A Case Report Of Uterine Leiomyosarcoma
Uterine leiomyoma is the most common benign tumor in women. Uterine sarcoma, though with very low incidence, has a high malignant degree and poor prognosis. It has difficulties in preoperative diagnosis, frozen pathological examination and postoperative treatment. A 49-year-old woman presented with...
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| Veröffentlicht in: | OncoTargets and therapy 2019-01, Vol.12, p.8583-8586 |
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| creator | Cao, Siyu Liu, Yang Bai, Xuechai Wang, Liang |
| description | Uterine leiomyoma is the most common benign tumor in women. Uterine sarcoma, though with very low incidence, has a high malignant degree and poor prognosis. It has difficulties in preoperative diagnosis, frozen pathological examination and postoperative treatment.
A 49-year-old woman presented with menstrual disorder. Magnetic resonance imaging showed a huge uterine mass. The patient underwent laparoscopic hysterectomy and part of the uterine tissue looked like fish. Specimens were sent to frozen pathological examination for four times, but none of the results showed malignancy certainly. Considering all abnormalities, we removed the uterine through vagina completely rather than morcellation and did pelvic lymph node biopsy. Postoperative pathological examination revealed uterine leiomyosarcoma and one pelvic lymph node had metastasized.
Uterine sarcoma is difficult to be diagnosed even frozen pathological examination has been performed. Unexpected uterine sarcoma should always be considered, and precautions should be taken if we find anything suspicious. Fortunately, the patient has avoided second operation. |
| doi_str_mv | 10.2147/OTT.S218222 |
| format | Article |
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A 49-year-old woman presented with menstrual disorder. Magnetic resonance imaging showed a huge uterine mass. The patient underwent laparoscopic hysterectomy and part of the uterine tissue looked like fish. Specimens were sent to frozen pathological examination for four times, but none of the results showed malignancy certainly. Considering all abnormalities, we removed the uterine through vagina completely rather than morcellation and did pelvic lymph node biopsy. Postoperative pathological examination revealed uterine leiomyosarcoma and one pelvic lymph node had metastasized.
Uterine sarcoma is difficult to be diagnosed even frozen pathological examination has been performed. Unexpected uterine sarcoma should always be considered, and precautions should be taken if we find anything suspicious. Fortunately, the patient has avoided second operation.</description><identifier>ISSN: 1178-6930</identifier><identifier>EISSN: 1178-6930</identifier><identifier>DOI: 10.2147/OTT.S218222</identifier><identifier>PMID: 31802894</identifier><language>eng</language><publisher>New Zealand: Dove Medical Press Limited</publisher><subject>Biopsy ; Case Report ; Case reports ; Diagnosis ; Diagnostic imaging ; Epidemiology ; Fibroids ; Gynecology ; Hospitals ; Hysterectomy ; Laparoscopy ; Leiomyoma ; Leiomyosarcoma ; Lymph node biopsy ; Lymph nodes ; Lymphatic system ; Magnetic resonance imaging ; Malignancy ; Medical prognosis ; Medical research ; Medical schools ; Menopause ; Menstruation ; NMR ; Nuclear magnetic resonance ; Obstetrics ; Pain ; Patients ; Prognosis ; Sarcoma ; Smooth muscle ; Surgery ; Systematic review ; Tumors ; Ultrasonic imaging ; Uterine cancer ; Uterus ; Vagina</subject><ispartof>OncoTargets and therapy, 2019-01, Vol.12, p.8583-8586</ispartof><rights>2019 Cao et al.</rights><rights>COPYRIGHT 2019 Dove Medical Press Limited</rights><rights>2019. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Cao et al. 2019 Cao et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c507t-1d02e6394ec2d589c1331d9b399522fe8493770aebbe085c319e882b1413aa183</citedby><orcidid>0000-0001-6047-5284</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6801628/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6801628/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,3849,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31802894$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cao, Siyu</creatorcontrib><creatorcontrib>Liu, Yang</creatorcontrib><creatorcontrib>Bai, Xuechai</creatorcontrib><creatorcontrib>Wang, Liang</creatorcontrib><title>A Case Report Of Uterine Leiomyosarcoma</title><title>OncoTargets and therapy</title><addtitle>Onco Targets Ther</addtitle><description>Uterine leiomyoma is the most common benign tumor in women. Uterine sarcoma, though with very low incidence, has a high malignant degree and poor prognosis. It has difficulties in preoperative diagnosis, frozen pathological examination and postoperative treatment.
A 49-year-old woman presented with menstrual disorder. Magnetic resonance imaging showed a huge uterine mass. The patient underwent laparoscopic hysterectomy and part of the uterine tissue looked like fish. Specimens were sent to frozen pathological examination for four times, but none of the results showed malignancy certainly. Considering all abnormalities, we removed the uterine through vagina completely rather than morcellation and did pelvic lymph node biopsy. Postoperative pathological examination revealed uterine leiomyosarcoma and one pelvic lymph node had metastasized.
Uterine sarcoma is difficult to be diagnosed even frozen pathological examination has been performed. Unexpected uterine sarcoma should always be considered, and precautions should be taken if we find anything suspicious. Fortunately, the patient has avoided second operation.</description><subject>Biopsy</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Diagnosis</subject><subject>Diagnostic imaging</subject><subject>Epidemiology</subject><subject>Fibroids</subject><subject>Gynecology</subject><subject>Hospitals</subject><subject>Hysterectomy</subject><subject>Laparoscopy</subject><subject>Leiomyoma</subject><subject>Leiomyosarcoma</subject><subject>Lymph node biopsy</subject><subject>Lymph nodes</subject><subject>Lymphatic system</subject><subject>Magnetic resonance imaging</subject><subject>Malignancy</subject><subject>Medical prognosis</subject><subject>Medical research</subject><subject>Medical schools</subject><subject>Menopause</subject><subject>Menstruation</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Obstetrics</subject><subject>Pain</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Sarcoma</subject><subject>Smooth muscle</subject><subject>Surgery</subject><subject>Systematic review</subject><subject>Tumors</subject><subject>Ultrasonic imaging</subject><subject>Uterine cancer</subject><subject>Uterus</subject><subject>Vagina</subject><issn>1178-6930</issn><issn>1178-6930</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptksFrFDEUh4MotlZP3mVAUKHsmpdkMslFWBa1hYWFuj2HTOZNN2VmsiYzQv97s3StuyI5JCTf-0JefoS8BTpnIKrP681m_oOBYow9I-cAlZpJzenzo_UZeZXSPaVSKiZekjMOijKlxTn5uCiWNmFxg7sQx2LdFrcjRj9gsUIf-oeQbHSht6_Ji9Z2Cd8c5gty--3rZnk1W62_Xy8Xq5kraTXOoKEMJdcCHWtKpR1wDo2uudYlYy0qoXlVUYt1jVSVjoNGpVgNAri1oPgF-fLo3U11j43DYYy2M7voexsfTLDenJ4Mfmvuwi8jFQXJ9oJPB0EMPydMo-l9cth1dsAwJcM4Y8AVFzKj7_9B78MUh_y8TNEsY0LQv9Sd7dD4oQ35XreXmoWkEriAsszU_D9UHg323oUBW5_3Two-HBVs0XbjNoVuGn0Y0il4-Qi6GFKK2D41A6jZB8DkAJhDADL97rh_T-yfH-e_AWF8pjE</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Cao, Siyu</creator><creator>Liu, Yang</creator><creator>Bai, Xuechai</creator><creator>Wang, Liang</creator><general>Dove Medical Press Limited</general><general>Taylor & Francis Ltd</general><general>Dove</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6047-5284</orcidid></search><sort><creationdate>20190101</creationdate><title>A Case Report Of Uterine Leiomyosarcoma</title><author>Cao, Siyu ; Liu, Yang ; Bai, Xuechai ; Wang, Liang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c507t-1d02e6394ec2d589c1331d9b399522fe8493770aebbe085c319e882b1413aa183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Biopsy</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Diagnosis</topic><topic>Diagnostic imaging</topic><topic>Epidemiology</topic><topic>Fibroids</topic><topic>Gynecology</topic><topic>Hospitals</topic><topic>Hysterectomy</topic><topic>Laparoscopy</topic><topic>Leiomyoma</topic><topic>Leiomyosarcoma</topic><topic>Lymph node biopsy</topic><topic>Lymph nodes</topic><topic>Lymphatic system</topic><topic>Magnetic resonance imaging</topic><topic>Malignancy</topic><topic>Medical prognosis</topic><topic>Medical research</topic><topic>Medical schools</topic><topic>Menopause</topic><topic>Menstruation</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Obstetrics</topic><topic>Pain</topic><topic>Patients</topic><topic>Prognosis</topic><topic>Sarcoma</topic><topic>Smooth muscle</topic><topic>Surgery</topic><topic>Systematic review</topic><topic>Tumors</topic><topic>Ultrasonic imaging</topic><topic>Uterine cancer</topic><topic>Uterus</topic><topic>Vagina</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cao, Siyu</creatorcontrib><creatorcontrib>Liu, Yang</creatorcontrib><creatorcontrib>Bai, Xuechai</creatorcontrib><creatorcontrib>Wang, Liang</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>OncoTargets and therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cao, Siyu</au><au>Liu, Yang</au><au>Bai, Xuechai</au><au>Wang, Liang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Case Report Of Uterine Leiomyosarcoma</atitle><jtitle>OncoTargets and therapy</jtitle><addtitle>Onco Targets Ther</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>12</volume><spage>8583</spage><epage>8586</epage><pages>8583-8586</pages><issn>1178-6930</issn><eissn>1178-6930</eissn><abstract>Uterine leiomyoma is the most common benign tumor in women. Uterine sarcoma, though with very low incidence, has a high malignant degree and poor prognosis. It has difficulties in preoperative diagnosis, frozen pathological examination and postoperative treatment.
A 49-year-old woman presented with menstrual disorder. Magnetic resonance imaging showed a huge uterine mass. The patient underwent laparoscopic hysterectomy and part of the uterine tissue looked like fish. Specimens were sent to frozen pathological examination for four times, but none of the results showed malignancy certainly. Considering all abnormalities, we removed the uterine through vagina completely rather than morcellation and did pelvic lymph node biopsy. Postoperative pathological examination revealed uterine leiomyosarcoma and one pelvic lymph node had metastasized.
Uterine sarcoma is difficult to be diagnosed even frozen pathological examination has been performed. Unexpected uterine sarcoma should always be considered, and precautions should be taken if we find anything suspicious. Fortunately, the patient has avoided second operation.</abstract><cop>New Zealand</cop><pub>Dove Medical Press Limited</pub><pmid>31802894</pmid><doi>10.2147/OTT.S218222</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0001-6047-5284</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Taylor & Francis Open Access; DOVE Medical Press Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Biopsy Case Report Case reports Diagnosis Diagnostic imaging Epidemiology Fibroids Gynecology Hospitals Hysterectomy Laparoscopy Leiomyoma Leiomyosarcoma Lymph node biopsy Lymph nodes Lymphatic system Magnetic resonance imaging Malignancy Medical prognosis Medical research Medical schools Menopause Menstruation NMR Nuclear magnetic resonance Obstetrics Pain Patients Prognosis Sarcoma Smooth muscle Surgery Systematic review Tumors Ultrasonic imaging Uterine cancer Uterus Vagina |
| title | A Case Report Of Uterine Leiomyosarcoma |
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