Morphological and Ancillary Features of Uterine Leiomyosarcoma: Case Report.

We report a rare case of giant uterine leiomyosarcoma in a postmenopausal woman, whose diagnosis was initially suspected at the evaluation of the abdominal efusion, and confirmed after the pathological examination of the uterus in association with the ancillary tests. The evaluation of the abdominal...

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Publicado en:Clinical Pathology Vol. 15; pp. 1 - 4
Autores principales: Boșoteanu, Mădălina, Vodă, Raluca Ioana, Așchie, Mariana, Bosoteanu, Luana-Andreea, Bălțătescu, Gabriela Izabela
Formato: case study pictorial Journal Article
Publicado: Sage Publications Inc. 6/27/2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 6/27/2022
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Morphological and Ancillary Features of Uterine Leiomyosarcoma: Case Report.
      aug:
        au:
          Boșoteanu, Mădălina
          Vodă, Raluca Ioana
          Așchie, Mariana
          Bosoteanu, Luana-Andreea
          Bălțătescu, Gabriela Izabela
        affil: Clinical Service of Pathology, "Sf. Apostol Andrei" Emergency County Hospital, Constanţa, Romania
      sug:
        subj:
          Leiomyosarcoma Physiopathology
          Uterine Neoplasms Physiopathology
          Uterus Anatomy and Histology
          Disease Attributes
          Middle Age
          Female
          Microscopy
          Uterus Pathology
          Cell Proliferation
          Immunohistochemistry
          Body Fluids
          Middle Aged: 45-64 years
          Female
      ab: We report a rare case of giant uterine leiomyosarcoma in a postmenopausal woman, whose diagnosis was initially suspected at the evaluation of the abdominal efusion, and confirmed after the pathological examination of the uterus in association with the ancillary tests. The evaluation of the abdominal fluid showed single or clusters of malignant, round or spindle-shaped cells. On microscopic examination of the surgical specimen, a dense cell proliferation of spindle cells, with moderate to severe nuclear pleomorphism and significant mitotic activity was observed. Immunohistochemical evaluation demonstrated the loss of myocytic differentiation by focal, weakly positive expression of smooth muscle actin and desmin. The data presented in this case emphasize the relevance of the cytological examination, although the latter has only indicative value, especially since it is an aggressive tumor, frequently associated with mutant expression of p53. In our case, the first indication of the presence of uterine sarcoma was given by the presence of atypical cells in the peritoneal fluid.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        Journal Article
      ougenre: Article
    language: English
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