Epithelioid leiomyosarcoma of the uterus and the diagnostic challenge in diagnosing it on small biopsy

Epithelioid leiomyosarcoma of the uterus is a rare soft-tissue tumor of the pelvis with <1% cases. It can be asymptomatic or can reach an enormous size, resulting in chronic pelvic pain, postmenopausal bleeding, or may cause bowel and bladder dysfunction. The diagnostic dilemma arises especially...

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Main Authors: Durre Aden, Sufian Zaheer, Shruti Singh, Sunil Ranga
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Mid-Life Health
Subjects:
Online Access:http://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2022;volume=13;issue=3;spage=241;epage=243;aulast=Aden
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author Durre Aden
Sufian Zaheer
Shruti Singh
Sunil Ranga
author_facet Durre Aden
Sufian Zaheer
Shruti Singh
Sunil Ranga
author_sort Durre Aden
collection DOAJ
description Epithelioid leiomyosarcoma of the uterus is a rare soft-tissue tumor of the pelvis with <1% cases. It can be asymptomatic or can reach an enormous size, resulting in chronic pelvic pain, postmenopausal bleeding, or may cause bowel and bladder dysfunction. The diagnostic dilemma arises especially when they have epithelioid morphology. This case is being presented because of its rare incidence along with the diagnostic dilemma it presented due to epithelioid morphology which is a very rare presentation, especially challenging on small biopsies. This case also highlights the usefulness of immunohistochemical markers, such as WT1, p53, and p16, which has important diagnostic as well as prognostic values in rare variants of usual tumors. Leiomyosarcoma per se is a highly aggressive tumor, therefore, timely diagnosis and management are advised.
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spelling doaj.art-b5daadd8ac454cd2a316f683ce30144f2023-02-16T12:42:00ZengWolters Kluwer Medknow PublicationsJournal of Mid-Life Health0976-78000976-78192022-01-0113324124310.4103/jmh.jmh_36_22Epithelioid leiomyosarcoma of the uterus and the diagnostic challenge in diagnosing it on small biopsyDurre AdenSufian ZaheerShruti SinghSunil RangaEpithelioid leiomyosarcoma of the uterus is a rare soft-tissue tumor of the pelvis with <1% cases. It can be asymptomatic or can reach an enormous size, resulting in chronic pelvic pain, postmenopausal bleeding, or may cause bowel and bladder dysfunction. The diagnostic dilemma arises especially when they have epithelioid morphology. This case is being presented because of its rare incidence along with the diagnostic dilemma it presented due to epithelioid morphology which is a very rare presentation, especially challenging on small biopsies. This case also highlights the usefulness of immunohistochemical markers, such as WT1, p53, and p16, which has important diagnostic as well as prognostic values in rare variants of usual tumors. Leiomyosarcoma per se is a highly aggressive tumor, therefore, timely diagnosis and management are advised.http://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2022;volume=13;issue=3;spage=241;epage=243;aulast=Adenepithelioid leiomyosarcomaneoplasmpelvisuterus
spellingShingle Durre Aden
Sufian Zaheer
Shruti Singh
Sunil Ranga
Epithelioid leiomyosarcoma of the uterus and the diagnostic challenge in diagnosing it on small biopsy
Journal of Mid-Life Health
epithelioid leiomyosarcoma
neoplasm
pelvis
uterus
title Epithelioid leiomyosarcoma of the uterus and the diagnostic challenge in diagnosing it on small biopsy
title_full Epithelioid leiomyosarcoma of the uterus and the diagnostic challenge in diagnosing it on small biopsy
title_fullStr Epithelioid leiomyosarcoma of the uterus and the diagnostic challenge in diagnosing it on small biopsy
title_full_unstemmed Epithelioid leiomyosarcoma of the uterus and the diagnostic challenge in diagnosing it on small biopsy
title_short Epithelioid leiomyosarcoma of the uterus and the diagnostic challenge in diagnosing it on small biopsy
title_sort epithelioid leiomyosarcoma of the uterus and the diagnostic challenge in diagnosing it on small biopsy
topic epithelioid leiomyosarcoma
neoplasm
pelvis
uterus
url http://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2022;volume=13;issue=3;spage=241;epage=243;aulast=Aden
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AT shrutisingh epithelioidleiomyosarcomaoftheuterusandthediagnosticchallengeindiagnosingitonsmallbiopsy
AT sunilranga epithelioidleiomyosarcomaoftheuterusandthediagnosticchallengeindiagnosingitonsmallbiopsy