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Cotyledonoid dissecting leiomyoma of the uterus with intravascular growth in postmenopausal woman: a case presentation

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Abstract

Cotyledonoid dissecting leiomyoma (“Sternberg tumor”) is an unusual type of a benign uterine smooth-muscle tumor with a distinctive gross appearance. A 57-year-old woman (gravida 7, para 6), in menopause for 3 years, presented with a 3–4-year history of increased pelvic pain. The transvaginal ultrasound scan showed a 2.5 cm sized heterogenic mass in the uterus cavity and 4 × 5 cm sized irregular contoured mass in the right lateral aspect of the uterus. Total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed with removal of the pelvic tumor extension. Definite pathologic examination result was cotyledonoid dissecting leiomyoma of the uterus with intravascular growth. The patient is receiving follow-up care every 6 months, and she has no evidence of disease after 22 months of follow-up. The worrying appearance of the gross specimen is often mistaken for malignant or non-uterine lesions that may result in overtreatment. It is important to be aware of this entity to prevent overly aggressive treatment for this benign smooth-muscle neoplasm.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Selcuk University Meram Medical School, Akyokuş, 42080, Konya, Turkey

    Kazim Gezginç, Fatma Yazici & Refika Selimoğlu

  2. Department of Pathology, Selcuk University Meram Medical School, Konya, Turkey

    Lema Tavli

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  1. Kazim Gezginç
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  2. Fatma Yazici
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  3. Refika Selimoğlu
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  4. Lema Tavli
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Correspondence to Kazim Gezginç.

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Gezginç, K., Yazici, F., Selimoğlu, R. et al. Cotyledonoid dissecting leiomyoma of the uterus with intravascular growth in postmenopausal woman: a case presentation. Int J Clin Oncol 16, 701–704 (2011). https://doi.org/10.1007/s10147-011-0184-8

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  • DOI: https://doi.org/10.1007/s10147-011-0184-8

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