: report of a case.
Ying WU ; Ju-fang CAI ; Guo-feng ZHANG ; Shou-xiang WENG ; Yi-jian YU
Chinese Journal of Pathology 2006;35(12):763-764
Adult
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Diagnosis, Differential
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Female
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Humans
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Hysterectomy
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Leiomyomatosis
;
pathology
;
surgery
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Sarcoma, Endometrial Stromal
;
pathology
;
Uterine Neoplasms
;
pathology
;
surgery
;
Uterus
;
blood supply
;
Vascular Neoplasms
;
pathology
;
surgery
7.A clinicopathologic study of uterine smooth muscle tumours of uncertain malignant potential (STUMP).
Joseph S Y NG ; Aaron HAN ; Sung Hock CHEW ; Jeffrey LOW
Annals of the Academy of Medicine, Singapore 2010;39(8):625-628
INTRODUCTIONThe clinical management of Smooth Muscle Tumours of Uncertain Malignant Potential (STUMPs) remains controversial because little is known about the natural history of these tumours and pathological classifications do not correlate well with clinical outcomes and therefore cannot direct management. The objective of this study was to review a single institution's experience with STUMP and recommend a rational clinical approach to the management of patients with this histological diagnosis.
MATERIALS AND METHODSA systematic review of all diagnoses of STUMP and leiomyosarcoma from the gynaecologic oncology and pathology databases between January 1970 and February 2006.
RESULTSA total of 18 diagnoses of STUMP and 72 diagnoses of Ieiomyosarcoma were made during the study period. None of these 72 cases of leiomyosarcoma had a prior diagnosis of STUMP. There were no recurrences in the 18 cases of STUMP with all 18 cases being registered as disease-free after 5 years.
CONCLUSIONSWe recommend that patients with a diagnosis of STUMP be expectantly managed given the low likelihood of leiomyosarcomatous transformation, the lack of any evidence that adjuvant treatments result in better long-term outcomes and that recurrences are amenable to surgical resection with good outcomes.
Adult ; Female ; Humans ; Leiomyoma ; diagnosis ; pathology ; surgery ; Retrospective Studies ; Smooth Muscle Tumor ; diagnosis ; pathology ; surgery ; Uterine Neoplasms ; diagnosis ; pathology ; surgery ; Uterus ; pathology ; surgery
8.Intravenous leiomyomatosis--report of two cases.
Guangxing FENG ; Jilin JING ; Fenghe LAN
Chinese Medical Sciences Journal 2004;19(1):55-55
Adult
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Female
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Follow-Up Studies
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Heart Neoplasms
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secondary
;
surgery
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Humans
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Leiomyoma
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pathology
;
surgery
;
Leiomyomatosis
;
surgery
;
Pelvic Neoplasms
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secretion
;
surgery
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Pulmonary Artery
;
pathology
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Reoperation
;
Uterine Neoplasms
;
pathology
;
surgery
;
Vascular Neoplasms
;
secretion
;
surgery
;
Vena Cava, Inferior
;
pathology
9.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
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Carcinoma, Squamous Cell/*diagnosis/pathology/surgery
;
Colonoscopy
;
Female
;
Humans
;
Hysterectomy
;
Magnetic Resonance Angiography
;
Uterine Cervical Neoplasms/*diagnosis/pathology/surgery