Cotyledonoid dissecting leiomyoma of the uterus: report of two cases
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- 作者：Harumi Saeki (1) (2) (3)
Chikako Suzuki (4)
Shigetaka Yamasaki (3)
Akane Hashizume (2)
Hiroshi Izumi (2)
Fujihiko Suzuki (2)
Kazuhisa Ishi (2)
Michio Nojima (4)
Okio Hino (1)
1. School of Medicine ; Department of Pathology and Oncology ; Juntendo University ; 2-1-1 ; Hongo ; Bunkyo-ku ; Tokyo ; 113-8421 ; Japan
2. Department of Diagnostic Pathology ; Juntendo University Urayasu Hospital ; Urayasu ; Chiba ; Japan
3. Department of Diagnostic Pathology ; Tokyo Rinkai Hospital ; Edogawa-ku ; Tokyo ; Japan
4. Department of Obstetrics and Gynecology ; Juntendo University Urayasu Hospital ; Urayasu ; Chiba ; Japan - 关键词：Cotyledonoid dissecting leiomyoma ; Uterus ; Myomectomy ; Pregnancy ; Case report
- 刊名：Archives of Gynecology and Obstetrics
- 出版年：2015
- 出版时间：February 2015
- 年：2015
- 卷：291
- 期：2
- 页码：357-361
- 全文大小：1,129 KB
- 参考文献：1. Roth LM, Reed RJ, Sternberg WH (1996) Cotyledonoid dissecting leiomyoma of the uterus: the sternberg tumour. Am J Surg Pathol 20:1455鈥?461 CrossRef
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11. Soleymani Majd H, Ismail L, Desai SA, Reginald PW (2011) Epithelioid cotyledonoid dissecting leiomyoma: a case report and review of the literature. Arch Gynecol Obstet 283(4):771鈥?74 CrossRef
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13. Ers枚z S, Turgutalp H, Mungan S, G眉vendi G, G眉ven S (2011) Cotyledonoid leiomyoma of uterus: a case report. Turk Patholoji Derg 27(3):257鈥?60 CrossRef
14. Roth LM, Kirker JA, Insull M, Whittaker J (2013) Recurrent cotyledonoid dissecting leiomyoma of the uterus. Int J Gynecol Pathol 32(2):215鈥?20 3e318257dff4" target="_blank" title="It opens in new window">CrossRef
15. Mathew M, Gowri V, Rao K, Machado L, AI Hamdani A, Shabnam S (2007) Cotyledonoid leiomyoma in pregnancy. Obstet Gynecol 109:509鈥?11 359.34860.91" target="_blank" title="It opens in new window">CrossRef
16. Jordan LB, Al-Nafussi A, Beattie G (2002) Cotyledonoid hydropic intravenous leiomyomatosis: a new variant leiomyoma. Histopathology 40:245鈥?52 365-2559.2002.01359.x" target="_blank" title="It opens in new window">CrossRef
17. Preda L, Rizzo S, Gorone MS, Fasani R, Maggioni A, Bellomi M (2009) MRI features of cotyledonoid dissecting leiomyoma of the uterus. Tumori 95(4):532鈥?34 - 刊物类别：Medicine
- 刊物主题：Medicine & Public Health
Gynecology
Obstetrics and Perinatology
Endocrinology
Human Genetics - 出版者：Springer Berlin / Heidelberg
- ISSN：1432-0711
文摘
Background Cotyledonoid dissecting leiomyoma (Sternberg tumor) is a rare variant of the uterine smooth muscle tumor. Although this tumor is a benign tumor clinically and pathologically, the appearance and growth pattern is unusual, so it may be misdiagnosed as malignancy. Case reports We report two cases of cotyledonoid dissecting leiomyoma of the uterus that occurred in two 44- and 31-year-old women, respectively. Total hysterectomy and bilateral salpingo-oophorectomy were performed in one of the patients, and myomectomy was done in the other one. Macroscopically, both tumors were grape-like exophytic masses resembling placental tissue. The patients were well after surgery, and one patient gave birth. To our knowledge, this is the first case report of a successful delivery after myomectomy of this tumor. Conclusion To prevent aggressive surgery it is important to recognize that this tumor is a benign and unusual appearing variant of leiomyoma. A fertility-sparing surgical procedure should be considered if the patient wishes to preserve her fertility.