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Inicio Cirugía Española (English Edition) Giant leiomyoma with bizarre nuclei
Información de la revista
Vol. 100. Núm. 11.
Páginas 728 (noviembre 2022)
Vol. 100. Núm. 11.
Páginas 728 (noviembre 2022)
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Giant leiomyoma with bizarre nuclei
Leiomioma gigante con núcleos bizarros
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Leire Guerrico Tomea,
Autor para correspondencia
leireguerrico@gmail.com

Corresponding author.
, Ainhoa Andres Imaza, Raúl Jiménez Agüeroa, Maddi Garmendia Irizarb
a Servicio de Cirugía General, Hospital Universitario Donostia, San Sebastián, Guipúzcoa, Spain
b Servicio de Anatomía Patológica, Hospital Universitario Donostia, San Sebastián, Guipúzcoa, Spain
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Forty-nine-year-old woman with progressive increase in abdominal perimeter, dyspnoea and oedema in the lower limbs. Computed tomography (Fig. 1) revealed a large multiseptated cystic mass displacing intra-abdominal organs. Intraoperatively, a cystic tumour adherent to the uterus and mesosigm with no clear organ dependence was confirmed (Fig. 2); en bloc resection with hysterectomy and sigmoidectomy was performed and it turned out to be a leiomyoma with bizarre nuclei of probable uterine origin (Fig. 3).

Fig. 1
(0.08MB).
Fig. 2
(0.2MB).
Fig. 3
(0.26MB).

Leiomyoma with bizarre nuclei is a rare benign variant of smooth muscle neoplasia, and is considered a distinct entity by the WHO 2014 classification. It presents features of histological atypia, requiring differential diagnosis with leiomyosarcoma.

Diagnosis

Leiomyoma with bizarre nuclei.

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