A clinicopathological study of atypical leiomyomas: Benign variant leiomyoma or smooth‑muscle tumor of uncertain malignant potential

  • Authors:
    • Ioannis Kalogiannidis
    • Thomas Stavrakis
    • Themistoklis Dagklis
    • Stamatios Petousis
    • Christina Nikolaidou
    • Ioannis Venizelos
    • David Rousso
  • View Affiliations

  • Published online on: December 28, 2015     https://doi.org/10.3892/ol.2015.4062
  • Pages: 1425-1428
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Abstract

Atypical leiomyomas are histopathologically recognized by moderate to severe pleomorphic atypical tumor cells showing low mitotic counts without coagulative tumor cell necrosis. The histopathological features and clinical behavior of these tumors are unclear. The surgical management of these lesions includes myomectomy and hysterectomy. The current study presents 5 cases of women with atypical leiomyomas that were managed surgically. The clinicopathological characteristics of the patients and recurrences were analyzed. The median age of the patients was 43 years old. While 3 out of 5 patients were treated by hysterectomy (with or without salpingo‑oophorectomy), the remaining 2 patients were treated by myomectomy. The median mitotic index was 3 mitotic figures/10 high‑power fields. The post‑operative course of all patients was uneventful, and there was no evidence of local or distant recurrence in a median follow‑up time of 72 months. The treatment of choice for atypical leiomyomas is hysterectomy. However, myomectomy may be an option for fertility sparing cases. A thorough consultation with regard to the uncertain behavior of such tumors and a rigorous follow‑up must be offered in such patients.
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February-2016
Volume 11 Issue 2

Print ISSN: 1792-1074
Online ISSN:1792-1082

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Spandidos Publications style
Kalogiannidis I, Stavrakis T, Dagklis T, Petousis S, Nikolaidou C, Venizelos I and Rousso D: A clinicopathological study of atypical leiomyomas: Benign variant leiomyoma or smooth‑muscle tumor of uncertain malignant potential. Oncol Lett 11: 1425-1428, 2016
APA
Kalogiannidis, I., Stavrakis, T., Dagklis, T., Petousis, S., Nikolaidou, C., Venizelos, I., & Rousso, D. (2016). A clinicopathological study of atypical leiomyomas: Benign variant leiomyoma or smooth‑muscle tumor of uncertain malignant potential. Oncology Letters, 11, 1425-1428. https://doi.org/10.3892/ol.2015.4062
MLA
Kalogiannidis, I., Stavrakis, T., Dagklis, T., Petousis, S., Nikolaidou, C., Venizelos, I., Rousso, D."A clinicopathological study of atypical leiomyomas: Benign variant leiomyoma or smooth‑muscle tumor of uncertain malignant potential". Oncology Letters 11.2 (2016): 1425-1428.
Chicago
Kalogiannidis, I., Stavrakis, T., Dagklis, T., Petousis, S., Nikolaidou, C., Venizelos, I., Rousso, D."A clinicopathological study of atypical leiomyomas: Benign variant leiomyoma or smooth‑muscle tumor of uncertain malignant potential". Oncology Letters 11, no. 2 (2016): 1425-1428. https://doi.org/10.3892/ol.2015.4062