Cotyledonoid dissecting leiomyoma

Stewart, Kate; Ireland-Jenkin, Kerryn; Quinn, Michael; Armes, Jane E.

doi:10.1080/00313020307578

Cited by 4 publications

(10 citation statements)

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“…In all the cases the tumor was 10 cm or larger in its largest dimension. In five of the cases the location of the tumor was the fundus (1–3,6,9) , in four of the cases it was the cornu of the uterus (4) , in two cases it was the posterior wall of the uterus (7,8) , and in one case the tumor had a multicentric growth pattern including both the fallopian tubes, the broad ligaments, and the peritoneum (5) . In the present case, it was located on the left isthmic region of the uterus and the broad ligament.…”

Section: Discussionmentioning

confidence: 47%

“…In two cases, uterine prolapse was present. In one case, the presenting symptom was rectal bleeding and stress incontinence (9) . In two cases, the cotyledonoid leiomyoma was found incidentally; in one case it was found during appendectomy (5) , and in the other case it was detected on ultrasound examination for the confirmation of pregnancy (8) .…”

Section: Discussionmentioning

confidence: 99%

“…In two cases, the cotyledonoid leiomyoma was found incidentally; in one case it was found during appendectomy (5) , and in the other case it was detected on ultrasound examination for the confirmation of pregnancy (8) . For the eight cases, the intraoperative impression was recorded as a malignant neoplasm, especially leiomyosarcoma (1–3,7–9) . In the other cases, the intraoperative impression of malignancy was not mentioned.…”

Section: Discussionmentioning

confidence: 99%

“…In 1995, Brand et al (3) also reported an exophytic grapelike mass which replaced the fundus of uterus and had an extension through the broad ligament, perforating the posterior leaf as a second mass and extending into the peritoneal cavity. After nomination of these leiomyomas by Roth et al (4) in 1996, five additional cases were also reported to date (5–9) . Clinical features of the cotyledonoid leiomyomas are summarized in Table 1.…”

Section: Discussionmentioning

confidence: 99%

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A case of cotyledonoid leiomyoma and review of the literature

Gürbüz¹,

Karateke²,

Kabaca³

et al. 2005

Int J Gynecol Cancer

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We report a case of a rare, unusual benign tumor, the cotyledonoid leiomyoma or Sternberg tumor, detected incidentally in a 67-year-old woman who underwent total hysterectomy and bilateral salpingo-oophorectomy because of a persisting left ovarian cyst of 5 cm. This is the 14th case of cotyledonoid leiomyoma and 2nd case which had no intrauterine portion but had extrauterine extensions. At laparotomy, it was detected that a deep red nodular papillary tumor had been dissecting the posterior leaf of the left broad ligament, projecting into the abdominal cavity just near the left cornu of the uterus, and extending in downward direction. The remaining portion was lying between the layers of the left broad ligament and arose from the subserosa of the left side of the uterine isthmus. Although the bizarre and unusual shape was in favor of malignity, the frozen-section examination revealed a benign histology. Although the cotyledonoid leiomyoma is a benign entity, it may suggest a malignant disease owing to its unusual sarcomatoid appearance and its rarity. Therefore, awareness of obstetricians and gynecologists regarding this rare entity will prevent unnecessary anxiety and interventions.

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Section: Discussionmentioning

confidence: 47%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A case of cotyledonoid leiomyoma and review of the literature

Gürbüz¹,

Karateke²,

Kabaca³

et al. 2005

Int J Gynecol Cancer

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“…[1][2][3][4][5][6][7] Leiomyoma are benign smooth muscle proliferations of the uterus, frequently found in women in the age range of 30-45 years.…”

Section: An Unusual Variant Of Leiomyoma Masquerading Peroperatively mentioning

confidence: 99%

An unusual variant of leiomyoma masquerading peroperatively as sarcoma

Aggarwal

Arora

2011

Indian J Cancer

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Cotyledonoid Leiomyoma Clinical Characteristics, Imaging Features, and Review of the Literature

Buonomo

Bussolaro

Giorda

et al. 2020

J of Ultrasound Medicine

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Cotyledonoid leiomyoma of the uterus is a rare variant of benign uterine leiomyoma. It has a favorable attitude, despite some ultrasound presentations. A bulky uterus with a heterogeneous mass with irregular margins, high vascularity, and infiltration of the myometrium can induce the suspicion of a malignant mesenchymal tumor and lead to a radical surgical treatment. If present, some imaging features may suggest this rare type of leiomyoma, thus avoiding extensive surgery, especially in young nulliparous women. We report 13 cases of cotyledonoid leiomyoma with clinical characteristics, imaging features, and a literature review.

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Cotyledonoid dissecting leiomyoma

Cited by 4 publications

References 0 publications

A case of cotyledonoid leiomyoma and review of the literature

A case of cotyledonoid leiomyoma and review of the literature

An unusual variant of leiomyoma masquerading peroperatively as sarcoma

Cotyledonoid Leiomyoma Clinical Characteristics, Imaging Features, and Review of the Literature

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