A case of cotyledonoid leiomyoma and review of the literature

Gürbüz, Ayşe; Karateke, Ateş; Kabaca, Canan; Arik, H.; Bilgiç, Remziye

doi:10.1111/j.1525-1438.2005.00181.x

Cited by 20 publications

(15 citation statements)

References 8 publications

(34 reference statements)

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“…In the literature, two types of cotyledonoid leiomyoma have been described, namely, cotyledonoid dissecting leiomyoma, where exophytic mass is in continuity with intramural tumour3 5 6 and cotyledonoid dissecting leiomyoma which lacked the intramural component 7 8. The present case did not have any intramural component.…”

Section: Discussionmentioning

confidence: 52%

Epithelioid cotyledonoid leiomyoma of uterus

Chawla

Bhardwaj²,

Sareen³

et al. 2014

BMJ Case Reports

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A 42-year-old para 2 women underwent laparotomy with a preoperative diagnosis of leiomyoma uterus and ovarian endometrioma. At laparotomy, uterus was 12-week size and bilateral tubes and ovaries were normal. There was a large friable reddish-brown mass dissecting the leaves of broad ligament with extension into pelvic cavity and retroperitoneal spaces. Total abdominal hysterectomy with bilateral salpingo-oophorectomy with resection of tumour was performed as there was concern about the possibility of malignancy. Histopathological examination revealed a cotyledonoid leiomyoma epithelioid variant. These tumours, though benign, raise the possibility of malignancy at the time of surgery due to their bizarre and sarcoma-like appearance. It is important for the pathologist and gynaecologist to be aware of this rare variant of leiomyoma to avoid an overtreatment

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Section: Discussionmentioning

confidence: 52%

Epithelioid cotyledonoid leiomyoma of uterus

Chawla

Bhardwaj²,

Sareen³

et al. 2014

BMJ Case Reports

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“…One unusual variant is the cotyledonoid dissecting leiomyoma of the uterus or "Sternberg tumour" first described in 1996 by Roth et al [1]. Including our current case, only 10 cases have been described in the English literature to date [1-6]. The case presented here demonstrated the typical features described for these tumours: an exophytic component of bulbous (cotyledonoid) smooth muscle grossly resembling placental tissue protruding from the uterine surface near the region of the cornu and extending into the the broad ligament.…”

Section: Discussionmentioning

confidence: 77%

Cotyledonoid dissecting leiomyoma of the uterus: a case report

et al. 2007

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Cotyledonoid dissecting leiomyoma of the uterus is a recently described rare variant of benign uterine leiomyoma. We report a case of cotyledonoid dissecting leiomyoma in a 52 year old woman who presented with menorrhagia and abdominal pain. An ultrasound scan showed a bulky uterus and a cystic heterogenous mass near the left ovary. At hysterectomy, the left broad ligament mass was removed. This was continuous with an ill-defined nodular area in the myometrial fundus. Microscopy revealed a benign smooth muscle proliferation in the myometrium that extended beyond the uterus and into the broad ligament. The lesion appeared to be dissecting the myometrial fibres and showed areas of oedema, hyalinisation and perinodular hydropic change. Cellular atypia, mitoses and coagulative necrosis were absent. The patient is alive and well 18 months after surgery. It is important to recognize this benign and unusual appearing variant of leiomyoma in order to prevent inappropriate treatment.

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“…According to our knowledge, our current cotyledonoid leiomyoma case which does not contain myometrium dissection is the third one following the original descriptive case of Roth et al and Gurbuz et al (5,11).…”

Section: A C B Dmentioning

confidence: 70%

Cotyledonoid leiomyoma of uterus: a case report

Ersöz¹,

Turgutalp²,

Munğan³

et al. 2011

TJPATH

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The diagnosis of uterine smooth muscle tumors is usually not difficult. Occasionally, benign tumors with an unusual growth pattern may cause some diagnostic confusion for pathologists who had not experienced such a tumor before. A fifty-one year old female patient had admitted to our gynecology outpatient clinics with abnormal uterine bleeding (menorrhagia) and undergone a surgery with a diagnosis of pelvic mass. A neoplasm consisting of spindle cell nodules with prominent hydropic degeneration was observed at pathological examination. Tumor cells were positive for vimentin, desmin and smooth muscle actin at immunohistochemical evaluation. Cotyledonoid leiomyomas are rare benign smooth muscle tumors of uterus which are recently defined in the literature. In this article we report a case of cotyledonoid leiomyoma of uterus with an exophytic growth pattern in the serosa and did not contain an intramural dissecting component.

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A case of cotyledonoid leiomyoma and review of the literature

Cited by 20 publications

References 8 publications

Epithelioid cotyledonoid leiomyoma of uterus

Epithelioid cotyledonoid leiomyoma of uterus

Cotyledonoid dissecting leiomyoma of the uterus: a case report

Cotyledonoid leiomyoma of uterus: a case report

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